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Annual End of Year Carer Update Part 2
PLEASE NOW FILL IN PART 2 OF THE ANNUAL CARER END OF YEAR UPDATE FORM
Personal Details
Please fill in these fields again so we can match you up to your profile
First Name*
Please enter your first name.
Please enter your first name.
Last Name*
Please enter your last name.
Please enter your last name.
Email*
Please enter your email.
Please enter your email.
Short Term Availability
Please indicate which of the following dates you will be available for work over the holiday break. By ticking the box it will mean that you are available and would like to be contacted about work that arises on those days. By not ticking the box it will mean that you are not free and the Agency will not contact you about work on those days.
December
Friday
Dec 1
Field is required!
Field is required!
Saturday
Dec 2
Field is required!
Field is required!
Sunday
Dec 3
Field is required!
Field is required!
Monday
Dec 4
Field is required!
Field is required!
Tuesday
Dec 5
Field is required!
Field is required!
Wednesday
Dec 6
Field is required!
Field is required!
Thursday
Dec 7
Field is required!
Field is required!
Friday
Dec 8
Field is required!
Field is required!
Saturday
Dec 9
Field is required!
Field is required!
Sunday
Dec 10
Field is required!
Field is required!
Monday
Dec 11
Field is required!
Field is required!
Tuesday
Dec 12
Field is required!
Field is required!
Wednesday
Dec 13
Field is required!
Field is required!
Thursday
Dec 14
Field is required!
Field is required!
Friday
Dec 15
Field is required!
Field is required!
Saturday
Dec 16
Field is required!
Field is required!
Sunday
Dec 17
Field is required!
Field is required!
Monday
Dec 18
Field is required!
Field is required!
Tuesday
Dec 19
Field is required!
Field is required!
Wednesday
Dec 20
Field is required!
Field is required!
Thursday
Dec 21
Field is required!
Field is required!
Friday
Dec 22
Field is required!
Field is required!
Saturday
Dec 23
Field is required!
Field is required!
Sunday
Dec 24
Field is required!
Field is required!
Monday
Dec 25
Field is required!
Field is required!
Tuesday
Dec 26
Field is required!
Field is required!
Wednesday
Dec 27
Field is required!
Field is required!
Thursday
Dec 28
Field is required!
Field is required!
Friday
Dec 29
Field is required!
Field is required!
Saturday
Dec 30
Field is required!
Field is required!
Sunday
Dec 31
Field is required!
Field is required!
January
Monday
Jan 1
Field is required!
Field is required!
Tuesday
Jan 2
Field is required!
Field is required!
Wednesday
Jan 3
Field is required!
Field is required!
Thursday
Jan 4
Field is required!
Field is required!
Friday
Jan 5
Field is required!
Field is required!
Saturday
Jan 6
Field is required!
Field is required!
Sunday
Jan 7
Field is required!
Field is required!
Monday
Jan 8
Field is required!
Field is required!
Tuesday
Jan 9
Field is required!
Field is required!
Wednesday
Jan 10
Field is required!
Field is required!
Thursday
Jan 11
Field is required!
Field is required!
Friday
Jan 12
Field is required!
Field is required!
Saturday
Jan 13
Field is required!
Field is required!
Sunday
Jan 14
Field is required!
Field is required!
Monday
Jan 15
Field is required!
Field is required!
Tuesday
Jan 16
Field is required!
Field is required!
Wednesday
Jan 17
Field is required!
Field is required!
Thursday
Jan 18
Field is required!
Field is required!
Friday
Jan 19
Field is required!
Field is required!
Saturday
Jan 20
Field is required!
Field is required!
Sunday
Jan 21
Field is required!
Field is required!
Monday
Jan 22
Field is required!
Field is required!
Tuesday
Jan 23
Field is required!
Field is required!
Wednesday
Jan 24
Field is required!
Field is required!
Thursday
Jan 25
Field is required!
Field is required!
Friday
Jan 26
Field is required!
Field is required!
Saturday
Jan 27
Field is required!
Field is required!
Sunday
Jan 28
Field is required!
Field is required!
Monday
Jan 29
Field is required!
Field is required!
Tuesday
Jan 30
Field is required!
Field is required!
Wednesday
Jan 31
Field is required!
Field is required!
Client Update
Client 1
First Name
Please enter your first name.
Please enter your first name.
Last Name
Please enter your last name.
Please enter your last name.
What will your last date of work be this year?
