Community Employment Scheme Application form

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					Gold Coast City Council                                                                                    People and Culture

Community Employment Scheme Application Form
This job application form MUST be completed when applying for any Employment Project positions within
Gold Coast City Council.

Part A: Vacancy Details
Position Title:                Community Employment Schemes Participant
Vacancy Ref. No.:                                                     Closing Date:


Part B: Applicant Details
First Name:
Surname:
Address:
Suburb:                                                   State:                      Postcode:
Country:
Mobile Number:                                            Home Phone Number:
Work Number:                                              Email Address:
Date of Birth:                                                 Male             Female
Current Drivers Licence:           Yes          No
Current Health Care                Yes         No
concession Card:
If you are not an Australian citizen, please provide the following information:
Type of Visa:                                             Expiry Date:
Visa Number:                                              Work Eligibility:              YES                    NO


Part C: Compulsory Requirements
To be eligible for an employment project you MUST be UNEMPLOYED (Not Working) AND identify with one of the
following groups:
Priority Population Group                Definition                                    Evidence
     Long Term Unemployed                People who have not been in employment        Self-identification by the individual.
                                         for 12 months or longer.
     Youth                               An individual who is between 17 to 24         Date of Birth.
                                         years of age at time of commencement of
                                         the project subject to youth participation
                                         legislation.
     Mature age                          45 years and older.                           Date of Birth.

     Aboriginal , Torres Strait          Must be identified as, and be accepted by     It is important to remember that ONLY
     Islander or South Sea Islander      the community in which you live as being      Aboriginal people can determine who
     Peoples                             of Aboriginal or Torres Strait Islander       is Aboriginal and who is not.
                                         descent.                                      Self-identification by the individual.
     People from a Non English           People from culturally and linguistically     Self-identification by the individual.
     Speaking Background                 diverse communities who have migrated to
                                         Australia including migrants, refugees and
                                         humanitarian entrants. EXCLUDING
                                         people on temporary work visas or their
                                         spouses, partners or dependants.
     Recently Retrenched Worker          An individual who has recently been           Written notification from previous
                                         retrenched and out of work for three          employer (i.e. separation certificate).
                                         months or more.

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Gold Coast City Council                                                                                               People and Culture

Community Employment Scheme Application Form
     Parent and/or Carer                     Parents including sole parents, with at             Self-identification by the individual.
                                             least one dependant child, who either have
                                             been continuously unemployed for 12
                                             months or longer or are underemployed
                                             (working less than 25 hours per week) and
                                             are currently actively seeking work; or
                                             carers who have been continuously
                                             unemployed for 12 months or longer or are
                                             underemployed.
     Out of Trade Apprentice                 An individual who has recently been                 Written notification from previous
                                             released as an apprentice due to the                employer (i.e. separation certificate).
                                             current business climate.
     People with a Disability                ‘Disability’, in relation to an individual, is a    An independent assessment and
                                             condition that:                                     verification of the criteria a) to d) by a
                                             a) Is attributable to medical, psychiatric,         qualified third party such as:
                                                  sensory, physical, cognitive and/or            -     Doctor (GP)
                                                  learning impairment; and                       -     Occupational Therapist
                                             b) Can reasonably be expected to be                 -     Psychiatrist
                                                  present for the duration of the                -     Psychologist; and/or
                                                  Apprenticeship/Traineeship; and                -     Suitably qualified professional
                                             c) Impacts on the person’s ability to
                                                  undertake training and work in the
                                                  chosen Apprentice/traineeship; and
                                             d) Would result in the person requiring
                                                  additional training and/or work-related
                                                  support services and/or modifications.


