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Educator EOY Update - Part 2
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Please now fill in Part 2 of the Annual Educator 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
Please TICK each date that you WILL BE AVAILABLE for work during the holiday period, so that we can contact you about ADDITONAL 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
Week 1 - Nov / Dec
Monday - Nov 30th
Tuesday - Dec 1st
Wednesday - Dec 2nd
Thursday - Dec 3rd
Friday - Dec 4th
Saturday - Dec 5th
Sunday - Dec 6th
Week 2 - Dec
Monday - Dec 7th
Tuesday - Dec 8th
Wednesday - Dec 9th
Thursday - Dec 10th
Friday - Dec 11th
Saturday - Dec 12th
Sunday - Dec 13th
Week 3 - Dec
Monday - Dec 14th
Tuesday - Dec 15th
Wednesday - Dec 16th
Thursday - Dec 17th
Friday - Dec 18th
Saturday - Dec 19th
Sunday - Dec 20th
Week 4 - Dec
Monday - Dec 21st
Tuesday - Dec 22nd
Wednesday - Dec 23rd
Thursday - Dec 24th
Friday - Dec 25th
Saturday - Dec 26th
Sunday - Dec 27th
Week 5 - Dec / Jan
Monday - Dec 28th
Tuesday - Dec 29th
Wednesday - Dec 30th
Thursday - Dec 31st
Friday - Jan 1st
Saturday - Jan 2nd
Sunday - Jan 3rd
Week 6 - Jan
Monday - Jan 4th
Tuesday - Jan 5th
Wednesday - Jan 6th
Thursday - Jan 7th
Friday - Jan 8th
Saturday - Jan 9th
Sunday - Jan 10th
Week 7 - Jan
Monday - Jan 11th
Tuesday - Jan 12th
Wednesday - Jan 13th
Thursday - Jan 14th
Friday - Jan 15th
Saturday - Jan 16th
Sunday - Jan 17th
Week 8 - Jan
Monday - Jan 18th
Tuesday - Jan 19th
Wednesday - Jan 20th
Thursday - Jan 21st
Friday - Jan 22nd
Saturday - Jan 23rd
Sunday - Jan 24th
Week 9 - Jan
Monday - Jan 25th
Tuesday - Jan 26th
Wednesday - Jan 27th
Thursday - Jan 28th
Friday - Jan 29th
Saturday - Jan 30th
Sunday - Jan 31st
Client Update
Client 1 Details
First Name
Last Name
What will your last date of work be this year?
DD slash MM slash YYYY
What will your first date of work be next year?
DD slash MM slash YYYY
Are you available to work for your client next year?
- select an option -
No
Yes
Yes if they want me
No please inform my client
Don't know, please let me know
Fill in hours and days for next year
Monday
Start Time 1
Hours
:
Minutes
AM
PM
AM/PM
Finish Time 1
Hours
:
Minutes
AM
PM
AM/PM
Start Time 2
Hours
:
Minutes
AM
PM
AM/PM
Finish Time 2
Hours
:
Minutes
AM
PM
AM/PM
Tuesday
Start Time 1
Hours
:
Minutes
AM
PM
AM/PM
Finish Time 1
Hours
:
Minutes
AM
PM
AM/PM
Start Time 2
Hours
:
Minutes
AM
PM
AM/PM
Finish Time 2
Hours
:
Minutes
AM
PM
AM/PM
Wednesday
Start Time 1
Hours
:
Minutes
AM
PM
AM/PM
Finish Time 1
Hours
:
Minutes
AM
PM
AM/PM
Start Time 2
Hours
:
Minutes
AM
PM
AM/PM
Finish Time 2
Hours
:
Minutes
AM
PM
AM/PM
Thursday
Start Time 1
Hours
:
Minutes
AM
PM
AM/PM
Finish Time 1
Hours
:
Minutes
AM
PM
AM/PM
Start Time 2
Hours
:
Minutes
AM
PM
AM/PM
Finish Time 2
Hours
:
Minutes
AM
PM
AM/PM
Friday
Start Time 1
Hours
:
Minutes
AM
PM
AM/PM
Finish Time 1
Hours
:
Minutes
AM
PM
AM/PM
Start Time 2
Hours
:
Minutes
AM
PM
AM/PM
Finish Time 2
Hours
:
Minutes
AM
PM
AM/PM
Saturday
Start Time 1
Hours
:
Minutes
AM
PM
AM/PM
Finish Time 1
Hours
:
Minutes
AM
PM
AM/PM
Start Time 2
Hours
:
Minutes
AM
PM
AM/PM
Finish Time 2
Hours
:
Minutes
AM
PM
AM/PM
Sunday
Start Time 1
Hours
:
Minutes
AM
PM
AM/PM
Finish Time 1
Hours
:
Minutes
AM
PM
AM/PM
Start Time 2
Hours
:
Minutes
AM
PM
AM/PM
Finish Time 2
Hours
:
Minutes
AM
PM
AM/PM
Additional Comments
Client Update 2
Client 2 Details
First Name
Last Name
What will your last date of work be this year?
