Leah Bett Nursing Services
(08) 8912 0650
admin@lbns.com.au
Mon - Fri : 8.30 am – 5.00 pm
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Assist Personal Activities – High Intensity Support
Assist Travel/Transport
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Social and Community Participation
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We are proud to be a registered NDIS provider!
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Phone
(08) 8912 0650
Email
admin@leahbettnursingservices.com.au
SIL House: 28 Jennerae Drive, Stuart NT 0870
Property Profile:
Suburb: Stuart
Property type: House
Land size: 2,261 m²
Bedrooms: 4
Bathrooms: 2 – one meets disability standard
Car spaces: 7
Property Features:
Outdoor Area
Alarm System
Built-in Wardrobes
Dishwasher
Energy Efficiency Rating: Medium
Heating & Cooling
Pay TV Access
Fully Furnished
Clinical area – for treatment by our professional nurses
Join Our Team
Full Name
Date Of Birth
Address
How long have you lived at this address?
Home Telephone number
Mobile Telephone number:
Email address
Driver’s Licence (state)
Driver’s Licence (Number)
Do you have your own transport to and from work?
Yes
No
Do you have previous experience working in Disability?
Yes
No
If YES – Please outline below
Please provide details of previous or present employment below:
Name of Company:
Position held:
Dates of Employment:
To
Reason for leaving:
Please list any licences, certifications, or accreditations that you hold (First Aid Certificate).
Do you have, or have you ever had, any disability, injury or illness which may affect your ability to work freely in this position?
Yes
No
If YES, please provide details:
Have you ever been convicted of a crime?
Yes
No
If YES, please provide details:
Are you an Australian citizen or permanent resident?
Yes
No
If NO, please provide proof of your authority to work in Australia:
Do you identify as being of Aboriginal or Torres Strait Islander descent?
Yes
No
Please provide the details and contact information of reference providers:
Name
Telephone Number
Organisation
Position:
By checking this form, I authorise Leah Bett Nursing Services Pty Ltd to contact my reference providers to verify the information provided.
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