Name: / Click to enter name
Current Position: / Click to enter position / Employer :Click to enter name
Contact Phone / (M)Click to enter phone #(H)Click to enter phone #
Email address: / Click to enter email address
Response to Key Selection Criteria:
KSC 3: Demonstrated experience in service system planning and coordination across multiple catchment areas
(insert response here – no more than ½ page per KSC)
KSC 4: Demonstrated experience and/or understanding of quantitative and qualitative data collection and analysis, including consumer views
(insert response here – no more than ½ page per KSC)
KSC 5: Demonstrated experience in service/program planning including consultation and writing high level plans for multiple agencies across catchment areas
(insert response here – no more than ½ page per KSC)
KSC 11: Excellent communication skills including the ability to professionally represent stakeholders, successfully manage meetings and participate in forums
(insert response here – no more than ½ page per KSC)
Motivation: Please outline your interest in applying for this role.
(insert response here – no more than ½ page per KSC)
Education/Qualifications:Please list any relevant education/qualifications that support your application.
1. / Click to enter education details
2. / Click to enter education details
3. / Click to enter education details
Referee Check:Please list two work related (supervisors) referees.
1. / Click to enter referee details
2. / Click to enter referee details
Other:
What is your availability during the next 4-6 weeks?
Click to define your availability
Candidate Declaration:
I declare that all information provided is true and correct. Yes No
I consent to BCH conducting pre-appointment checks as part of this selection/appointment process. These may include the following: National Police Check, Working with Children check, professional reference checks, probationary period, qualification check, Australian work entitlement check. Yes No
Thank you for taking the time to complete the Application Form.
Please attach this document with your cover letter andresume and send to
If you have any questions contact the Human Resources Office on (03) 5338 4500.