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Personal Details

* Denotes a mandatory question

First Name * Mandatory

Last Name * Mandatory

Preferred Name

Street Number and Name or PO Box * Mandatory

Suburb / Town * Mandatory

Postcode * Mandatory

State * Mandatory

Please specify * Mandatory

Preferred Contact Number * Mandatory

Alternative Contact Number * Mandatory

Email Address * Mandatory

Date of Birth * Mandatory

Acceptable Date Format (D D/M M M/Y Y Y Y)

If your place of birth is not Australia, please specify

Gender * Mandatory

Is English your first language? * Mandatory

Is English your first language? Is English your first language? * Mandatory , Yes
Is English your first language? * Mandatory , No

Please specify * Mandatory

Do you identify as Aboriginal or Torres Strait Islander? * Mandatory

Do you identify as Aboriginal or Torres Strait Islander? Do you identify as Aboriginal or Torres Strait Islander? * Mandatory , Yes
Do you identify as Aboriginal or Torres Strait Islander? * Mandatory , No
Do you identify as Aboriginal or Torres Strait Islander? * Mandatory , Prefer not to specify

Upload your resume. * Mandatory

file upload button

Please note files are limited to no more than 2 MB (2,000 KB).

Please attach a copy of your current National Police Record Check (if applicable)

file upload button

Please attach a copy of your current Working with Children Check Photo ID Card (if applicable)

file upload button

Do you have a current Drivers Licence * Mandatory

Do you have a current Drivers Licence Do you have a current Drivers Licence * Mandatory , Yes
Do you have a current Drivers Licence * Mandatory , No

Drivers Licence Number * Mandatory

Expiry date * Mandatory

Acceptable Date Format (D D/M M M/Y Y Y Y)

Please attach a copy of your Drivers Licence (if applicable)

file upload button

How did you hear about the L2P program? * Mandatory

Employment History

* Denotes a mandatory question

Current Employment Type * Mandatory

Please provide details of your employment or volunteering history starting with your most recent

	Name of Employer	Period of Employment/Volunteering	Position/Activity Title	Type of Employment
Most Recent
Second
Third

As part of the Council's recruitment process you are required to provide details of two suitable referees (one personal and one professional, excluding spouses and immediate family members).

Professional Referee

Referee 1 Name * Mandatory

Referee 1 Title * Mandatory

Working Relationship to Candidate * Mandatory

Referee 1 Mobile * Mandatory

Personal Referee

Referee 2 Name * Mandatory

Relationship to Candidate * Mandatory

Referee 2 Mobile * Mandatory

Employment Preferences & Requirements

* Denotes a mandatory question

Please list the days/hours you wish to volunteer

	Week 1: Days/Hours	Week 2: Days/Hours
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Total Hours

Would you be available for an interview during business hours? * Mandatory

Would you be available for an interview during business hours? Would you be available for an interview during business hours? * Mandatory , Yes Would you be available for an interview during business hours? * Mandatory , No

Are you willing to commit to the program for a minimum of 12 month? * Mandatory

Are you willing to commit to the program for a minimum of 12 month? Are you willing to commit to the program for a minimum of 12 month? * Mandatory , Yes Are you willing to commit to the program for a minimum of 12 month? * Mandatory , No

Do you have any health issues that affect safe driving? * Mandatory

Do you have any health issues that affect safe driving? Do you have any health issues that affect safe driving? * Mandatory , Yes Do you have any health issues that affect safe driving? * Mandatory , No

Please specify * Mandatory

Why do you want to be an L2P mentor? * Mandatory

Declaration

* Denotes a mandatory question

Do you concent to undertaking a Vic Roads Driver History Check? * Mandatory

Do you concent to undertaking a Vic Roads Driver History Check? Do you concent to undertaking a Vic Roads Driver History Check? * Mandatory , Yes Do you concent to undertaking a Vic Roads Driver History Check? * Mandatory , No

As part of Maroondah City Council's recruitment process, you may be required to undertake a pre-commencement Police Check and/or Working with Children Check.Do you agree to undertake the relevant pre-commencement checks to assess your suitability to meet inherent job/activity requirements (if required)? As part of Maroondah City Council's recruitment process, you may be required to undertake a pre-commencement Police Check and/or Working with Children Check.

Do you agree to undertake the relevant pre-commencement checks to assess your suitability to meet inherent job/activity requirements (if required)? * Mandatory , Yes

By completing and submitting this form you:Acknowledge that Maroondah City Council will collect information (including personal information) about me for employment purposes, including consideration of my application.Consent to verifying my education with all relevant education institutions.Consent to personal information being maintained for employment purposes in accordance with privacy laws (including possible future positions)Consent to all of the information described above, including results of any testing, being disclosed for consideration in the application process.Agree that all information provided is true and accurate. Please note: providing false or misleading information may lead to the application being withdrawn by Maroondah City Council. By completing and submitting this form you:

Acknowledge that Maroondah City Council will collect information (including personal information) about me for employment purposes, including consideration of my application.

Consent to verifying my education with all relevant education institutions.

Consent to personal information being maintained for employment purposes in accordance with privacy laws (including possible future positions)

Consent to all of the information described above, including results of any testing, being disclosed for consideration in the application process.

Agree that all information provided is true and accurate. Please note: providing false or misleading information may lead to the application being withdrawn by Maroondah City Council. * Mandatory , Yes

Council is to be notified in writing of any pre-existing injury/illness that may be affected by the inherent requirements of this position. Failure to disclose relevant information in regard to a pre-existing injury/illness that might be affected by the nature of the proposed employment could result in that injury/illness not being eligible for future compensation claims [refer Section 41 of the WIRC Act 2013]. Is there anything Maroondah City Council needs to be aware of that would affect your ability to safely and durably perform the inherent requirements of the job? Council is to be notified in writing of any pre-existing injury/illness that may be affected by the inherent requirements of this position. Failure to disclose relevant information in regard to a pre-existing injury/illness that might be affected by the nature of the proposed employment could result in that injury/illness not being eligible for future compensation claims [refer Section 41 of the WIRC Act 2013].

Is there anything Maroondah City Council needs to be aware of that would affect your ability to safely and durably perform the inherent requirements of the job? * Mandatory , Yes
Council is to be notified in writing of any pre-existing injury/illness that may be affected by the inherent requirements of this position. Failure to disclose relevant information in regard to a pre-existing injury/illness that might be affected by the nature of the proposed employment could result in that injury/illness not being eligible for future compensation claims [refer Section 41 of the WIRC Act 2013].

Is there anything Maroondah City Council needs to be aware of that would affect your ability to safely and durably perform the inherent requirements of the job? * Mandatory , No

If yes, please provide details

Thank you for your expression of interest in a Volunteer L2P Driver Mentor position with Maroondah City Council.