Online Application: Expression of Interest 1. Your Details Title: Mr Ms Mrs Miss Prof Dr First Name: Last Name: Address: City: State: WA QLD SA NT NSW TAS ACT VIC Country other than Australia Post Code: Email: Phone or Mobile: 2. Other Information Do you have Permanent Resident or Citizen Status? YesNo Do you have a current Driver's Licence? YesNo Where did you view our job advertisement? Please Select... Newspaper Advertisement Shire website Social Media (Facebook, Twitter, LinkedIn) Word of Mouth Television Other I'd rather not say 3. Referees Have you included at least two (2) Referees in your resume? YesNo Failure to provide details for referees will result in disqualification of your application. 4. Convictions Do you have any current convictions or are you currently the subject of any charge pending before any court? YesNo 5. Any additional comments? Comments: 6. Upload Supporting Documents (PDF or Word Documents Only) Cover Letter: Resume: Selection Criteria: 7. Declaration and Submit I declare that the information provided is true in all aspects. I acknowledge that any statement which is found to be false or deliberately misleading may result in liability for dismissal. Get Audio CodeType the code from the image By submitting this form I agree to the above declaration: