| How long have you lived at the above address? |
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| Do you have the appropriate Working With Children Check? | Yes No |
| Do you hold a current driver's licence? | Yes No |
| Do you have your own reliable vehicle? | Yes No |
| Do you have any qualifications relevant to child-minding or tuition? | Yes No |
| Are you presently employed? | Yes No |
Permanent full-time
Permanent part-time
Casual or contract
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| Are you seeking full-time employment? | Yes No |
| Please include your pay expectation |
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| Are you seeking casual referral work? | Yes No |
| Please indicate your availability |
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Please select the location where you would like to work
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