Aged Care Candidate Intake Form

Candidate Intake — Aged Care Workforce Connect

Tell us about your qualifications, experience and goals. The form takes about 15 minutes.

Step 1 of 12 - Basic details

Name

This field is for validation purposes and should be left unchanged.

Full name(Required)

Month of birth(Required)

Used to confirm age eligibility for relevant visa pathways.

Year of birth(Required)

Country of current residence(Required)

Phone number(Required)

Include your country code.

Email address(Required)

Highest nursing/health qualification(Required)

Name, institution and country.

Qualification dates

Start and completion (or expected completion).

Additional qualifications

Diplomas, certificates — list all, even if not the highest.

Current nursing registration body

e.g. Nepal Nursing Council.

Registration number and date first registered

Registration status(Required)

Active

Lapsed

Other

Any specialisation

e.g. Gerontological Nursing — leave blank if none.

Total years of relevant clinical/healthcare experience(Required)

Most recent employer, role, and dates(Required)

Setting of your most recent role(Required)

Acute hospital ward

Community health

Aged care

Other

Previous employer(s), roles, and dates

Brief description of your day-to-day duties in your most recent role(Required)

Please describe specific tasks, not just a job title.

Personal care tasks you're comfortable performing

Personal hygiene support

Showering/dressing assistance

Mobility and transfer support

Mealtime assistance

Activities of daily living

Additional clinical skills

Medication administration

IV cannulation

Wound care

Catheter care

NG tube care

EMR documentation

Do you have dementia care experience?(Required)

Yes

Please describe your dementia care experience

Do you have palliative care experience?(Required)

Yes

Please describe your palliative care experience

Essential qualifications

Answer each criterion. Where you select Yes, provide your evidence and the relevant start and end dates.

Certificate III or above in Individual Support, Aged Care or Disability(Required)

Yes

Are you willing to obtain this?(Required)

Yes

Candidate Evidence(Required)

Provide supporting details — e.g. qualification title and training provider, certificate or reference number, employer and role, or a summary of the relevant experience.

Start Date(Required)

DD slash MM slash YYYY

Date of issue, completion, or commencement.

End Date

DD slash MM slash YYYY

Expiry or end date. Leave blank if current, ongoing, or not applicable.

Evidence of 120 hours practical placement within the training completed(Required)

Yes

Are you willing to obtain this?(Required)

Yes

Candidate Evidence(Required)

Provide supporting details — e.g. qualification title and training provider, certificate or reference number, employer and role, or a summary of the relevant experience.

Start Date(Required)

DD slash MM slash YYYY

Date of issue, completion, or commencement.

End Date

DD slash MM slash YYYY

Expiry or end date. Leave blank if current, ongoing, or not applicable.

At least 1 year relevant work experience post-qualification, within last 3 years(Required)

Yes

Are you willing to obtain this?(Required)

Yes

Candidate Evidence(Required)

Provide supporting details — e.g. qualification title and training provider, certificate or reference number, employer and role, or a summary of the relevant experience.

Start Date(Required)

DD slash MM slash YYYY

Date of issue, completion, or commencement.

End Date

DD slash MM slash YYYY

Expiry or end date. Leave blank if current, ongoing, or not applicable.

Mandatory compliance requirements

Current certificates and checks required for aged care roles. Where you select Yes, provide details and dates.

First Aid (within 3 years)(Required)

Yes

Are you willing to obtain this?(Required)

Yes

Candidate Evidence(Required)

Provide supporting details — e.g. qualification title and training provider, certificate or reference number, employer and role, or a summary of the relevant experience.

Start Date(Required)

DD slash MM slash YYYY

Date of issue, completion, or commencement.

End Date

DD slash MM slash YYYY

Expiry or end date. Leave blank if current, ongoing, or not applicable.

CPR (within 12 months)(Required)

Yes

Are you willing to obtain this?(Required)

Yes

Candidate Evidence(Required)

Provide supporting details — e.g. qualification title and training provider, certificate or reference number, employer and role, or a summary of the relevant experience.

Start Date(Required)

DD slash MM slash YYYY

Date of issue, completion, or commencement.

End Date

DD slash MM slash YYYY

Expiry or end date. Leave blank if current, ongoing, or not applicable.

