Nest Care | Carer Registration 2025

YOUR INFO

Full Name*

Date of Birth*

Mobile Phone Number*

Email*

Home Address*

EMERGENCY CONTACT DETAILS

In the event of an emergency please contact:

Emergency Contact Info

Name

Phone

ABN & BANKING DETAILS

All Nest Care Carers & Consultants are Independent Contractors, please invoice Nest directly for payment. We pay Invoices weekly on Monday's. Please ensure your fee includes superannuation, super will need to be paid by yourself directly to your institution.

Bank Name*

Account Name*

BSB*

Account Number*

Australian Business Number (ABN) INFO

ABN Number*

Name of Business/Account*

PERSONAL PROFILE

About me (Give clients a paragraph summary of who you are and what you do, include your elevator pitch)*

My skills/qualities/experience*

QUALIFICATIONS/CERTIFICATES

Please list all your relevant info/child qualifications/certificates including year obtained, title and place of study

For example - 2005 - Diploma in Child Care - Swinburne University
Use the plus sign to add another line.

IMMUNISATION STATUS

Are you immune to

Measles / Mumps / Rubella (MMR)*

Yes
No
Don't know

Chicken pox*

Yes
No
Don't know

Hep A*

Yes
No
Don't know
Non responder

Hep B*

Yes
No
Don't know
Non responder

Whooping Cough: Year last had*

Whooping Cough needs to be re-done every 10 years to maintain immunity

Influenza: Year last had*

Influenza is recommended annually to maintain immunity

HOBBIES/INTERESTS

List 3-5 of your favourite hobbies/interests*

Declaration*

Yes
No

By submitting this form you agree to: 1 - Being an Independent Contractor responsible for your own taxes/super payments. And that you are not an employee of Nest Care. 2 - You are fit and able to care for families and children 3 - The information provided is true and correct 4 - Limited Information shared in this form will be shared with clients by way of a profile (e.g. photo, first name, qualifications, wwcc, first aid, hobbies, immunisations etc). This gives clients a snap shot of who you are and assists them to book you. Contact info is not given until you approve a job position.

Phone

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