Annual End of Year Client Update

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.
Mobile Phone*
Please enter your mobile phone number.
Please enter your mobile phone number.

Position Updates

Carer 1

First Name
Field is required!
Field is required!
Last Name
Field is required!
Field is required!

What will be the last date your carer will work 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 be the first date that your carer will work 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
Will you be requiring your carer again next year?
  • - select an option -
  • No
  • Yes
  • Yes if they would like to work
  • No please inform my carer
  • 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!
What are your carer's strengths?
Limit of 200 characters
Please limit your answer to 200 characters (including spaces).
Please limit your answer to 200 characters (including spaces).
Do you have any coaching or training suggestions that we might be able to provide to your carer?
Limit of 200 characters
Please limit your answer to 200 characters (including spaces).
Please limit your answer to 200 characters (including spaces).

If you employ your carer directly, would you like to increase your carer's pay rate? If so, by how much?

You are not required to answer if you are part of the IHC Program

  • - select an option -
  • No
  • $1
  • $2
  • $3
  • $4
  • $5
  • Not sure
Field is required!
Field is required!

Do you require your carer on the following dates?

Keeping in mind that public holidays will incur extra charges/higher fees

Field is required!
Field is required!
Field is required!
Field is required!
As Christmas Day falls on a Saturday, an additional public holiday is given on the following Monday
Field is required!
Field is required!
As Boxing Day falls on a Sunday, an additional public holiday is given on the following Tuesday
Field is required!
Field is required!
Field is required!
Field is required!
Field is required!
Field is required!
As New Year's Day falls on a Saturday, the following Monday is an additional public holiday
Field is required!
Field is required!
Field is required!
Field is required!

Carer 2

First Name
Field is required!
Field is required!
Last Name
Field is required!
Field is required!

What will be the last date your carer will work 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 be the first date that your carer will work 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
Will you be requiring your carer again next year?
  • - select an option -
  • No
  • Yes
  • Yes if they would like to work
  • No please inform my carer
  • 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!
What are your carer's strengths?
Limit of 200 characters
Please limit your answer to 200 characters (including spaces).
Please limit your answer to 200 characters (including spaces).
Do you have any coaching or training suggestions that we might be able to provide to your carer?
Limit of 200 characters
Please limit your answer to 200 characters (including spaces).
Please limit your answer to 200 characters (including spaces).

If you employ your carer directly, would you like to increase your carer's pay rate? If so, by how much?

You are not required to answer if you are part of the IHC Program

  • - select an option -
  • No
  • $1
  • $2
  • $3
  • $4
  • $5
  • Not sure
Field is required!
Field is required!

Do you require your carer on the following dates?

Keeping in mind that public holidays will incur extra charges

Field is required!
Field is required!
Field is required!
Field is required!
As Christmas Day falls on a Saturday, an additional public holiday is given on the following Monday
Field is required!
Field is required!
As Boxing Day falls on a Sunday, an additional public holiday is given on the following Tuesday
Field is required!
Field is required!
Field is required!
Field is required!
Field is required!
Field is required!
As New Year's Day falls on a Saturday, the following Monday is an additional public holiday
Field is required!
Field is required!
Field is required!
Field is required!

Carer 3

First Name
Field is required!
Field is required!
Last Name
Field is required!
Field is required!

What will be the last date your carer will work 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 be the first date that your carer will work 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
Will you be requiring your carer again next year?
  • - select an option -
  • No
  • Yes
  • Yes if they would like to work
  • No please inform my carer
  • 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!
What are your carer's strengths?
Limit of 200 characters
Please limit your answer to 200 characters (including spaces).
Please limit your answer to 200 characters (including spaces).
Do you have any coaching or training suggestions that we might be able to provide to your carer?
Limit of 200 characters
Please limit your answer to 200 characters (including spaces).
Please limit your answer to 200 characters (including spaces).

If you employ your carer directly, would you like to increase your carer's pay rate? If so, by how much?

You are not required to answer if you are part of the IHC Program

  • - select an option -
  • No
  • $1
  • $2
  • $3
  • $4
  • $5
  • Not sure
Field is required!
Field is required!

Do you require your carer on the following dates?

Keeping in mind that public holidays will incur extra charges

Field is required!
Field is required!
Field is required!
Field is required!
As Christmas Day falls on a Saturday, an additional public holiday is given on the following Monday
Field is required!
Field is required!
As Boxing Day falls on a Sunday, an additional public holiday is given on the following Tuesday
Field is required!
Field is required!
Field is required!
Field is required!
Field is required!
Field is required!
As New Year's Day falls on a Saturday, the following Monday is an additional public holiday
Field is required!
Field is required!
Field is required!
Field is required!

If you are part of the In Home Care Program, please complete the following

You are not required to answer if you are not part of the IHC Program

Does your family receive care through the Government Subsidised In Home Care Program?*
Please answer the question.
Please answer the question.
Do you understand that educators must not work if children are not present?
Field is required!
Field is required!
Do you understand that educators are entitled to charge .72 per km traveled in their own cars during working hours?
Field is required!
Field is required!
Do you understand that educators are entitled to access your wifi, food, snacks and bedding if sleeping over?
Field is required!
Field is required!
Do you understand that educators are to be provided with 1 interrupted break for shifts longer than 6 and shorter than 10 hours?
Field is required!
Field is required!
Do you understand that educators are to be provided with 2 interrupted breaks for shifts longer than 10 hours?
Field is required!
Field is required!

Confirmation

Please tick if you understand

Our office will be closed from 5pm on the 24th of a December and will reopen on the 10th of January. Our out of hours duty consultant will be on duty to deal with emergencies relating to a pre booked appointment at 4pm daily,.
Please answer the question.
Please answer the question.

Please nominate your carer for Carer of the Year!

The nomination form will load automatically
What is your preferred contact method for the Annual Ring Around?*
Given the extenuating circumstances and the fact we have office employees working from home, we would prefer to confirm by email and text, but if you would like a phone call back, please tick and we will be happy to give you a call
Please answer the question.
Please answer the question.
I confirm that all information provided is accurate and current, and that I have read and agree with all the information outlined.*
Please confirm.
Please confirm.