Employment Application Form

Please complete this Application for Employment form, attach your current CV and any supporting documentation.

Interchange Australia is an award-winning care provider enabling people to live independently and has been providing services to people living in South West Sydney, Southern Highlands and Southern Tablelands since 1986.

Your Details

(Note: to be eligible for employment, applicants must have the appropriate work visa or have permanent residency status. A copy of a current work visa is required)
(Note: A criminal records clearance and a Working With Children Check are prerequisites of the position.)

Do you have the following:


Please indicate the days and times you are available:

Time Mon Tue Wed Thu Fri Sat Sun
Start Time
End Time

Pre-Exisiting Conditions


Under Section 82 (7&8) of the Accident Compensation Act 1985, failure to disclose information regarding pre-existing conditions may result in the worker not being entitled to WorkCover compensation for that particular condition, in the event of re-occurrence, aggravation, acceleration, exacerbation or deterioration of the condition.

How did you hear about this position?

Referee Details (Note: Three referees are required. At least two of these referees should have been your immediate supervisor in your past or existing role)

Name Organisation Phone Length of Employment

Upload your CV


I declare the information I have provided is true, correct and complete to the best of my knowledge and belief. I understand that, if employed, I am required to maintain a National Criminal Records clearance, an up to date Working With Children Check and First Aid Certification.
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