*Please complete this form electronically Part 5 | Other Details Part 1 | Vacancy Details Note: Answering yes to any of the below is not grounds for Job Title automatic exclusion from employment with the Federal Court. However, this may be relevant to suitability in some Position No. positions/work areas of the Court. If you answer yes to any Classification Level of the below then please provide further relevant details Registry Have you been found to have breached the APS Code of Conduct within the past Where did you see the job first advertised? Yes No five years? e.g. Seek, APSJobs, Website etc (If yes, please attach details) Are you aware of any other matters that Part 2 | Personal Particulars might result in a conflict of interest if Yes No you are employed by the Federal Court? (e.g. Mr, Ms, (If yes, please attach details) Dr) Surname Part 6 | Applicant’s Statement Given Name(s) The statements made by me and any supporting documentation are true and complete. I understand that any E-mail Address or misleading statements made may disqualify me from employment, or result in dismissal. I consent to any Daytime Phone Number checks required if successful in obtaining employment. Part 3 | Eligibility Please type your name in the space below to confirm your agreement with the Applicant’s Statement. Are you an Australian Citizen? Yes No If No, have you applied for Yes No Name: citizenship? Date: Have you received a redundancy Yes No benefit from an APS Agency? Privacy Statement If yes, when did you receive the Information on this form is collected and used for APS employment redundancy benefit? purposes. The Court’s Privacy Policy explains how personal Already expired information is managed, and can be viewed on the Court’s website If yes, when will the redundancy or a copy can be requested. benefit period expire? OR Part 4 | Employment Details Are you currently an ongoing Yes No APS employee? If yes, what is your AGS number and substantive classification level? Current Employer Organisation Position/Title
*Please complete this form electronically Part 1 | Vacancy Details Job Title Position No. Classification Level Registry Where did you see the job first advertised? e.g. Seek, APSJobs, Website etc Part 2 | Personal Particulars (e.g. Mr, Ms, Dr) Surname Given Name(s) E-mail Address Daytime Phone Number Part 3 | Eligibility Are you an Australian Citizen? Yes No If No, have you applied for citizenship? Yes No Have you received a redundancy benefit from an APS Agency? Yes No If yes, when did you receive the redundancy benefit? If yes, when will the redundancy benefit period expire? Already expired OR Part 4 | Employment Details Are you currently an ongoing APS employee? Yes No If yes, what is your AGS number and substantive classification level? Current Employer Organisation Position/Title Part 5 | Other Details Note: Answering yes to any of the below is not grounds for automatic exclusion from employment with the Federal Court. However, this may be relevant to suitability in some positions/work areas of the Court. If you answer yes to any of the below then please provide further relevant details Have you been found to have breached the APS Code of Conduct within the past five years? (If yes, please attach details) Yes No Are you aware of any other matters that might result in a conflict of interest if you are employed by the Federal Court? (If yes, please attach details) Yes No Part 6 | Applicant’s Statement The statements made by me and any supporting documentation are true and complete. I understand that any or misleading statements made may disqualify me from employment, or result in dismissal. I consent to any checks required if successful in obtaining employment. Please type your name in the space below to confirm your agreement with the Applicant’s Statement. Name: Date: Privacy Statement Information on this form is collected and used for APS employment purposes. The Court’s Privacy Policy explains how personal information is managed, and can be viewed on the Court’s website or a copy can be requested.
Job%20Application%20Cover%20Sheet.docx