Address
Your Email
Contact Number (Mobile)
Contact Number (Home)
Emergency Contact Person
Emergency Contact Number
Educational Institution
University/Education Contact Person
University/Education Contact Number
Course/Area of Study
Placement requirements
Required Learning Outcomes
AVAILABILITY:
Monday From: 7am8am9am10am11am12pm1pm2pm3pm4pm5pm6pm To: 6pm7am8am9am10am11am12pm1pm2pm3pm4pm5pm
Tuesday From: 7am8am9am10am11am12pm1pm2pm3pm4pm5pm6pm To: 6pm7am8am9am10am11am12pm1pm2pm3pm4pm5pm
Wednesday From: 7am8am9am10am11am12pm1pm2pm3pm4pm5pm6pm To: 6pm7am8am9am10am11am12pm1pm2pm3pm4pm5pm
Thursday From: 7am8am9am10am11am12pm1pm2pm3pm4pm5pm6pm To: 6pm7am8am9am10am11am12pm1pm2pm3pm4pm5pm
Friday From: 7am8am9am10am11am12pm1pm2pm3pm4pm5pm6pm To: 6pm7am8am9am10am11am12pm1pm2pm3pm4pm5pm
Saturday From: 7am8am9am10am11am12pm1pm2pm3pm4pm5pm6pm To: 6pm7am8am9am10am11am12pm1pm2pm3pm4pm5pm
Sunday From: 7am8am9am10am11am12pm1pm2pm3pm4pm5pm6pm To: 6pm7am8am9am10am11am12pm1pm2pm3pm4pm5pm
Have you ever had or do you currently suffer from, any medical illness or injury which may restrict your duties and/or require adjustments in the workplace? YesNo
If yes, please provide details:
Do you have a Working with Children Check? YesNo
WWCC Number
Do you have a current Australian driver's license? YesNo
Upload your resume. (Acceptable file: DOC, DOCX, & PDF only up to 10MB)
Please note: All applications will not be approved if full disclosure is not provided for any convictions.
I understand that if my application is progressed, a criminal check will be conducted prior to commencement.
I understand that any false or misleading information given in this application may render any volunteering/work placement to be discontinued.
I declare that the information provided by me in this application is true and correct at time of application.
Signature Date:
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