NDIS Worker Screening Check(Required)

Yes

Are you willing to obtain this?(Required)

Yes

Candidate Evidence(Required)

Provide supporting details — e.g. qualification title and training provider, certificate or reference number, employer and role, or a summary of the relevant experience.

Start Date(Required)

DD slash MM slash YYYY

Date of issue, completion, or commencement.

End Date

DD slash MM slash YYYY

Expiry or end date. Leave blank if current, ongoing, or not applicable.

National Police Check (within 3 months)(Required)

Yes

Are you willing to obtain this?(Required)

Yes

Candidate Evidence(Required)

Provide supporting details — e.g. qualification title and training provider, certificate or reference number, employer and role, or a summary of the relevant experience.

Start Date(Required)

DD slash MM slash YYYY

Date of issue, completion, or commencement.

End Date

DD slash MM slash YYYY

Expiry or end date. Leave blank if current, ongoing, or not applicable.

Current year influenza vaccination(Required)

Yes

Are you willing to obtain this?(Required)

Yes

Candidate Evidence(Required)

Provide supporting details — e.g. qualification title and training provider, certificate or reference number, employer and role, or a summary of the relevant experience.

Start Date(Required)

DD slash MM slash YYYY

Date of issue, completion, or commencement.

End Date

DD slash MM slash YYYY

Expiry or end date. Leave blank if current, ongoing, or not applicable.

Demonstrated experience and skills

Where you select Yes, describe your evidence. Criteria marked desirable or preferred are not essential — answer honestly.

Assisting with activities of daily living in an aged care setting(Required)

Yes

Candidate Evidence(Required)

Provide supporting details — e.g. qualification title and training provider, certificate or reference number, employer and role, or a summary of the relevant experience.

Start Date(Required)

DD slash MM slash YYYY

Date of issue, completion, or commencement.

End Date

DD slash MM slash YYYY

Expiry or end date. Leave blank if current, ongoing, or not applicable.

Medication administration via Webster packs (desirable)(Required)

Yes

Candidate Evidence(Required)

Provide supporting details — e.g. qualification title and training provider, certificate or reference number, employer and role, or a summary of the relevant experience.

Start Date(Required)

DD slash MM slash YYYY

Date of issue, completion, or commencement.

End Date

DD slash MM slash YYYY

Expiry or end date. Leave blank if current, ongoing, or not applicable.

Basic Life Support(Required)

Yes

Candidate Evidence(Required)

Provide supporting details — e.g. qualification title and training provider, certificate or reference number, employer and role, or a summary of the relevant experience.

Start Date(Required)

DD slash MM slash YYYY

Date of issue, completion, or commencement.

End Date

DD slash MM slash YYYY

Expiry or end date. Leave blank if current, ongoing, or not applicable.

Manual handling functions(Required)

Yes

Candidate Evidence(Required)

Provide supporting details — e.g. qualification title and training provider, certificate or reference number, employer and role, or a summary of the relevant experience.

Start Date(Required)

DD slash MM slash YYYY

Date of issue, completion, or commencement.

End Date

DD slash MM slash YYYY

Expiry or end date. Leave blank if current, ongoing, or not applicable.

Infection control(Required)

Yes

Candidate Evidence(Required)

Provide supporting details — e.g. qualification title and training provider, certificate or reference number, employer and role, or a summary of the relevant experience.

Start Date(Required)

DD slash MM slash YYYY

Date of issue, completion, or commencement.

End Date

DD slash MM slash YYYY

Expiry or end date. Leave blank if current, ongoing, or not applicable.

Workplace health and safety(Required)

Yes

Candidate Evidence(Required)

Provide supporting details — e.g. qualification title and training provider, certificate or reference number, employer and role, or a summary of the relevant experience.

Start Date(Required)

DD slash MM slash YYYY

Date of issue, completion, or commencement.

End Date

DD slash MM slash YYYY

Expiry or end date. Leave blank if current, ongoing, or not applicable.

Food handling (desirable — Standard 3.2.2A)(Required)

Yes

Candidate Evidence(Required)

Provide supporting details — e.g. qualification title and training provider, certificate or reference number, employer and role, or a summary of the relevant experience.

Start Date(Required)

DD slash MM slash YYYY

Date of issue, completion, or commencement.

End Date

DD slash MM slash YYYY

Expiry or end date. Leave blank if current, ongoing, or not applicable.

