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Job application form


Please read through the form below before beginning to make sure you have the necessary information and documents. You will need to attach:

  1. Your resume
  2. A cover letter
  3. Scanned copies of documents for your qualifications
  4. If you have a Senior First Aid Certificate, National Police Clearance, Working with Children Check, NDIS Worker Screening Check and COVID-19 proof of vaccination, you will need to attach scanned copies of these too.

If you prefer, you can download and print the form instead …

Download an Application For Employment Form




Application for Employment

Application for Employment

Personal Information

Home address *
Home address
Postal address (if different from above)
Postal address (if different from above)
Are you legally entitled to work in Australia? *

Qualifications & Experience


Employee Information

Do you have any illnesses or conditions, physical or otherwise, that would prevent you from carrying out the full duties of the position you are applying for? *
Have you had any previous or current workers compensation claims? *
Do you have access to a registered, insured and reliable 4 door motor vehicle? *
Do you have a current driver’s license? *
Have you had any driving convictions in the last 3 years? *
Have you had any criminal convictions in the last 5 years? *
If requested, can you provide a non-negative (clean) drug and alcohol test? *
Do you hold a current Senior First Aid Certificate? *
Please attach a copy

Maximum file size: 2MB

Do you hold a current NDIS Worker Screening Check? *
Are you fully COVID-19 vaccinated and can provide proof by means of either an Australian Government COVID-19 Digital Certificate or Medicare Immunisation History Statement? *
Do you hold a current National Police Clearance? *
Please attach a copy

Maximum file size: 2MB

Do you hold a current Working with Children’s Check? *
Please attach a copy

Maximum file size: 2MB

Have you speak any languages other than English? *
Have you have an internet accessible smart phone? *

Availability - Support Worker applications only

If you are applying for a Support Worker role please indicate what days of the week and times you are available for work

Are you able and willing to do overnight clients? *

Additional Information

Please tick if you have experience performing or using any of the following
Please tick if you are willing to learn any of the following


Your current resume *

Maximum file size: 3MB

Your cover letter *

Maximum file size: 3MB

Copies of qualifications you have listed above

Maximum file size: 5MB


The information provided in this application is used to determine an applicant’s suitability based on the skills and qualifications required of the position. Providing false or misleading information may result in any offer of employment being withdrawn.

I agree and confirm my consent for Midwest Community Living Association Inc to use and disclose my personal information in the manner described within the guidelines of the Privacy Act.

I understand that by signing this declaration I confirm all information provided by me in this application is true and accurate to the best of my knowledge.

I have read and agree to the declaration statement *