Reference Number:
08-113-VIC
APPLICATION FORM AND CHECKLIST
ABS INTERVIEWER APPLICATION FORM
Office Use Only: (1)
(2)
(3)
(4)
(Total)
Personal Details
Mr
Mrs
Miss
Ms Other title, please specify:
Surname:
Given Names:
Home address:
Post Code:
Mailing Address:
Post Code:
Email address:
Date of Birth:
Phone: H:
W:
Mobile:
If you speak languages other than English, please specify:
Workplace Diversity (these questions are voluntary)
Are you an Aboriginal or Torres Strait Islander?
Yes
No
Are you from a non-English speaking background?
Yes
No
Education
Highest level of Education completed:
Are you currently studying full/part time?
Yes
No
If Yes – please give brief details (incl. of hours per week) :
Availability for survey work
The ABS requires Interviewers to be available for 2 weeks work each month. Dependent on the
Household Survey Program, additional work is often available for Interviewers.
Are you available to undertake more than 2 weeks work each month on a regular basis (should this be
offered)?
Yes
No
What days are you available to work (cross out the days you are unable to work)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
What evenings are you available to work (cross out the evenings you are unable to work)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Work Experience
Have you had any relevant experience relating to this position?
Yes
No
Please provide details:
Are you working at present?
Yes
Please provide details - Occupation, main duties and number of hours per week:
No
Please provide details - Last occupation and main duties (including date ceased working):
How did you find out about this position?
Local Newspaper
ABS Website
Other, please give details:
Referee Details
Please provide details of two referees. Referees will only be contacted if you are in strong contention for
the position. If possible, please provide at least one work related referee.
Referee 1: Name and position:
Contact details:
Referee 2: Name and position:
Contact details:
Any further comments
If you wish to give any further information in support of your application please do so in this space.
Please give details of any relevant skills you possess that you can use in your role as an ABS Interviewer:
Have you received a redundancy benefit from a Commonwealth employer in the last 12 months?
Yes
No
If you answered yes, please insert the date you received the redundancy benefit here:
2
ABS INTERVIEWER APPLICANT CHECKLIST
The following checklist provides a self-assessment indicating whether or not you should consider applying
for the position of ABS Interviewer.
Do not complete this checklist until you have read all of the material in the Information Kit.
If you answer No to any of the following questions you may not meet the requirements of an ABS
Interviewer and would not be competitive in the selection process.
If, after completing this self assessment you intend to proceed in applying, please ensure that this
sheet is returned with the main application form.
Yes
No
Criteria
Are you an Australian citizen?
Do you have a current drivers licence?
Do you have unrestricted use of a reliable, lockable car?
Is this car comprehensively insured?
Are you available to attend a nine day paid training course in Melbourne from Tuesday, 17
June 2008?
Are you available to undertake a MPS workload assignment from Monday, 7 July 2008?
Are you available to attend a 2 day paid recall training in Melbourne in early August 2008,
Date to be confirmed?
During survey week, are you available to work up to five weekdays?
During survey week, are you available to work most, if not all, of the five weeknights?
During survey week, are you available to work on Saturdays?
During survey week, are you available to work during school holidays?
Do you have space within the home for a home office to be set up?
Do you possess excellent interpersonal and communication skills?
Are you of good health?
If currently studying, are your commitments (on average) less than 10 hours per week?
If currently working, are your commitments (on average) less than 10 hours per week?
Do you have experience in or ability to learn computer packages and systems?
Have you received a redundancy benefit from a Commonwealth employer within the past
twelve months?
3
Yes
No
Criteria
Would you feel comfortable surveying people on the following topics:
Income
Health
Time Use
Household Expenditure
Education and Training
Information Technology
Are you aware that the job involves the following:
Interviewing survey respondents face to face and alone at night
Approaching dwellings with dogs
Interviewing respondents within their homes
Accessing several flights of stairs
Working in all weather conditions
Explaining what a survey is about
Sometimes the ABS can only offer less than 2 weeks per month, are you OK with this?
In general, would you prefer to work: (tick one option only)
A maximum of 2 weeks a month
2 weeks a month, but occasionally more
Regularly more than 2 weeks a month
Signature:
Date:
4