DD slash MM slash YYYY
What will your first date of work be next year?
DD slash MM slash YYYY
Are you available to work for your client next year?
No
Yes
Yes if they want me
No please inform my client
Don't know, please let me know
Fill in hours and days for next year
Monday
Start Time 1
Hours
:
Minutes
AM
PM
AM/PM
Finish Time 1
Hours
:
Minutes
AM
PM
AM/PM
Start Time 2
Hours
:
Minutes
AM
PM
AM/PM
Finish Time 2
Hours
:
Minutes
AM
PM
AM/PM
Tuesday
Start Time 1
Hours
:
Minutes
AM
PM
AM/PM
Finish Time 1
Hours
:
Minutes
AM
PM
AM/PM
Start Time 2
Hours
:
Minutes
AM
PM
AM/PM
Finish Time 2
Hours
:
Minutes
AM
PM
AM/PM
Wednesday
Start Time 1
Hours
:
Minutes
AM
PM
AM/PM
Finish Time 1
Hours
:
Minutes
AM
PM
AM/PM
Start Time 2
Hours
:
Minutes
AM
PM
AM/PM
Finish Time 2
Hours
:
Minutes
AM
PM
AM/PM
Thursday
Start Time 1
Hours
:
Minutes
AM
PM
AM/PM
Finish Time 1
Hours
:
Minutes
AM
PM
AM/PM
Start Time 2
Hours
:
Minutes
AM
PM
AM/PM
Finish Time 2
Hours
:
Minutes
AM
PM
AM/PM
Friday
Start Time 1
Hours
:
Minutes
AM
PM
AM/PM
Finish Time 1
Hours
:
Minutes
AM
PM
AM/PM
Start Time 2
Hours
:
Minutes
AM
PM
AM/PM
Finish Time 2
Hours
:
Minutes
AM
PM
AM/PM
Saturday
Start Time 1
Hours
:
Minutes
AM
PM
AM/PM
Finish Time 1
Hours
:
Minutes
AM
PM
AM/PM
Start Time 2
Hours
:
Minutes
AM
PM
AM/PM
Finish Time 2
Hours
:
Minutes
AM
PM
AM/PM
Sunday
Start Time 1
Hours
:
Minutes
AM
PM
AM/PM
Finish Time 1
Hours
:
Minutes
AM
PM
AM/PM
Start Time 2
Hours
:
Minutes
AM
PM
AM/PM
Finish Time 2
Hours
:
Minutes
AM
PM
AM/PM
Additional Comments
Client Update 3
Client 3 Details
First Name
Last Name
What will your last date of work be this year?
DD slash MM slash YYYY
What will your first date of work be next year?
DD slash MM slash YYYY
Are you available to work for your client next year?
