By submitting this application I declare that to the best of my knowledge, the information supplied in this application and any Curriculum Vitae provided is correct and I understand that if any false or deliberately misleading information is given, or any relevant material withheld, I will not be accepted, or if I am employed, my employment may be terminated at the discretion of management. I further understand that any offer of employment is subject to all the pre-employment checks are completed to the satisfaction of the Council. Visa Checks, Working with Children Checks & qualifications Visa checks may be undertaken through Visa Entitlement Verification Online to assess candidate suitability for a position if the role requires unlimited work rights. Council may also request you to provide documentation related to Working with Children’s Checks or require you to provide relevant documentation associated with your qualifications relevant to the position you are applying for. Consent to Contact Referees By submitting this application, I consent to the seeking verbal or written information on a confidential basis about me from representatives of my previous employers and/or referees and authorise the information sought to be released by them to the Council to ascertain my suitability for the position for which I am applying. I understand that a representative of Moreland will contact me to gain my permission to contact any listed referee’s before conducting a reference. The information received by Council is supplied in confidence as evaluative material. Medicals and Drug and Alcohol Testing Some positions in safety-sensitive areas may require you to undergo a pre-employment medical or drug and alcohol test before being employed with Council. If the results are deemed that the applicant fails to meet the inherent physical requirements of the position, then the applicant will not be considered for appointment, or if the employee has already been appointed, the employment may be cancelled or terminated. All successful applicants are required to complete a Preliminary Health Declaration Form; with this, Moreland City Council advises that failure to disclose any or all relevant physical, medical or any other illness, injury or condition, or any past or pre-existing illness, injury or condition suffered by you which may affect your ability to fulfil inherent requirements of the position(s) applied for may result in you being disentitled to claim compensation according to the current Workplace Injury Rehabilitation and Compensation Act in respect of any further injury or illness, recurrence, exacerbation or aggravation of this injury, disease or condition. In applying, I consent to Moreland City Council having access to and using the information arising from the pre-employment medicals to consider me for an appointment or if I have already been appointed, the purpose of cancelling or terminating my conditional offer of employment and authorise the information to be released to the organisation. Collection of Personal Information Moreland City Council is collecting personal information from you as part of the recruitment and selection process. Moreland City Council refers to the current Privacy and Data Protection Act and recognises the importance of privacy and is committed to ensuring the privacy of your personal information collected, used and stored with us. Moreland City Council’s recruitment system, medical, police check, reference checking and onboarding processes are hosted by external service providers who also recognise the importance of privacy. By proceeding with your application, you acknowledge that your personal information will be hosted by these external service providers kept on file unless you request us not to do so.

1. Yes I agree to the privacy statement*

1. Title* Mr Mrs Ms Miss Dr Other
2. First name*
3. Last name*

1. E-mail*
2. Phone*

1. Street*
2. Street Cont.
3. City, Town or Suburb*
4. Postcode or Zipcode*
5. Country*Please choose... AFGHANISTAN ALBANIA ALGERIA AMERICAN SAMOA ANDORRA ANGOLA ANGUILLA ANTIGUA AND BARBUDA ARGENTINA ARMENIA ARUBA AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BOSNIA AND HERZEGOVINA BOTSWANA BRAZIL BRUNEI DARUSSALAM BULGARIA BURKINA FASO BURUNDI CAMBODIA CAMEROON CANADA CAPE VERDE CAYMAN ISLANDS CENTRAL AFRICAN REPUBLIC CHAD CHILE CHINA COLOMBIA COMOROS CONGO CONGO, THE DEMOCRATIC REPUBLIC OF THE COOK ISLANDS COSTA RICA COTE D'IVOIRE CROATIA CUBA CYPRUS CZECH REPUBLIC DENMARK DJIBOUTI DOMINICA DOMINICAN REPUBLIC ECUADOR EGYPT EL SALVADOR EQUATORIAL GUINEA ERITREA ESTONIA ETHIOPIA FALKLAND ISLANDS (MALVINAS) FAROE ISLANDS FIJI FINLAND FRANCE FRENCH GUIANA FRENCH POLYNESIA GABON GAMBIA GEORGIA GERMANY GHANA GIBRALTAR GREECE GREENLAND GRENADA GUADELOUPE GUAM GUATEMALA GUINEA GUINEA-BISSAU GUYANA HAITI HOLY SEE (VATICAN CITY STATE) HONDURAS HONG KONG HUNGARY ICELAND INDIA INDONESIA IRAN, ISLAMIC REPUBLIC OF IRAQ IRELAND ISRAEL ITALY JAMAICA JAPAN JORDAN KAZAKHSTAN KENYA KIRIBATI KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF KOREA, REPUBLIC OF KUWAIT KYRGYZSTAN LAO PEOPLE'S DEMOCRATIC REPUBLIC LATVIA LEBANON LESOTHO LIBERIA LIBYAN ARAB JAMAHIRIYA LIECHTENSTEIN LITHUANIA LUXEMBOURG MACAO MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF MADAGASCAR MALAWI MALAYSIA MALDIVES MALI MALTA MARSHALL ISLANDS MARTINIQUE MAURITANIA MAURITIUS MEXICO MICRONESIA, FEDERATED STATES OF MOLDOVA, REPUBLIC OF MONACO MONGOLIA MONTSERRAT MOROCCO MOZAMBIQUE MYANMAR NAMIBIA NAURU NEPAL NETHERLANDS NETHERLANDS ANTILLES NEW CALEDONIA NEW ZEALAND NICARAGUA NIGER NIGERIA NIUE NORFOLK ISLAND NORTHERN MARIANA ISLANDS NORWAY OMAN PAKISTAN PALAU PANAMA PAPUA NEW GUINEA PARAGUAY PERU PHILIPPINES PITCAIRN POLAND PORTUGAL PUERTO RICO QATAR REUNION ROMANIA RUSSIAN FEDERATION RWANDA SAINT HELENA SAINT KITTS AND NEVIS SAINT LUCIA SAINT PIERRE AND MIQUELON SAINT VINCENT AND THE GRENADINES SAMOA SAN MARINO SAO TOME AND PRINCIPE SAUDI ARABIA SENEGAL SEYCHELLES SIERRA LEONE SINGAPORE SLOVAKIA SLOVENIA SOLOMON ISLANDS SOMALIA SOUTH AFRICA SPAIN SRI LANKA SUDAN SURINAME SVALBARD AND JAN MAYEN SWAZILAND SWEDEN SWITZERLAND SYRIAN ARAB REPUBLIC TAIWAN, PROVINCE OF CHINA TAJIKISTAN TANZANIA, UNITED REPUBLIC OF THAILAND TOGO TOKELAU TONGA TRINIDAD AND TOBAGO TUNISIA TURKEY TURKMENISTAN TURKS AND CAICOS ISLANDS TUVALU UGANDA UKRAINE UNITED ARAB EMIRATES UNITED KINGDOM UNITED STATES URUGUAY UZBEKISTAN VANUATU VENEZUELA VIET NAM VIRGIN ISLANDS, BRITISH VIRGIN ISLANDS, U.S. WALLIS AND FUTUNA WESTERN SAHARA YEMEN ZAMBIA ZIMBABWE INTERNATIONAL OTHER Unknown
6. State, Region or Province*Please choose...