Part D: Unemployment Details
Period unemployed:          Less than 12              Between 12 -24                 Greater than 24                    Employed
                          months                    months                         months

Employment Service           Not receiving       Job Services             Job Search         Intensive                PSP - Personal
receiving:                benefits or          Australia                Support            Support                  Support Program
                          assistance           Member
                            Parental or           DES –                    DES –              Vocational               Other (please
                          Carer allowance      Disability               Employment         Rehabilitation           specify)
                                               Management               Support            Service
                                               Services                 Program

Job Service                   Stream Level 1           Stream Level 1 – 3             Stream Level 4                    N/A
Australia provider        (limited Services)        Services                       Services
status:
Jobless household            Yes                               No                                       N/A
with children:


Part E: Advertising Source
How did you become aware of this vacancy?
   GC Bulletin        GCCC Website               Employee Referral             Seek             Other – please specify:




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Gold Coast City Council                                                                               People and Culture

Community Employment Scheme Application Form

Part F: Key Selection Criteria
When responding to the selection criteria, identify the key points in the criteria and outline how you meet the criteria.
Give practical examples of how you meet each criterion, for example, previous work experience, voluntary work,
tertiary or school-based projects, training courses or qualifications. Where a criterion relates to a specific
qualification, license or certificate, please attach copies of the relevant documents to your application.
Key Selection Criteria 1:         Demonstrated ability to achieve expected outcomes.
Give examples of how you have achieved workplace targets/objectives in the past and describe how you will utilise
the skills and experience acquired during the project to seek and obtain other full-time on-going employment in the
general workplace.
(NB. This position is not permanent nor is it a lead-in to Gold Coast City Council jobs in the future.)




Key Selection Criteria 2:     Demonstrated interest in developing a working knowledge and skills in
horticulture/conservation or construction work with intention of securing employment in these industries.
What attracts you to this type of work and how will you go about getting a job in the industry?




Key Selection Criteria 3:         Demonstrated commitment to full-time work.
Describe what you have done to prepare yourself for full-time work. (e.g. Transport arrangements, childcare
arrangements, physical fitness improvement, English language studies, licences/tickets are current, job searching
activities)




Key Selection Criteria 4:         Demonstrated ability to participate and contribute as part of a team.
Tell us about the teams that you may have participated in and how you have contributed to the teams objectives –
i.e. in the workplace, sports, events, work experience.




Key Selection Criteria 5:         Demonstrated ability to learn new skills and processes.
Describe your ability and give examples of how you have been willing to learn. e.g. How you have been open
minded, able to try new things, and take instructions from others.




Highly Desirable –
Possession of a current C Class Driver’s License and Construction White/Blue Card




                                                    Page 3 of 5                                                10/02/2012
Gold Coast City Council                                                                                 People and Culture

Community Employment Scheme Application Form

Part G: Education and Employment History
If you are able to attach a copy of your resume/curriculum vitae to your application, you do not need to complete
this section. Please go straight to Part H.
Please provide details of highest educational (secondary/tertiary) standard achieved:
Place of Study:
Course Name:
Date Completed:

Place of Study:
Course Name:
Date Completed:
Please provide details of licenses, certificates or qualifications relevant to the position you are applying for:
Certificate:                                                  Date completed:


Licence:                                                      Valid to:


Qualification:                                                Date completed:
White/Blue Card           Yes    No
Construction:

Please provide details of your employment history to date, starting with your most recent position:
Position held:                                             From:                   To:
Employer’s Name
& Address:
Key Duties
Performed:
Reason for
Leaving:

Position held:                                             From:                   To:
Employer’s Name
& Address:
Key Duties
Performed:
Reason for
Leaving:

Position held:                                             From:                   To:
Employer’s Name
& Address:
Key Duties
Performed:
Reason for
Leaving:


                                                     Page 4 of 5                                                    10/02/2012
Gold Coast City Council                                                                           People and Culture

Community Employment Scheme Application Form

Part H: Referee Details
Please provide the details of two work related referees below:
Name:
Company:
Contact details:
Relationship to you
(e.g. Supervisor, Manager)

Name:
Company:
Contact details:
Relationship to you
(e.g. Supervisor, Manager)


Part I: Applicant Declaration
    I certify that the information I have provided is true and correct.
Name:
Date:



Important Information: Gold Coast City Council is collecting your personal information in accordance with the Local
Government Act 2009 in order to ensure that all recruitment processes are dealt with on the basis of merit. The
information will only be used by authorised Council officers and occasionally Recruitment Agencies acting on behalf of
Council for the purpose of assessing your skills and experience against position requirements and ensuring our
records are accurate. Your information will not be given to any other person or agency unless you have given us
permission or we are required by law.




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