Application Form (All fields are required)
1. Diversity:
Do you identify as a person with a disability?
2. Gender:
How do you identify?
3. Diversity:
Do you identify and Aboriginal or Torres Strait Islander?
4. Source of application:
Where did you hear about this opportunity?
5. Please answer Question 1:
Drivers Licence
6. Please answer Question 2:
Current White Card/Blue Card
7. Please answer Question 3:
Please list any relevant (current) tickets or clearances you may have. Please include the expiration date.
8. Please answer Question 4:
Level of fitness
9. Please answer Question 5:
Please indicate which employment areas you are interested in
10. Please answer Question 6:
Employment type you are interested in
11. Please answer Question 7:
Please indicate you availability by ticking the specific days and times you are available
12. Please answer Question 8:
Are there any specific position(s) you are interested in? If so please indicate which position(s) in the space below.
13. Please answer Question 9:
Education and Qualifications.
Please list what education level and formal qualifications you have. Please provide details of the year completed, educational Institution and the Qualification(s) gained.
14. Please answer Question 10:
Why do you want to work for the City of Bunbury?
15. Please answer Question 11:
Any additional information you would like to provide with your application?
16. Equal Opportunity Question :
Please detail your general knowledge of Equal Employment Opportunity and Diversity Acts.
17. Current Residency :
Which option best describes your current residency status
18. General Question:
Are you currently living in Australia?
19. Medical Conditions :
Do you have a pre-existing injury or medical condition/disability that would affect your ability to perform the duties of the proposed position? If so, can you provide details of the injury/disability or medical condition, and any current restrictions it may have on your ability to do this work? Are there any ways that we might be able to reasonably accommodate your restrictions that would enable you to do this type of work? Note: Non-disclosure of such matters may have an adverse effect on your employment if discovered at a later time.
20. Criminal Convictions :
Do you have any current criminal convictions for any offences from any Court, or are you currently the subject of any charge pending before any Court?
21. Criminal Convictions Declaration :
If you answered yes to the Criminal Convictions Question please provide further detail in the space below. If you answered no please write n/a in the space below.
22. Workers Compensation Claims:
Do you currently or have you previously had a workers compensation claim for an injury or condition that may affect your ability to perform all of the duties required for the advertised position? If you answered 'yes' to the above question, please prove details (date of accident, injury type, treatment etc.) of every claim. If no claim please write (No claim)
23. Declaration:
I declare that the answers and information given in this questionnaire are true and correct to the best of my knowledge.
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