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Position

We’d love to hear from you! Please contact us via the form below and we will respond within 2 business days. Thank you for your interest.

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Step 1 of 4

Select Position

Position*

Personal Details

Title*

Given Name*

Surname*

Contact Details

Home Phone

Business Phone

Mobile Phone

Preferred Number

Email Address*

Residential Address Details

Address*

State*

Postcode*

Country*

Postal Address Details

Same as Residential Address*

Yes

Postal Address*

Postal Suburb*

Postal State*

Postal Postcode*

Postal Country*

Employment Details

Are you a current Western Health employee?*

Registration Type

Registration Number

Application Supporting Documents

Upload Resume*

Accepted file types: pdf, docx, Max. file size: 5 MB.

Upload Cover Letter*

Accepted file types: pdf, docx, Max. file size: 5 MB.

Upload Covid Vaccine*

Accepted file types: pdf, docx, jpg, png, Max. file size: 5 MB.

Equal Employment Opportunities

Country of Birth*

Language other than English?*

Name of completed course at highest level*

Other relevant courses

Nationality*

Are you an Aboriginal Person?*

Are you a Torres Strait Islander Person?*

Do you have a disability?*

Work Eligibility

Are you an Australian or New Zealand Citizen?*

Do you hold a valid Working Visa?*

Do you require a sponsorship?*

Do you have any past or present work / non work related medical conditions which may create risks for you in undertaking the requirements of this position?*

Please explain if answered yes in the above statement*

Have you received a Voluntary Departure Package (VDP) in the last 3 years?*

Please explain if answered yes in the above statement*

Please indicate any specific facilities, services or resources you would need to undertake this position.*

Are you willing to undergo a pre-employment medical assessment if required?*

Are you willing to undergo a national police records check if required?*

Are you willing to undergo a working with children check if required?*

Have you been charged or convicted or found guilty of an offence of any nature in Australia or overseas?*

Please explain if answered yes in the above statement*

Do you have any relatives employed by us?*

If Yes, Relatives name and Department.*

Have you received a minimum of three doses of the COVID-19 Vaccination?*

Employment is subject to satisfactory evidence of three doses of COVID vaccination or evidence of full COVID vaccination.

Please explain if answered no in the above statement*

Qualifications Declaration*

I declare that the qualifications I have asserted to have are genuine and acknowledge that false claims may lead to my dismissal and/or prosecution for any relevant offence.**

Privacy Collection Statement

Equifax consent*

I consent to Equifax (providers' of this service) sending me information regarding additional products and services from time to time.**

Privacy agreement*

I have read and understood the Privacy Collection Statement.*

Name

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