No
Yes
Yes if they want me
No please inform my client
Don't know, please let me know
Fill in hours and days for next year
Monday
Start Time 1
Hours
:
Minutes
AM
PM
AM/PM
Finish Time 1
Hours
:
Minutes
AM
PM
AM/PM
Start Time 2
Hours
:
Minutes
AM
PM
AM/PM
Finish Time 2
Hours
:
Minutes
AM
PM
AM/PM
Tuesday
Start Time 1
Hours
:
Minutes
AM
PM
AM/PM
Finish Time 1
Hours
:
Minutes
AM
PM
AM/PM
Start Time 2
Hours
:
Minutes
AM
PM
AM/PM
Finish Time 2
Hours
:
Minutes
AM
PM
AM/PM
Wednesday
Start Time 1
Hours
:
Minutes
AM
PM
AM/PM
Finish Time 1
Hours
:
Minutes
AM
PM
AM/PM
Start Time 2
Hours
:
Minutes
AM
PM
AM/PM
Finish Time 2
Hours
:
Minutes
AM
PM
AM/PM
Thursday
Start Time 1
Hours
:
Minutes
AM
PM
AM/PM
Finish Time 1
Hours
:
Minutes
AM
PM
AM/PM
Start Time 2
Hours
:
Minutes
AM
PM
AM/PM
Finish Time 2
Hours
:
Minutes
AM
PM
AM/PM
Friday
Start Time 1
Hours
:
Minutes
AM
PM
AM/PM
Finish Time 1
Hours
:
Minutes
AM
PM
AM/PM
Start Time 2
Hours
:
Minutes
AM
PM
AM/PM
Finish Time 2
Hours
:
Minutes
AM
PM
AM/PM
Saturday
Start Time 1
Hours
:
Minutes
AM
PM
AM/PM
Finish Time 1
Hours
:
Minutes
AM
PM
AM/PM
Start Time 2
Hours
:
Minutes
AM
PM
AM/PM
Finish Time 2
Hours
:
Minutes
AM
PM
AM/PM
Sunday
Start Time 1
Hours
:
Minutes
AM
PM
AM/PM
Finish Time 1
Hours
:
Minutes
AM
PM
AM/PM
Start Time 2
Hours
:
Minutes
AM
PM
AM/PM
Finish Time 2
Hours
:
Minutes
AM
PM
AM/PM
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
Do you understand that when an educator attends a shift on a public holiday, the family will be charged much higher out of pocket expenses? (Please contact us prior to working on a public holiday to check if the family has been quoted)
(Required)
Yes
Do you understand that if the length of the shift is shortened or lengthened, it may result in a higher out of pocket expense being charged to the family? (If the families suggest this please ask them to obtain a quote from us before making any changes)
(Required)
Yes
Do you understand that it is an offence under Family Assistance Law for an Educator to enter and submit sessions of care where a child or Educator is not present?*
(Required)
Yes
Do you understand that it is an offence under Family Assistance Law for a Family to allow or instruct an Educator to submit timesheets that do not accurately reflect the attendance of the children in care?*
(Required)
Yes
Do you understand that if a Family member or Educator is unwell, you must report to the agency immediately for advice?
(Required)
Yes
Do you understand that Families must not ask Educators to participate in activities where there is a high risk of injury e.g. trampoline centers, rock climbing walls, ice skating etc.? (Educators are to encourage and assist children to undertake physical activities however must not participate themselves)
(Required)
Yes
Do you understand that if any incident occurs during a session of care involving injury, harm or trauma to or illness of a child, where medical attention was sought or ought to have been sought, or hospital attendance occurred, or where a child is missing or appears to have been taken, removed or locked in or out of a premises, it MUST be reported by phone and form to the Agency immediately?
(Required)
Yes
Do you understand that Educators may claim KM reimbursement costs directly from the family using the link on our Website?
(Required)
Yes
A link can be found
here
Do you understand that Educators are entitled to take 2 paid interrupted on premises breaks for shift longer than 10 hours and 1 paid interrupted on premises breaks for shifts between 6 and 10 hours? (The children should either be asleep or be undertaking independent play whilst the educator puts their feet up, can do some internet banking, have a cuppa, read a book while keeping an eye and ear out for the security, health and wellbeing of the children)
(Required)
Yes
Do you understand that Educators are to be given access to internet, permitted to serve an additional portion of food and snacks for themselves, modeling appropriate table manners and good eating habits?
(Required)
Yes
Do you understand that Educators are required to create a quarterly educational planner and home safety update for each Family within 2 weeks of receiving the reminder texts?*
(Required)
Yes
Are you familiar with our Code of Conduct and do you agree to follow it?
(Required)
Yes
The code of conduct can be found
here
Do you understand that PRIOR to a Family shifting to a new address that a new Home Safety Assessment must be completed and that it is the Educators responsibility to notify the Agency in advance?*
(Required)
Yes
Do you understand that PRIOR to care being provided in a temporary alternate location, that the Agency must seek permission from the Department of Education and that it is the Educators responsibility to notify the Agency in advance?
(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
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