Online Form - Employment Application PERSONAL PARTICULARS Role applied for * Given Name * Surname * Title * Select an Option Mr Mrs Miss Ms Mailing Address * Town / Suburb * State / Territory * Select an Option ACT NSW NT QLD SA TAS VIC WA Postcode * OTHER INFORMATION Do you have Permanent Resident Status? * YesNo If NO, do you have a current Work Visa? * YesNo Do you have a current Driver's Licence? * YesNo If YES - Licence Number Where did you view our job advertisement? Select an Option Kojonup News Great Southern Herald SEEK Great Southern Weekender Other If OTHER, where did you hear about/see this job advertised? What is the Desired Position you are Applying for? * REFEREES Have you included at least two (2) Referees in your resume? YesNo In NO, what is your first referee's name? If NO, please list details for your First Referee Referee Name Position Company Contact Number Second Referee Referee Name Position Company Contact Number Failure to provide details for referees will result in disqualification of your application. Do you have any current convictions or are you currently the subject of any charge pending before any court? * YesNo If YES, please give details DECLARATION * 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. Type the code from the image: Get Audio CodeType the code from the image