All fields marked with an asterisk (*) are required Job Application Form Job IDJob TitleApplicant DetailsTitle*MrMrsMissMsDrFirst Name*Surname*Address* Street Address Address Line 2 City State Post Code Country AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Contact DetailsWorkHomeMobile*Email* Experience*Qualification/sYear Qualification/s Obtained Are you an Australian Citizen / Permanent Resident?*YesNoDo you have a current working visa?*YesNoORIGINAL work visa or permanent residency status must be presented at interviewAre you of Aboriginal or Torres Strait Islander descent?*YesNoDo You have a current National Police check?YesNoDo you hold a current Australian Drivers Licence?*YesNoDo you require any special arrangements at an interview?*YesNoHave you had a flu vaccination this year?*YesNoPlease provide details*Are you aware of any pre-existing injury or disease that you could reasonably be expected to foresee, that could be affected by the nature of the duties and responsibilities of the position for which you are applying?*YesNoPlease provide a brief description (or on a separate advice)*(Note: failure to disclose or making a false or misleading disclosure may impact on your right to compensation under the Workplace Injury Rehabilitation and Compensation Act 2013) YDHS may request a pre-employment medical examinationDo you have any convictions, finding of guilt and/or pending police charges against you that are less than 10 years old?*YesNoYou must provide a National Police Record Check prior to commencing work. This must be 3 years or less from date of issue.Please provide brief detail*Employment DetailsAre you an existing staff member?*YesNoPosition Ttitle*Area*Are you currently employed?*YesNoHow long have you been with this employer?*How many hours per week do you work?*Is your current employer in the Health Services Industry?*YesNoIf yes, you may be entitled to transfer entitlementsLong Service Leave Entitlement*YesNoUpload your Resumé*Accepted file types: pdf.Please use a PDFUpload your Cover Letter*Accepted file types: pdf.Additional documents Drop files here or Accepted file types: pdf. Use a PDF