How do you want your story to be told? Our only goal is for you to make a difference through our support and care. But it’s in your hands to start rewriting your own story. Please enable JavaScript in your browser to complete this form.Name *Email *PhoneJOIN US Please enable JavaScript in your browser to complete this form.NameFirstLastPhone *Email *Address *Address Line 1CityState / Province / RegionPostal CodeResident StatusAre you an Australian Citizen? *YesNoIf yes can you provide evidence if required? *YesNoIf no, do you have the right of permanent residence? *YesNoIf no, do you have a work permit/Visa? *YesNoIf yes, what type of Visa? *YesNoAre you an assisted immigrant under bond to the Government or any other employer? *YesNoIf yes provide details *ReferencesReference One - Name *FirstLastReference One - Relationship to you and organisation if applicable? *Reference One - Phone *Reference One - Email *Reference Two - Name *FirstLastReference Two - Relationship to you and organisation if applicable? *Reference Two - Phone *Reference Two - Email *MedicalDo you agree to undergo a medical examination if required? *YesNoAre you allergic to, or have sensitivity to any substances or chemicals? *YesNoIf yes, please provide details: *Do you have any disabilities / medical conditions that could affect your ability to do certain types of work / activities? *YesNoIf yes, please provide details: *Have you ever claimed Worker’s Compensation? *YesNoIf yes, please provide details: *GeneralHave you been convicted of a criminal offence or placed on a good behaviour bond? *YesNoIf yes, please provide details: *Are you awaiting the hearing of charges in a civil or criminal court of law? *YesNoIf yes, please provide details: *Are you currently a subject of allegation under investigation with any current or previous employer? *YesNoIf yes, please provide details: *ClearancesDo you have a current paid Working with Children Check (cleared) / Blue Card? *YesNoClearance number: *Expiry Date of WWCC / Blue Card *Your Date of Birth (for clearance verification)? *Do you have a National Police Check? *YesNoDate National Police Check was conducted? *Do you speak any language other than English? *YesNoIf yes, please provide details: *Do you identify as: *AboriginalTorres Straight IslanderNietherWhat position category are you applying for? *Support WorkOffice StaffProvide your work availability by days and times? *DocumentsAre you submitting a resume? *YesNoResume Upload Click or drag a file to this area to upload. Must be one of the following file types: .doc, .docx, .jpg, .pdf, .pngAre you submitting a cover letter? *YesNoCover Letter Upload Click or drag a file to this area to upload. Must be one of the following file types: .doc, .docx, .jpg, .pdf, .pngWere you referred by an existing employee? *YesNoIf yes, who?What position are you seeking and why?Please Note: Synergy Vision is under no obligation to offer you employment We will review the information provided within to determine your suitability for employment. Any statement on this form, which is found to be deliberately misleading, your application will not be considered. Employment is subject to proof of eligibility to work in Australia. If Synergy Vision requires you to undertake a company medical examination for the purposes of determining whether you are able to perform the inherent requirements of the job then any offer of employment will be subject to you passing this examination A Criminal record, working with children check and reference checks are some of the many factors taken into account in assessing your suitability for employment. It does not necessarily disqualify your application. If rejection of your application, solely because of one of these checks, is considered, you may be given the opportunity to discuss the matter fully before a final decision is made. Any statement on this form, which is found to be deliberately misleading, will make you, if employed, liable for dismissal. Any offer of employment will not be deemed to be valid unless such offer is formally made in writing by Synergy Vision's Head Of Culture and a copy of the written offer is signed by you and returned to Synergy Vision as confirmation of your acceptance of the offer and the conditions set out therein. I agree, if appointed, at all times to abide by Synergy Vision Pty Ltd's policies and procedures. I understand that I may be presented with opportunity to work in any geographical area under the jurisdiction of Synergy Vision Pty Ltd. I acknowledge and agree to keep all private information concerning Synergy Vision Pty Ltd, and information regarding the host organisations/clients and service users, private and confidential. Private information includes all information regarding financial, operations, medical and health, family and other matters considered personal to Synergy Vision Pty Ltd and host organisations/clients, their respective staff and service users. *I agreeI do not AgreeEmailApply