Expression of Interest - Casual Office Based Roles

Contact Name*

Phone*

Mobile

Email*

Address*

Address Line 2 City State / Province / Region ZIP / Postal Code Country

Do you have work rights in Australia?*

Yes
No

Do you have experience working in any of the following areas?*

Administration/Data entry
Customer service
Library
Finance/payroll
Human resources
Sport stadium
Information technology
Other

What class of NSW drivers licence do you hold?*

If you have selected "other" above, please provide details below:

Please list any Certificates or Qualifications you have completed (e.g. TAFE Certificate, Diploma, Degree):

Are you registered with a job agency?*

Yes
No

If yes, please provide name of Agency and contact details:

Confidential personal medical statement: Are you aware of any condition that would, or could prevent you from fullfilling the role you seek and/or place you at any risk of aggravating an existing condition?*

Yes
No

Have you ever had problems with your back or neck?*

Yes
No

Do you have, or have you ever had a manual handling-related injury (back, neck, shoulders, knee etc)?*

Yes
No

Do you have any pre-existing medical conditions or special needs which may affect the type of work you do as a volunteer?*

Yes
No

Have you ever suffered from RSI, occupational overuse syndrome, tennis elbow, tenosynovitis or tendonitis?*

Yes
No

Do you suffer from any of the following? (please tick if applicable)

If you ticked Allergies or other tropical disease above, please provide details below:

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I understand that if I give a false answer to any of these questions, I will, if accepted for employment, be liable to dismissal without notice. I agree to undergo a medical examination, if necessary, by a Medical Officer nominated by and at Council's cost. I agree to abide by the Medical Officer's opinion as to my physical and mental ability to perform the inherent requirements of the position applied for. I am prepared to be vaccinated against any virus or disease such as Hepatitis B if my position, at any time, requires it.*

I understand

Expression of Interest – Casual Office Based Roles

Expression of Interest – Casual Office Based Roles

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