tes form

Date:

Applicant Details:

Surname:
Given Name:
Address:
Suburb:
Postcode:
State:
Home Phone:
Mobile Phone:
Email:



Do you speak languages other than English? If so please list:
Are you of Aboriginal or Torres Straight Islander descent:
YesNo


Do you hold a valid Drivers Licence?
YesNo
Licence Number:
Licence Expiry:



Position Details:

Are you applying for an advertised position
YesNo
Please specify position applied for:

Position Title:
Position Reference Number:
What type of role would you like us to consider you for in the future?


Availability to commence:
Type of Employment:
What Attracts you to this position?


General:

In your own words please explain what your understanding about 'person-centred' services:

Do you have any experience in working with people with disabilities?
YesNo


Please provide details:
If we were to invite you to come in for an interview, do you require any special arrangements?
YesNo


Please provide details:


Work Rights:

Please describe your status:


Visa Class and Subclass:
Expiry:

*Interaction will verify your work rights. If it is a student visa you hold then you will be required to provide evidence that you have commenced studying your registered course.


Employment Information:

Are you currently Employed:
YesNo
Name of Employer:

Position Held:

Commencement Date:

Brief overview of duties:


Employment History:

Employer:
Position Held:
Start Date:
End Date:
Reason For Leaving:
Brief overview of Duties:

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Employer:
Position Held:
Start Date:
End Date:
Reason For Leaving:
Brief overview of Duties:

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Employer:
Position Held:
Start Date:
End Date:
Reason For Leaving:
Brief overview of Duties:

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Employer:
Position Held:
Start Date:
End Date:
Reason For Leaving:
Brief overview of Duties:

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Employer:
Position Held:
Start Date:
End Date:
Reason For Leaving:
Brief overview of Duties:


Qualifications:

Type:
Date:

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Type:
Date:

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Type:
Date:

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Type:
Date:

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Type:
Date:

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Type:
Date:

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Type:
Date:


Referees:

*Candidates applying for positions with Interaction are required to nominate 2 referees, preferably in a professional capacity, and having recently worked with you in a supervisory or managerial capacity.
Applicants are encouraged to ask a potential referee for their permission to be nominated as a referee

Referee 1:
Name:

Position:

Organisation:

Phone Number:

Email:
Referee 2:
Name:

Position:

Organisation:

Phone Number:

Email:




Do you wish to subscribe to Interactions monthly e-newsletter?




How did you hear about Interaction?

Please Specify:


Application Declaration:

Interaction is a Child Safe Organisation. All successful candidates will be required to undergo probity checks including National Criminal History Record Check and Working with Children Check, and will be required to maintain these clearances throughout . employment with Interaction. Interaction Disability Services is an EEO employer and encourages people from culturally and Linguistically Diverse backgrounds to apply. Only Australian citizens, permanent residents or those with working rights in Australia are eligible to apply.

Should your application for employment be successful, you will initially be employed under a 6 month probationary period of 6 months. If you are employed on a casual basis, your employment is conditional subject to satisfactory performance on a shift by shift basis. I authorise Interaction to secure information regarding myself, and hereby release any person, institution or firm of any liability for damage whatsoever from issuing such information. I further declare that the statements made by me are true and correct, and I understand that a false statement or dishonest answer throughout my application for employment , may be grounds for my immediate termination from employment with Interaction. Should my application proceed to interview, Iagree toInteraction seeking verificatino or additional information regarding my application, which includes contacting my provided referees for the purpose of reference checking.


By ticking this box you acknowledge that you have read and understood all of the information within this application, including the 'Application Declaration'