Temporary Employment Register

Application Form

This form is the coversheet for your application. Please fill it out and email it together with your resume to . Applications received without an Application Form will not be registered.

Expression of Interest

Please indicate which classification level(s) and functional area(s) you wish to be considered for should a vacancy arise. Please note that you should limit yourself to classification levels and functional areas that appropriately reflect your recent experience, skills, knowledge and qualifications.

Functional Area (Please select no more than three Functional areas)

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Accounting and Finance Administration and Executive Support
Communications and Media Evaluation and Audit
Human Resources Information and Communications Technology
Information and Knowledge Management Intelligence
Investigations Legal
Policy Procurement, Contract Management
Project Management Property Management

Classification Level (Please select no more than two Classification Levels)

APS Level 3 ($56,950-$61,465) APS Level 4 ($63,470 - $68,916)
APS Level 5 ($70,795 - $75,068) APS Level 6 ($76,459- $87,832)
Executive Level 1 ($97,522 – $118,514) Executive Level 2 ($119,889 – $135,092)

Personal details

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Title:
Surname:
Given name:
Preferred name:
Educational/Professional Qualifications:
Email address:
Postal Address:
Suburb/Town: / State: / Postcode:
Telephone: (w) (h) (m)

Employment in the Australian Public Service

Are you currently employed in the Australian Public Service? Yes No
If yes Ongoing Non-ongoing
AGS Number:
Classification level: Choose an item.APS 3APS 4APS 5APS 6EL 1EL 2SES B1SES B2 Department/Agency:

Code of conduct

Have you ever been investigated for a breach of the APS Code of Conduct? Yes No
If yes, with what department or agency?
Please specify if Pending/Substantiated/ Unsubstantiated pendingsubstantiatedunsubstantiated

Security

Do you hold a current security clearance Yes No
If Yes: Indicate security clearance level, issuing authority and date granted

Citizenship

Are you an Australian Citizen Yes No
If No: have you applied for Australian Citizenship Yes No
If Yes: Specify date applied

Optional

Are you a member of the following groups?
Aboriginal or Torres Strait Islander Yes No
Person with disability Yes No
From a non-English speaking background Yes No
If yes to any of the above, do you require any assistance or equipment at an interview? Yes No

Referees

Please nominate two people who are able to comment on your work performance. Where possible, please include your current manager.

First referee

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Name:
Position:
Organisation:
Telephone:
Email:
Is it acceptable for the referee to be contacted prior to interview? Yes No

Second referee

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Name:
Position:
Organisation:
Telephone:
Email:
Is it acceptable for the referee to be contacted prior to interview? Yes No

Applicant statement

Please tick to indicate your agreement.

I declare that the information given by me on this form is true and correct. I understand that any false or misleading information or the omission of information in this application may result in non-selection or termination of employment.

Signature Date:
(enter full name if submitting electronically)