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Contact Information
Name*
First Last
Email*
Enter Email Confirm Email
Date of Birth (If Under 18)
DD slash MM slash YYYY
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*

Position Information
Which Position are you applying for ?*
Have you ever applied for a role with Inclusion Melbourne before?*
- Yes
- No
If Yes, which role have you applied for in the past?
Availability
Are you currently employed?
- Yes
- No
When are you available to commence work?*
DD slash MM slash YYYY

Professional Reference
In accordance with Inclusion Melbourne’s Recruitment & Selection policy, we require referee details preferably from the two most recent employers. Please note referees will not be contacted without consent.
Referee 1
Name*
First Last
Organisation/Company*
Position/Title*
Email*
Phone*
Please Specify the Relationship*
Referee 2
Name*
First Last
Organisation/Company*
Position/Title*
Email*
Phone*
Please Specify the Relationship*

Safety Screening Checks
Do you have a current NDIS Worker Screening check?*
It is a mandatory requirement for all Inclusion Melbourne employees to have a valid NDIS Worker Screening check.
Please provide your NDIS Worker Screening ID
Have you applied for your NDIS Worker Screening check?*
Please provide your NDIS Worker Screening Application ID
Have you resided outside of Australia for more than 12months over the past 10 years?*
Applicants who have lived overseas for 12 months or longer during the past 10 years and are identified as competitive candidates may be required to provide an international police check.
Where did you hear about us?
Where did you hear about this job opening at Inclusion Melbourne ?*
- Seek
- University
- Inclusion Melbourne website
- Referral
- Other
- LinkedIn
- Jobs Victoria
Please state Name and Source
Upload Resume and Cover Letter
Please upload your cover letter*
Accepted file types: doc, docx, pdf, Max. file size: 5 MB.
Please upload your Curriculum Vitae*
Accepted file types: doc, docx, pdf, Max. file size: 5 MB.

Privacy & Confidentiality
Inclusion Melbourne complies with privacy and confidentiality legislation. Your information is being collected solely for the purpose of recruitment and assessing your application for employment. Your personal information may be disclosed to third parties involved in the recruitment process (such as external organisations engaged to conduct recruitment assessments and checks e.g. NDIS) . As part of the recruitment process, Inclusion Melbourne may obtain personal information from your referees. If you are successful in obtaining a position, your personal information will form part of your employment record. In submitting your application, you are consenting to us collecting and using this information for the purposes as indicated. If your application is unsuccessful. Inclusion Melbourne may retain your information and may contact you if a suitable opportunity arises in the future. Please advise us if you do not wish to have your information kept on file.
Offers of Employment
An offer of employment cannot occur until all safety screening procedures are complete and are assessed as satisfactory. Including an NDIS Worker Screening Check and professional referee checks.
Declaration
I have answered questions honestly and openly and I have not knowingly withheld any relevant information; I have read the position description and I understand the inherent requirements of the position for which I am applying; If during the recruitment and selection process, or during the employment lifecycle, a finding of a disclosable outcome is obtained by Inclusion Melbourne through the NDIS Worker Screening Check, I agree that the disclosable outcome information will be retained and stored in a secure location. I am aware that I must have an NDIS Worker Screening Check and I accept that if this clearance is revoked, I will be unable to work at Inclusion Melbourne. I authorise Inclusion Melbourne (and its employees) to make such inquiries as considered appropriate to verify the information I have provided as part of this application. I certify that the information given is a true and accurate statement and I understand that I am liable to have my employment terminated, or my offer of employment withdrawn if any details in the application are found to be falsified or misleading. Please enter your First Name, Last Name and date below to confirm your understanding and agreement of the above
Name*
First Last
Date of Application*

Day
Month
Year
Name
This field is for validation purposes and should be left unchanged.

Step 1 of 6

Contact Information

Position Information

Availability

Skills and Experience

Health Information

Citizenship Information

Professional Reference

Referee 1

Referee 2

Safety Screening Checks

Where did you hear about us?

Upload Resume and Cover Letter

Privacy & Confidentiality

Offers of Employment

Declaration