Contact 1 — Resilient Kidz

Support Work Application

Complete the application form to start your journey with a Resilient Kick’s compassionate support worker!

Prefer to speak to one of our professionals?

Email: supports@resilienthealthgroup.au

Phone: 08 8123 8666

Name

First Name

Last Name

Phone

Name of Client (if not yourself)

First Name

Last Name

Client Age

Support Worker Requests

Support Seeking

This will help us understand your support plan needs

In-Home

In-School

Community Participation

Travel (school, appointments, work etc.)

Independent Living & Daily Living

Other

Unsure

Do you have an NDIS plan?

How is your NDIS Plan managed?

Client Diagnostics

Additional Information

Any further information that will help us develop an initial support plan and choose a suitable support worker eg. client hobbies, interests, support activties