Last Name*
Given Name*
Title (Mr, Ms, Dr, etc)*
Street Address
Suburb
State
Post Code
Country
Contact Phone*
Mobile Phone
Facsimile
Email Address*
Gender
Date of Birth
___________________________________________________________________________
Please tell us about yourself
Where did you see the job advertised?
Are you an Australian citizen?
If No, have you applied for citizenship or have a valid Work Visa?
OVERSEAS VISITORS - Please contact the Department of Immigration & Citizenship to check your eligibility to work. Phone 13 1881 or www.immi.gov.au
___________________________________________________________________________
WORKPLACE DIVERSITY (Statistical purposes only)
Are you of Aboriginal or Torres Strait Islander descent?
Are you from a Non English Speaking Background?
Do you have a disability or special needs?
What is your highest level of education? If selected for interview, you will be required to produce originals of any school results, certificates or academic transcripts referred to here or in the selection criteria below.
___________________________________________________________________________

Please provide details of your current (or most recent) employment.
Date From
Date To
Position Held
Employer Name
Address
___________________________________________________________________________
REFEREES: - Refer to the Applying for a Position instruction sheet
Please provide details of three (3) business/professional referees; at least one (1) of which is your current or most recent direct supervisor.
By providing this information you are giving your consent for these referees to be contacted in regard to the selection process.
Other referees may be required, however you will be contacted for this information if necessary.
Referee 1
Name
Organisation
Relationship
Contact Number
Email Address
Referee 2
Name
Organisation
Relationship
Contact Number
Email Address
Referee 3
Name
Organisation
Relationship
Contact Number
Email Address
___________________________________________________________________________
PRIVACY and PERSONAL INFORMATION PROTECTION ACT (PPIPA) 1998
The personal information provided in this document is protected under PPIPA. The Act provides for the protection of personal information and the privacy of individuals. Your personal information: (1) is collected for the purpose of assessing suitability for employment; (2) is limited to use by Council employees and other authorised persons; and (3) will be stored in Council's systems.
___________________________________________________________________________
DECLARATION:
By clicking on the SUBMIT button below, you certify all answers and statements on this application form and any attachments are true and complete to the best of your knowledge. You acknowledge that, should you provide untruthful or misleading information, this application will be rejected or your employment with Council may be terminated.
___________________________________________________________________________
ATTACHMENTS:

Use the area below to write a cover letter for your application *

Please attach your Statement Addressing Selection Criteria *
Please attach your Resume
	Please use the file upload box to attach your Statement Addressing Selection Criteria and Resume (Word Documents or PDF only) (2048 kb limit)

To contact us regarding any questions or problems you may have completing this application please click here.

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Title: Technical and Production Coord

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Title: Technical and Production Coord