Job Application Form

Submit Your Application Online – Quick & Easy

To Apply

Submit Your Job Application Online – Quick & Easy

At Chrysalis Therapeutic Support Services, we’ve made it simple to apply for a position with our group.
Details

How to Submit a Job Application

Complete the Online Form Below

Provide the required details, including contact information.

Submit Your Application

Once submitted, our team will review your information and contact you to discuss.

Job Application Form

Welcome to our Chrysalis Referral Form. Please complete the following information and submit to access our service. Thankyou for applying.

Application for Employment

Which location are you applying for?
What role are you applying for?
Title
Do you identify as Aboriginal/Torres Strait Islander?
Do you require a Visa to work in Australia?
Address

Emergency Contact

Address

Details of Employment

Please provide details below ( at least the last three positions held )

Do you need to give notice to current employer?
Do you have a 2nd Employer / Job?
Are you going for other roles elsewhere?

Referees / Reference Nominees

** WORK references ONLY (not family members or friends) Must supply MINIMUM OF TWO names and companies who could speak on your behalf

Referee

Referee #2

Occupational Licences & Certificates

Please indicate your licences/training (please provide copy/s with your application)
Drag & Drop Files, Choose Files to Upload
Please Upload Current Resume
Drag & Drop Files, Choose Files to Upload
Please Upload First Aid Certificate

Qualifications

** Please advise your qualifications and provide certificates where possible*
Drag & Drop Files, Choose Files to Upload
Qualifications please upload
Drag & Drop Files, Choose Files to Upload
Please Upload Licence
Drag & Drop Files, Choose Files to Upload
Please Upload Current Resume
Drag & Drop Files, Choose Files to Upload
Please Upload First Aid Certificate

Please answer the following questions and provide details where applicable.

Is a doctor currently treating you for any illness?
Are you currently taking any medication?
Are you allergic to anything including medications?
Have you been away from work because of illness or injury in the last 2 years?
Have you ever received treatment for back pain or neck pain?

Drugs and Alcohol in the Workplace - Zero Tolerance Policy

We have a zero tolerance policy for the consumption and presence of drugs and alcohol whilst at work. Drug and Alcohol testing will occur and is on a random basis
Do you have any concerns undergoing Drug and Alcohol testing?

Privacy & Personal Information Consent

Please complete the following consent statement
consent to the collection of necessary personal information, including age, gender, vaccination status, address details, and the disclosure of information to third parties, medical practitioners and psychological service providers. I agree to undertake all medical tests and examinations as required to ensure my capability to perform the tasks required of the position for which I have applied. I hereby declare that the information I have provided in this form is true and accurate and I authorise the company to verify any information if required. Any false or misleading information may result in the termination of my position / application. I have read and understood my rights in respect of access to and collection of my personal information.
Clear Signature