PROGRAM FACILITATOR FILE UPLOAD

Full Name *

Email *

Copy of your current Certificate of Currency for your Public Liability Insurance (minimum $10 Million coverage) *

Copy of your Working With Children Clearance (name varies depending on which state you’re in - WWCC, Blue Card, etc)

Note: You may disregard this if it isn’t included in the list of requirements we provided.

Certificate of Completion – NDIS Orientation Modules (Or other applicable updated certifications)

Note: You may disregard this if it isn’t included in the list of requirements we provided.

Copy of your Driver’s License (Front and Back Photo) *

Completed New Contractor Details form (LINK HERE). Once done filling out, kindly download the file and upload below.

Copy of your updated First Aid Certification and CPR Certification

Note: You may disregard this if it isn’t included in the list of requirements we provided.

Copy of your mandatory Responding to Risk of Harm Abuse, Neglect (or the equivalent of it in your state)

Note: You may disregard this if it isn’t included in the list of requirements we provided.

Staff Bio (Pdf and Word) *