Annual End of Year Carer Update Part 1

Personal Details

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.
Carer Type*
  • - select an option -
  • Child Carer
  • Cleaner
  • Both
Please answer the question.
Please answer the question.
Please tell us about any new skills or experiences that you would like to have listed on your profile
Please give us a brief description, you can give us more detailed notes over the phone
Field is required!
Field is required!

Qualifications

Please provide us with any new qualifications you have from the past 12 months

We only want new information that you haven't provided to us before

Qualification Type
  • - select an option -
  • VCE or Year 12 Equivalent
  • Early Years / Primary Teaching Degree
  • Primary Teaching Degree
  • Secondary Teaching Degree
  • Qualified OSHC Educator
  • Early Childhood Educator
  • International Nanny Certificate
  • International Childcare Certificate
  • Certificate III of Children's Services (Level Educator)
  • Certificate III of Early Childhood (Level Educator)
  • Diploma of Early Childhood (Level Educator)
  • Children's Therapist (Occupational, Speech Pathology, Psychology)
  • Qualified Nurse
  • Midwife/Mothercraft Nurse
  • Food Handling Certificate
  • Chef/Cook/Dietitian/Nutritionist
  • Medical Degree
  • Other
Field is required!
Field is required!
Qualification Information
Field is required!
Field is required!

Date Completed

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
Field is required!
Field is required!
Month
  • - enter the month -
  • January
  • February
  • March
  • April
  • May
  • June
  • July
  • August
  • September
  • October
  • November
  • December
Field is required!
Field is required!
Year
Field is required!
Field is required!
Qualification Type
  • - select an option -
  • VCE or Year 12 Equivalent
  • Early Years / Primary Teaching Degree
  • Primary Teaching Degree
  • Secondary Teaching Degree
  • Qualified OSHC Educator
  • Early Childhood Educator
  • International Nanny Certificate
  • International Childcare Certificate
  • Certificate III of Children's Services (Level Educator)
  • Certificate III of Early Childhood (Level Educator)
  • Diploma of Early Childhood (Level Educator)
  • Children's Therapist (Occupational, Speech Pathology, Psychology)
  • Qualified Nurse
  • Midwife/Mothercraft Nurse
  • Food Handling Certificate
  • Chef/Cook/Dietitian/Nutritionist
  • Medical Degree
  • Other
Field is required!
Field is required!
Qualification Information
Field is required!
Field is required!

Date Completed

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
Field is required!
Field is required!
Month
  • - enter the month -
  • January
  • February
  • March
  • April
  • May
  • June
  • July
  • August
  • September
  • October
  • November
  • December
Field is required!
Field is required!
Year
Field is required!
Field is required!
Qualification Type
  • - select an option -
  • VCE or Year 12 Equivalent
  • Early Years / Primary Teaching Degree
  • Primary Teaching Degree
  • Secondary Teaching Degree
  • Qualified OSHC Educator
  • Early Childhood Educator
  • International Nanny Certificate
  • International Childcare Certificate
  • Certificate III of Children's Services (Level Educator)
  • Certificate III of Early Childhood (Level Educator)
  • Diploma of Early Childhood (Level Educator)
  • Children's Therapist (Occupational, Speech Pathology, Psychology)
  • Qualified Nurse
  • Midwife/Mothercraft Nurse
  • Food Handling Certificate
  • Chef/Cook/Dietitian/Nutritionist
  • Medical Degree
  • Other
Field is required!
Field is required!
Qualification Information
Field is required!
Field is required!

Date Completed

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
Field is required!
Field is required!
Month
  • - enter the month -
  • January
  • February
  • March
  • April
  • May
  • June
  • July
  • August
  • September
  • October
  • November
  • December
Field is required!
Field is required!
Year
Field is required!
Field is required!

Updated References

Please provide us with any new references you have from the past 12 months

PLEASE READ THE BELOW VERY CAREFULLY - BEFORE TICKING the relevant time slots below

Referee 1

Your position held
Please enter your position.
Please enter your position.
Referee Name
Please enter your referee's name.
Please enter your referee's name.
Contact Details
Email and phone number
Field is required!
Field is required!