1. Work rights:*

   1. Australian Citizen
   2. Australian Permanent Resident Visa
   3. Australian Temporary Resident Visa
   4. New Zealand Citizen
   5. Bridging Visa
   6. Student Visa
   7. Working Holiday Visa
   8. Temporary shortage skills visa
   9. Refugee/humanitarian
   10. No Australian working rights
2. If you answered no to not being an Australian Citizen, Moreland City Council will require to conduct a VEVO check through the Department of Home Affairs. Do you consent to this?*

   1. Yes
   2. No
   3. NA
3. Have you lived and/or worked outside of Australia for more than a 12-month period in the past 10 years?

   1. Yes
   2. No
4. Do you identify as Aboriginal or Torres Strait Islander?*

   1. Yes, Aboriginal
   2. Yes, Torres Strait Islander
   3. No
   4. I do not wish to disclose
5. Do you require any reasonable adjustments to enable you to participate equitably in our recruitment process?*
6. Due to State Government directions issued by the Chief Health Officer regarding COVID requirements and in order to facilitate future training, group meetings and face to face attendance at our work sites, should you be successful in this role, Moreland City Council will require you to be fully vaccinated before commencing employment (double dose vaccination). Please confirm that you will comply with this requirement? Alternately, indicate if this is not possible and please supply a medical exemption in accordance exemptions as set out in the Chief Health Officer's COVID-19 Mandatory Vaccination Directions.*

   1. Yes
   2. No
7. For equity and inclusion reporting we collect information on Gender. Please describe your gender.*

   1. Man
   2. Women
   3. Gender diverse, Non-binary
   4. I do not wish to disclose
8. Current Employee Status with Moreland City Council:*

   1. Current employee
   2. Former employee
   3. Never employed
9. Have you previously been employed at Moreland through an Agency or as a Contractor:*

   1. Current
   2. Former
   3. Not applicable
10. We conduct police checks as part of our recruitment process; do you give Moreland permission to conduct this check if your application progresses to the final stage?*

    1. Yes
    2. No
11. Do you have a valid driver's licence?*

    1. Yes
    2. No
12. Do you have a Current Working with Children Check, or have the ability to obtain one?

    1. Yes
    2. No
13. I have read and understand the position description*

    1. Yes
    2. No
14. I have read and understand the relevant physical requirements of this position in the position description *

    1. Yes
    2. No
15. Do you have a current injury. illness, or medical condition that may prevent you from undertaking the inherent requirements of the role? *

    1. Yes
    2. No
16. If yes, please to the above please outline
17. Moreland City Council is a diverse organisation and we support people from priority groups where possible, including those with disabilities. If you require adjustments to the inherent requirements or to perform in the position please describe.*
18. If you require adjustments to the inherent requirements or to perform in the position please describe.
19. You may be required to undertake a medical, which includes a drug and alcohol test prior to offer or commencement, do you give permission for this testing to be conducted?*

    1. Yes
    2. No