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First name
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Last name
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Email
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Phone
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Role interested in
Certificate III Educator
Diploma Educator
Early Childhood Teacher
Trainee
Relief / Casual
Student placement
Other
Right to work in Australia
*
Yes
No
Availability
*
Full-time
Part-time
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Preferred days
Monday
Tuesday
Wednesday
Thursday
Friday
Do you hold an ACECQA approved qualification?
Yes
No
Current Working With Children Check?
Yes
No
Current First Aid, CPR, Asthma and Anaphylaxis?
Yes
No
Willing to obtain required clearances if successful?
Yes
No
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