Staff Availability/Interests Survey

1. Your Name in full

2. Your occupation

Cafe/Kitchen Team
Call Centre/Intake Team
Community Support Team
Corporate Administration
Exercise Physiologist
Hairdressing Team
HR
IT Team
Lifestyle Facilitator
Maintenance Team
Manager
Marketing Team
Nursing Team
Occupational Therapist
Physiotherapist
Reception
Respite Staff
Team Leader
Transport Team
Travel Team
Volunteer

3. Are you qualified in the any of the following:

4. If you selected 'Other' what qualifications do you hold and when were they obtained?

5. Are you experienced in providing supports to persons with the following disability?

6. Do you have non accredited skills, eg. music, arts

7. Please provide the days you are available to work?

8. Would you be available to work any of the following hours after 4pm:

9. If you answered 'Other' what hours of work are you able to commit too, on the days you nominated in Q7.?

10. Are you able to provide any of the following services?

Gardening
Mowing
Edge Trimming
None of the above

11. What hobbies or things of interest do you have?

12. If you answered 'Other' please tell us what else interests you?

13. I am proficient in operating the following equipment?

14. If you answered 'Other' please tell us what other equipment you are proficient in operating?

15. Are you willing to use your registered, roadworthy vehicle for business use?

Yes No

There are required fields in this form marked

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