Application for Employment

Position applied for:

If other, please specify:

Personal Details

First name:

Surname:

Street 1:

Street 2:

Street 3:

Suburb:

Postcode:

Email:

Home number:

Mobile number:

Are you legally entitled to work in Australia?

Is there any medical condition that would prevent you from performing the tasks of this position?

Do you agree to obtaining a National Police Clearance and Working with Children Check if offered the position?

Do you have a Police Clearance?

Expiry date:

Do you have a Working With Children Check?

Expiry date:

Do you have a Senior First Aid or First Aid Certificate?

Expiry date:

Is your drivers licence current?

Expiry date:

Class:

Qualifications

Please list all certificates & qualifications you hold which would be relevant to your application.

Relevant tertiary and further education:

Other relevant skills:

Employment Referees

Referee 1's name:

Referee 1's company:

Referee 1's position:

Referee 1's phone number:

Referee 2's name:

Referee 2's company:

Referee 2's position:

Referee 2's phone number:

Referee 3's name:

Referee 3's company:

Referee 3's position:

Referee 3's phone number:

Please upload your resume, cover letter, and copies of any supporting documents.

If you need to attach more than three documents, please zip them into a single file.

Upload resume:

Upload cover letter:

Upload additional information:

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I hereby declare that the information I have given in this application is true and correct.

UnitingCare West

Careers

Personal Details

Qualifications

Employment Referees