Day
- enter the day -
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Please enter your commencement date
Please enter your commencement date
Month
- enter the month -
January
February
March
April
May
June
July
August
September
October
November
December
Please enter your commencement date
Please enter your commencement date
Year
Please enter your commencement date
Please enter your commencement date
What will your first date of work be next year?
Day
- enter the day -
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Please enter your commencement date
Please enter your commencement date
Month
- enter the month -
January
February
March
April
May
June
July
August
September
October
November
December
Please enter your commencement date
Please enter your commencement date
Year
Please enter your commencement date
Please enter your commencement date
Are you available to work for your client next year?
- select an option -
No
Yes
Yes if they want me
No please inform my client
Don't know, please let me know
Field is required!
Field is required!
Fill in the hours and days for next year
Monday
Start Time
Field is required!
Field is required!
Finish Time
Field is required!
Field is required!
Tuesday
Start Time
Field is required!
Field is required!
Finish Time
Field is required!
Field is required!
Wednesday
Start Time
Field is required!
Field is required!
Finish Time
Field is required!
Field is required!
Thursday
Start Time
Field is required!
Field is required!
Finish Time
Field is required!
Field is required!
Friday
Start Time
Field is required!
Field is required!
Finish Time
Field is required!
Field is required!
Saturday
Start Time
Field is required!
Field is required!
Finish Time
Field is required!
Field is required!
Sunday
Start Time
Field is required!
Field is required!
Finish Time
Field is required!
Field is required!
Additional Comments
Limit of 200 characters
Please limit your answer to 200 characters (including spaces).
Please limit your answer to 200 characters (including spaces).
Client 2
First Name
Please enter your first name.
Please enter your first name.
Last Name
Please enter your last name.
Please enter your last name.
What will your last date of work be this year?
Day
- enter the day -
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Please enter your commencement date
Please enter your commencement date
Month
- enter the month -
January
February
March
April
May
June
July
August
September
October
November
December
Please enter your commencement date
Please enter your commencement date
Year
Please enter your commencement date
Please enter your commencement date
What will your first date of work be next year?
Day
- enter the day -
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Please enter your commencement date
Please enter your commencement date
Month
- enter the month -
January
February
March
April
May
June
July
August
September
October
November
December
Please enter your commencement date
Please enter your commencement date
Year
Please enter your commencement date
Please enter your commencement date
Are you available to work for your client next year?
- select a option -
No
Yes
Yes if they want me
No please inform my client
Don\'t know, please let me know
Field is required!
Field is required!
Fill in the hours and days for next year
Monday
Start Time
Field is required!
Field is required!
Finish Time
Field is required!
Field is required!
Tuesday
Start Time
Field is required!
Field is required!
Finish Time
Field is required!
Field is required!
Wednesday
Start Time
Field is required!
Field is required!
Finish Time
Field is required!
Field is required!
Thursday
Start Time
Field is required!
Field is required!
Finish Time
Field is required!
Field is required!
Friday
Start Time
Field is required!
Field is required!
Finish Time
Field is required!
Field is required!
Saturday
Start Time
Field is required!
Field is required!
Finish Time
Field is required!
Field is required!
Sunday
Start Time
Field is required!
Field is required!
Finish Time
Field is required!
Field is required!
Additional Comments
Limit of 200 characters
Please limit your answer to 200 characters (including spaces).
Please limit your answer to 200 characters (including spaces).
Client 3
First Name
Please enter your first name.
Please enter your first name.
Last Name
Please enter your last name.
Please enter your last name.
What will your last date of work be this year?
Day
- enter the day -
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Please enter your commencement date
Please enter your commencement date
Month
- enter the month -
January
February
March
April
May
June
July
August
September
October
November
December
Please enter your commencement date
Please enter your commencement date
Year
Please enter your commencement date
Please enter your commencement date
What will your first date of work be next year?
Day
- enter the day -
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Please enter your commencement date
Please enter your commencement date
Month
- enter the month -
January
February
March
April
May
June
July
August
September
October
November
December
Please enter your commencement date
Please enter your commencement date
Year
Please enter your commencement date
Please enter your commencement date
Are you available to work for your client next year?
- select a option -
No
Yes
Yes if they want me
No please inform my client
Don\'t know, please let me know
Field is required!
Field is required!
Fill in the hours and days for next year
Monday
Start Time
Field is required!
Field is required!
Finish Time
Field is required!
Field is required!
Tuesday
Start Time
Field is required!
Field is required!
Finish Time
Field is required!
Field is required!
Wednesday
Start Time
Field is required!
Field is required!
Finish Time
Field is required!
Field is required!
Thursday
Start Time
Field is required!
Field is required!
