Carer EOY Update - Part 2 - Australia’s Leading Home Care Agency

Please now fill in Part 2 of the Annual Carer Update Form

Please fill in these fields again so we can match you up to your profile.

Personal Details

First Name Last Name

Email

Short Term Availability

We already know what dates you have regularly been booked to work with one of our clients. Please TICK each ADDITIONAL date that you WILL BE AVAILABLE for work during this period, so that we can contact you about work that arises on those dates. By NOT ticking the box, it means you are ALREADY WORKING with one of our clients or are NOT FREE and don’t wish to be contacted about extra work on those days.

	Mon	Tue	Wed	Thu	Fri	Sat	Sun
Nov / Dec	Nov 30th	Dec 1st	Dec 2nd	Dec 3rd	Dec 4th	Dec 5th	Dec 6th
Dec	Dec 7th	Dec 8th	Dec 9th	Dec 10th	Dec 11th	Dec 12th	Dec 13th
Dec	Dec 14th	Dec 15th	Dec 16th	Dec 17th	Dec 18th	Dec 19th	Dec 20th
Dec	Dec 21st	Dec 22nd	Dec 23rd	Dec 24th	Dec 25th	Dec 26th	Dec 27th
Dec / Jan	Dec 28th	Dec 29th	Dec 30th	Dec 31st	Jan 1st	Jan 2nd	Jan 3rd
Jan	Jan 4th	Jan 5th	Jan 6th	Jan 7th	Jan 8th	Jan 9th	Jan 10th
Jan	Jan 11th	Jan 12th	Jan 13th	Jan 14th	Jan 15th	Jan 16th	Jan 17th
Jan	Jan 18th	Jan 19th	Jan 20th	Jan 21st	Jan 22nd	Jan 23rd	Jan 24th
Jan	Jan 25th	Jan 26th	Jan 27th	Jan 28th	Jan 29th	Jan 30th	Jan 31st

Client Update

Client 1 Details

First Name Last Name

What will your last date of work be this year?

What will your first date of work be next year?

Are you available to work for your client next year?

Fill in hours and days for next year

Monday

Start Time 1

:

Finish Time 1

:

Start Time 2

:

Finish Time 2

:

Tuesday

Start Time 1

:

Finish Time 1

:

Start Time 2

:

Finish Time 2

:

Wednesday

Start Time 1

:

Finish Time 1

:

Start Time 2

:

Finish Time 2

:

Thursday

Start Time 1

:

Finish Time 1

:

Start Time 2

:

Finish Time 2

:

Friday

Start Time 1

:

Finish Time 1

:

Start Time 2

:

Finish Time 2

:

Saturday

Start Time 1

:

Finish Time 1

:

Start Time 2

:

Finish Time 2

:

Sunday

Start Time 1

:

Finish Time 1

:

Start Time 2

:

Finish Time 2

:

Additional Comments

Client Update 2

Client 2 Details

First Name Last Name

What will your last date of work be this year?

What will your first date of work be next year?

Are you available to work for your client next year?

Fill in hours and days for next year

Monday

Start Time 1

:

Finish Time 1

:

Start Time 2

:

Finish Time 2

:

Tuesday

Start Time 1

:

Finish Time 1

:

Start Time 2

:

Finish Time 2

:

Wednesday

Start Time 1

:

Finish Time 1

:

Start Time 2

:

Finish Time 2

:

Thursday

Start Time 1

:

Finish Time 1

:

Start Time 2

:

Finish Time 2

:

Friday

Start Time 1

:

Finish Time 1

:

Start Time 2

:

Finish Time 2

:

Saturday

Start Time 1

:

Finish Time 1

:

Start Time 2

:

Finish Time 2

:

Sunday

Start Time 1

:

Finish Time 1

:

Start Time 2

:

Finish Time 2

:

Additional Comments

Client Update 3

Client 3 Details

First Name Last Name

What will your last date of work be this year?

What will your first date of work be next year?

Are you available to work for your client next year?

Fill in hours and days for next year

Monday

Start Time 1

:

Finish Time 1

:

Start Time 2

:

Finish Time 2

:

Tuesday

Start Time 1

:

Finish Time 1

:

Start Time 2

:

Finish Time 2

:

Wednesday

Start Time 1

:

Finish Time 1

:

Start Time 2

:

Finish Time 2

:

Thursday

Start Time 1

:

Finish Time 1

:

Start Time 2

:

Finish Time 2

:

Friday

Start Time 1

:

Finish Time 1

:

Start Time 2

:

Finish Time 2

:

Saturday

Start Time 1

:

Finish Time 1

:

Start Time 2

:

Finish Time 2

:

Sunday

Start Time 1

:

Finish Time 1

:

Start Time 2

:

Finish Time 2

:

Additional Comments

Confirmation

Note: The Terms of Agreement may have been updated since you joined the Agency. Please call us on (03) 9576 7000 if you can't access the Agreement here

Clients are also required to fill in a form, have you spoken directly to the Clients about the above?(Required)

Yes

No

The information in this form will be used to update your future bookings, would you like one of our team members to contact you to discuss further?(Required)

Yes

No

I confirm that I have read and understood the Terms of Agreement available through the carer portal.(Required)

Yes

I guarantee that I will inform the Agency of All Bookings(Required)

Yes

I confirm that all information provided is accurate and current, that I have read and agree with all the information outlined, and I give my consent to the Agency to contact any additional referees I may have added in Part 1(Required)

Yes

Carer EOY Update - Part 2

Please now fill in Part 2 of the Annual Carer Update Form

Short Term Availability

Client Update

Fill in hours and days for next year

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Client Update 2

Fill in hours and days for next year

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Client Update 3

Fill in hours and days for next year

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Confirmation

Main Links

Resources

Quick Links