Instructions To complete your application this form MUST be filled in and attached to your curriculum vitae. You are also encouraged to provide a statement outlining personal attributes, communication skills and ability to work as a team member. Your completed application should be forwarded to: firstname.lastname@example.org or mailed to Recruitment, National Gallery of Australia, GPO Box 1150, CANBERRA ACT 2601 to be received by close of business 28 September 2012. Any enquiries should be directed to the Recruitment Officer on (02) 6240 6447. This application form is designed to be completed electronically and then emailed as an attachment. Complete the form by entering the information in the fields provided. Save the form as a Word document. Which area of employment are you interested in? (Please tick all relevant fields) Educator Sales Assistant Information Officer Applicants are encouraged to obtain additional information about the functions and activities of the Gallery and eligibility requirements for employment including citizenship and probation, by visiting our website www.nga.gov.au Please provide examples of relevant experience and/or qualifications in relation to the type of role you are expressing interest in: Please indicate availability for employment: Hours per week: …….. Days: ………. Weekends: After Hours: Personal Details Title: Surname: Given name: Address: Suburb/Town: State: Postcode: Telephone: (w) (h) (m) Email address: Are you an Australian citizen: Yes No Do you require an interpreter or any particular equipment or assistance at interview? Yes No If you have any special requirements, please give a brief description below: Contact details of work related referees Note: Preferably one of your referees should include your current/recent supervisor. Referee 1 Surname: Given name: Position title: Agency or organisation: Relationship to applicant: Period known: Telephone: (w) (m) Email address: Referee 2 Surname: Given name: Position title: Agency or organisation: Relationship to applicant: Period known: Telephone: (w) (m) Email address: Signature Date: Note: If you are emailing this form please type your name in the signature area above.
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