Expression of Interest Application Forms

Expression of Interest

Vacancy Details

Personal details

If you are not a citizen, are you applying for permanent residence?

Do you hold a current unrestricted Western Australian Motor Vehicle Driver’s Licence?

Drivers license classes
Do you hold any of the following?

Do you hold any of the following?

Recruitment Source

How did you first become aware of this vacancy?


Please indicate your availability


The following declarations are NOT a barrier to being considered for employment but will assist us to take due care in assessing appropriate placement should you be the successful applicant.
Do you have any previous or current medical condition or restriction, physical or otherwise, which may affect your ability to perform the essential requirements of the position you have applied for?

Workers’ Compensation Claim
This must include any medical condition or restriction arising from a previous workers’ compensation claim. Failure to provide such information may jeopardise your rights to workers’ compensation if a preexisting disability is aggravated at work (Section 79 of the Workers’ Compensation and Injury Management Act 1981)

Criminal Convictions
Have you ever been convicted of any offence in any court, or are you currently the subject of any charges pending or the subject of an investigation before a tribunal? (You do not need to give details of any conviction which you have had declared spent under the Spent Convictions Act 1988).


Cover letter


I declare that all the above statements and attached supporting information are true in all respects. I acknowledge that any statement which is found to be false or deliberately misleading will make me, if employed, liable for dismissal.
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