Section 3 Diversity information (The following information is requested for statistical and eligibility purposes only) Disability Employment Name: Service provider details Case manager: Telephone : Email: Section 4 Current employment details Are you currently employed in the West Australian Yes No public sector? If yes, are you permanent Permanent Contract or on contract? Have you ever received a voluntary severance Yes No payment from the West Australian public sector? If yes, what is your re-entry date on your Deed of Severance: Department Substantive position: Position (do not list acting positions) Award & classification: Section 5
Section 3 Diversity information (The following information is requested for statistical and eligibility purposes only) Disability Employment Service provider details Name: Case manager: Telephone : Email: Section 4 Current employment details Are you currently employed in the West Australian public sector? Yes No If yes, are you permanent or on contract? Permanent Contract Have you ever received a voluntary severance payment from the West Australian public sector? Yes No If yes, what is your re-entry date on your Deed of Severance: Substantive position: (do not list acting positions) Department Position Award & classification: Section 5
disability_cadetship_eoi_form_3.docx