Finish Time
Field is required!
Field is required!
Friday
Start Time
Field is required!
Field is required!
Finish Time
Field is required!
Field is required!
Saturday
Start Time
Field is required!
Field is required!
Finish Time
Field is required!
Field is required!
Sunday
Start Time
Field is required!
Field is required!
Finish Time
Field is required!
Field is required!
Additional Comments
Limit of 200 characters
Please limit your answer to 200 characters (including spaces).
Please limit your answer to 200 characters (including spaces).
Confirmation
Do you provide care to families who are part of the In Home Care Program?*
Yes
No
Please answer the question.
Please answer the question.
If you answered 'No' to the above question, please acknowledge the below
A copy of the Terms of Agreement are available to you through the
Carer Portal
Note: The Terms of Agreement may have been updated since you joined the Agency. Please call us on (03) 9576 7000 if you can't access the Agreement.
I confirm that I have read and understood the Terms of Agreement available through the Carer Portal.
Yes
Please confirm.
Please confirm.
I guarantee that I will inform the Agency of ALL bookings.
Yes
Please confirm.
Please confirm.
If you answered 'Yes' to the above question, please acknowledge the below
Do you understand that when an educator attends a shift on a public holiday, the family will be charged much higher out of pocket expenses? (Please contact us prior to working on a public holiday to check if the family has been quoted)
Yes
Please confirm.
Please confirm.
Do you understand that if the length of the shift is shortened or lengthened, it may result in a higher out of pocket expense being charged to the family? (If the families suggest this please ask them to obtain a quote from us before making any changes)
Yes
Please confirm.
Please confirm.
Do you understand that Families must not allow or instruct Educators to enter sessions of care where either the Educator or eligible children are not present?
Yes
Please confirm.
Please confirm.
Do you understand that Educators must not submit timesheets that do not accurately reflect the attendance of the children in care?
Yes
Please confirm.
Please confirm.
Do you understand that if a family member or educator is unwell, you must report to the agency immediately for advice?
Yes
Please confirm.
Please confirm.
Do you understand that Families must not ask Educators to participate in activities where there is a high risk of injury e.g. trampoline centers, rock climbing walls, ice skating etc.? (Educators are to encourage and assist children to undertake physical activities however must not participate themselves)
Yes
Please confirm.
Please confirm.
Do you understand that if any incident occurs during a session of care involving injury, harm or trauma to or illness of a child, where medical attention was sought or ought to have been sought, or hospital attendance occurred, or where a child is missing or appears to have been taken, removed or locked in or out of a premises, it MUST be reported by phone and form to the Agency immediately?
https://www.australiasleadinghomecareagency.com.au/reportable-incidents/
Yes
Please confirm.
Please confirm.
Do you understand that Educators may claim KM reimbursement costs directly from the family using the link on our Website?
https://www.australiasleadinghomecareagency.com.au/km-reimbursement-request-form/
Yes
Please confirm.
Please confirm.
Do you understand that Educators are entitled to take 2 paid interrupted on premises breaks for shift longer than 10 hours and 1 paid interrupted on premises breaks for shifts between 6 and 10 hours? (The children should either be asleep or be undertaking independent play whilst the educator puts their feet up, can do some internet banking, have a cuppa, read a book while keeping an eye and ear out for the security, health and wellbeing of the children)
Yes
Please confirm.
Please confirm.
Do you understand that Educators are to be given access to internet, permitted to serve an additional portion of food and snacks for themselves, modeling appropriate table manners and good eating habits?
Yes
Please confirm.
Please confirm.
Do you understand that Educators are required to create a quarterly educational planner for each Family using the link on our Website?
https://www.australiasleadinghomecareagency.com.au/ihc-quarterly-planner/
Yes
Please confirm.
Please confirm.
Are you familiar with our Code of Conduct and do you agree to follow it?
https://www.australiasleadinghomecareagency.com.au/code-of-conduct/
Yes
Please confirm.
Please confirm.
I confirm that all information provided is accurate and current, that I have read and agree with all the information outlined, and I give my consent to the Agency to contact my references.*
Yes
Please confirm.
Please confirm.
Submit
Home
Services
Childcare Services
Household Services
FAQs
Booking
Families Register Here
Methods of Engagement
Permanent Placement
Work Cover
Public Liability Insurance
Pricing
Methods of Engagement
Minumum rates
Cancellation Information
Pricing Table
Permanent Placement
Employment
Jobs of the Week
Carers Register Here
Carer Update Form
The Team
Contact
(03) 9576 7000
(Victoria Wide)
