Human Resources APPLICATION PACK 15-077 Senior Curator Published and Digitised Collections * Fields marked are mandatory Please submit this form in WORD format only. Applications submitted in PDF or other formats may not be able to be processed and may therefore, be excluded. 1* Where did you first hear of this vacancy? Click here to enter text. PERSONAL DETAILS Title Click here to enter text. Surname Click here to enter text. Given Name Click here to enter text. 3* Email Address Click here to enter text. 4* Phone Number Click here to enter text. 2* 5* Citizenship Please note, you must be an Australian Citizen to apply for this position Click here to enter text. 6 Gender Click here to enter text. 7 Are you an Aboriginal or Torres Strait Islander? Click here to enter text. 8 If you are a person with a disability, do you require assistance at interview? Yes / No / NA 9 If you are from a non-English speaking background, do you require an interpreter at interview? Yes / No / NA EMPLOYMENT DETAILS Have you received a redundancy / retrenchment benefit from the APS or a Commonwealth Government agency in the last 10 * 12months? If Yes: what is the end date of your restriction period? Are you currently employed within the Australian Public Service? If yes: 11 * Yes / No Click here to enter text. Click here to enter text. AGS Number Click here to enter text. Actual / Substantive Classification Click here to enter text. Acting / Nominal Classification Click here to enter text. Employment Type (ongoing / permanent / non-ongoing / casual) Click here to enter text. Agency Click here to enter text. Human Resources APPLICATION PACK 15-077 Senior Curator Published and Digitised Collections PROFESSIONAL REFEREE DETAILS 12 * 13 * Referee Name Click here to enter text. Position Click here to enter text. Location (State / Country) Click here to enter text. Work number Click here to enter text. Mobile Click here to enter text. Working relationship Click here to enter text. Period of working relationship Click here to enter text. Referee Name Click here to enter text. Position Click here to enter text. Location (State / Country) Click here to enter text. Work number Click here to enter text. Mobile Click here to enter text. Working relationship Click here to enter text. Period of working relationship Click here to enter text. Human Resources APPLICATION PACK 15-077 Senior Curator Published and Digitised Collections APPLICATION RESPONSE Please respond according to the instructions in the advertisement listed on the Intranet. Selection Criteria 1 or EOI Response Click here to enter text. Selection Criteria 2 (if Applicable) Click here to enter text. Selection Criteria 3 (if Applicable) Click here to enter text. Selection Criteria 4 (if Applicable) Click here to enter text. Selection Criteria 5 (if Applicable) Click here to enter text. Selection Criteria 6 (if Applicable) Click here to enter text. Selection Criteria 7 (if Applicable) Click here to enter text. Selection Criteria 8 (if Applicable) Click here to enter text. Selection Criteria 9 (if Applicable) Click here to enter text. Human Resources APPLICATION PACK 15-077 Senior Curator Published and Digitised Collections DECLARATION In applying for this position I agree that: As an Australian citizen or holding Australian citizenship I am eligible for non-ongoing or ongoing employment, and if successful can provide a valid Passport and/or full Birth Certificate and photo identification to support my application. If required, I agree to complete a “Working with Vulnerable People Registration”. Successful applicants must secure and maintain certification within four months of commencement. I consent to undergo a pre-employment background check and security clearance as required. I declare that the information provided by me in this application is complete and true. Insert Given and Surname Date LODGEMENT Please submit your application via email to employment@awm.gov.au Your email must include 1. Application Pack – including you response to criteria / Expression of interest 2. our current Resume / Curriculum Vitae Applications are to be submitted in Word format only. Applications submitted in PDF or other formats may not be able to be processed and may therefore, be excluded.