Clear written and verbal communication(Required)

Yes

Candidate Evidence(Required)

Provide supporting details — e.g. qualification title and training provider, certificate or reference number, employer and role, or a summary of the relevant experience.

Working within a culturally diverse team(Required)

Yes

Candidate Evidence(Required)

Provide supporting details — e.g. qualification title and training provider, certificate or reference number, employer and role, or a summary of the relevant experience.

Start Date(Required)

DD slash MM slash YYYY

Date of issue, completion, or commencement.

End Date

DD slash MM slash YYYY

Expiry or end date. Leave blank if current, ongoing, or not applicable.

Drivers licence (preferred, not essential)(Required)

Yes

Candidate Evidence(Required)

Provide supporting details — e.g. qualification title and training provider, certificate or reference number, employer and role, or a summary of the relevant experience.

Start Date(Required)

DD slash MM slash YYYY

Date of issue, completion, or commencement.

End Date

DD slash MM slash YYYY

Expiry or end date. Leave blank if current, ongoing, or not applicable.

Are you willing to relocate to a regional or remote location?(Required)

Yes

Which state or territory do you prefer?(Required)

Are you willing to work weekends, nights, and school holidays?(Required)

Yes

Realistic earliest start date(Required)

DD slash MM slash YYYY

Think in months rather than weeks, given realistic visa timelines.

Self-assessed spoken English level(Required)

Basic

Conversational

Fluent

Have you sat an English test?(Required)

Yes

Test type and score

IELTS / PTE / OET.

If you have not yet sat a test, are you willing to sit one?

Yes

Passport expiry date(Required)

DD slash MM slash YYYY

Have you had any prior visa refusals, in any country?(Required)

Yes

These must be disclosed — honesty here matters more than a clean answer.

Please provide details of any visa refusals

Any health conditions you wish to disclose ahead of a formal medical exam?

Optional and general only — this is not a substitute for the formal medical examination.

Why are you interested in working in Australian aged care?(Required)

Describe how you've handled a stressful moment with a patient or resident(Required)

Reference contact: name, role, phone or email(Required)

At least one supervisor.

Are you interested in pursuing Registered Nurse registration in future?

Yes

Maybe

Have you completed an AHPRA self-check?

Yes

AHPRA self-check outcome / stream

Were you referred to UniMinistry by anyone?(Required)

Yes

Name of the person who referred you(Required)

CV / resume(Required)

Accepted file types: pdf, doc, docx, Max. file size: 5 MB.

Nursing registration certificate

Accepted file types: pdf, jpg, jpeg, png, Max. file size: 5 MB.

English test result

Accepted file types: pdf, jpg, jpeg, png, Max. file size: 5 MB.

Collection notice. UniMinistry Foundation Ltd (ACN 670 161 430) collects the information in this form, including any health information you choose to provide, to assess your suitability for aged care roles with Australian providers. Your submission and documents are emailed securely to our team, stored with our service providers (which may include secure servers overseas), and automatically deleted from this website within 3 days. We handle personal information in accordance with our Privacy Policy. By submitting this form you grant UniMinistry permission to share your information and documents with third parties — including prospective employers and aged care providers, licensed migration professionals, and our service providers — for the purposes of assessing your suitability, arranging placement and providing related services.

Acknowledgements. By submitting this form you acknowledge and agree that: (a) submission does not create an offer of employment, sponsorship or placement, and UniMinistry does not guarantee any employment, visa or registration outcome; (b) UniMinistry is not a labour hire agency — any employment offered is directly with the provider concerned; (c) UniMinistry does not provide migration advice — migration services are delivered by licensed professionals; (d) UniMinistry relies on the accuracy of the information and documents you provide, and you are responsible for any loss arising from information that is false, misleading or incomplete; (e) to the maximum extent permitted by law, UniMinistry is not liable for the decisions of employers, registration bodies or government authorities, which are outside its control; and (f) these acknowledgements operate together with UniMinistry's Candidate Terms and Conditions.

Consent(Required)

I consent to UniMinistry Foundation collecting and handling the information in this form, including any health information I choose to provide, as described in the collection notice above.

Declaration(Required)

I declare that the information and documents I have provided are true, accurate and complete, and I agree to the acknowledgements above and to UniMinistry's Candidate Terms and Conditions.