Employment Application Form

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You have the ability to save this form and complete it at a later date. An email will be generated and sent to the specified address.

Note: Incomplete forms are kept for a period of 7 day(s), after this time the system will automatically delete your response.

Privacy Collection Notice

The Shire of Denmark collects your personal information to deliver services and meet our legal obligations under relevant laws. We handle your information in accordance with the Privacy and Responsible Information Sharing Act 2024 and other applicable legislation. Your information is stored securely and kept only as long as required. It may be shared internally at the Shire of Denmark to aid our customer service delivery and may be shared with other government agencies if required by law. If you do not provide your information, the Shire may not be able to provide services to you.

You can request access to or correction of your personal information by contacting the Shire of Denmark Privacy Officer at info@denmark.wa.gov.au. For more information, visit www.denmark.wa.gov.au/privacy


Postal Address Same as Above?*This field is required.
Are you an Australian citizen or permanent resident of Australia?*This field is required.
Do you hold a current unrestricted Western Australian motor vehicle driver's licence?*This field is required.
Do you hold a current:
If you do not currently hold any of the above, would you be willing to obtain them as needed?*This field is required.
Tell us how you became aware of this vacancy.*This field is required.
Do you have any previous or current medical conditions or restrictions, physical or otherwise, which may affect your ability to perform the essential requirements of the position you have applied for?*This field is required.
Applicant Declaration: I declare that all the above statements are true in all respects. I acknowledge that any statement which is found to be false or deliberately misleading will make me, if employed, liable for dismissal.*This field is required.

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