Start Date

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
Field is required!
Field is required!
Month
  • - enter the month -
  • January
  • February
  • March
  • April
  • May
  • June
  • July
  • August
  • September
  • October
  • November
  • December
Field is required!
Field is required!
Year
Field is required!
Field is required!

Finish Date

Day
  • - enter the day -
  • 1
  • 2
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  • 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
Field is required!
Field is required!
Month
  • - enter the month -
  • January
  • February
  • March
  • April
  • May
  • June
  • July
  • August
  • September
  • October
  • November
  • December
Field is required!
Field is required!
Year
Field is required!
Field is required!

Referee 2

Your position held
Field is required!
Field is required!
Referee Name
Field is required!
Field is required!
Contact Details
Email and phone number
Field is required!
Field is required!

Start Date

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
Field is required!
Field is required!
Month
  • - enter the month -
  • January
  • February
  • March
  • April
  • May
  • June
  • July
  • August
  • September
  • October
  • November
  • December
Field is required!
Field is required!
Year
Field is required!
Field is required!

Finish Date

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
Field is required!
Field is required!
Month
  • - enter the month -
  • January
  • February
  • March
  • April
  • May
  • June
  • July
  • August
  • September
  • October
  • November
  • December
Field is required!
Field is required!
Year
Field is required!
Field is required!

Referee 3

Your position held
Field is required!
Field is required!
Referee Name
Field is required!
Field is required!
Contact Details
Email and phone number
Field is required!
Field is required!

Start Date

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
Field is required!
Field is required!
Month
  • - enter the month -
  • January
  • February
  • March
  • April
  • May
  • June
  • July
  • August
  • September
  • October
  • November
  • December
Field is required!
Field is required!
Year
Field is required!
Field is required!

Finish Date

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
Field is required!
Field is required!
Month
  • - enter the month -
  • January
  • February
  • March
  • April
  • May
  • June
  • July
  • August
  • September
  • October
  • November
  • December
Field is required!
Field is required!
Year
Field is required!
Field is required!

Experience

Which of these tasks are you willing to carry out whilst on duty? (tick more than 1)*
Please select your tasks.
Please select your tasks.
Field is required!
Field is required!
Field is required!
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Have you had experience with any of the following? (tick more than 1 if needed)
Field is required!
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Field is required!

Long Term Availability

Please indicate your long term availability

PLEASE READ THE BELOW VERY CAREFULLY - BEFORE TICKING the relevant time slots below

TICK = means you are ALREADY working for an AGENCY client

TICK = means you would like to be offered permanent or short term work opportunities

TICK = means you are available to be approached about work but can decline our offers if they do not suit

TICK = do NOT leave time slot BLANK if you are ALREADY working for an AGENCY client or WOULD consider work

(If you don't put a TICK then you will NEVER hear from the AGENCY regarding work at that time)

IT IS BETTER TO PUT A TICK AS YOU CAN ALWAYS DECLINE OUR OFFERS

BLANK = means you work for a NON AGENCY related client or job regularly and cannot represent the Agency ever

BLANK = means you are engaged in regular recreational activities and NEVER want to be offered work at that time

BLANK = means that you never ever EVER want to work at that time

(If you leave a time slot BLANK then you will NEVER hear from us regarding work at that time)

IT'S REALLY IMPORTANT TO GET THIS RIGHT

We are here to help - please give us a call on (03) 9576 7000 if you are unsure of what days to tick.
Monday
Field is required!
Field is required!
Field is required!
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Field is required!
Tuesday
Field is required!
Field is required!
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Field is required!
Wednesday
Field is required!
Field is required!
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Thursday
Field is required!
Field is required!
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Friday
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Saturday
Field is required!
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Sunday
Field is required!
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Confirmation and Part 2

PLEASE FILL IN PART 2 OF THE ANNUAL CARER END OF YEAR UPDATE FORM AFTER YOU PRESS SUBMIT FOR PART 1

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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.*
Please confirm.
Please confirm.
Submit