Expression of Interest Form Step 1 of 2 50% Position of Interest* When could you commence* Name* First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhoneMobile*Date of Birth Day Month Year GenderMaleFemalePrefer Not to SayEmail Are You an Australian Citizen*YESNODo you have the right to Work in Australia*YesNoAre there any Restrictions on you taking up employment (such as maximum hours you can work in a week, sport/lifestyle commitments)? Please Detail* Drivers Licence* LR MR HR HC MC Working with Children's Check (WWC)*YESNODrivers Certificate/Authority*YESNOFirst Aid Certificate*YESNOIf yes to any of the above, which state/territory*VictoriaSouth AustraliaNew South WalesParticulars of Employment During Last 5 Years*Please include Employers Name, Time at position, Position Held and reason for leavingPlease provide two job related (superviser or manager position) referees of whom we may contact.*General State Of Health*Taking into account that the position held at BusBiz require sitting for long periods, lifting object up to 20kgs, bending, reaching, cleaning of vehicles and walking short distances.Name First Last Name First Last Δ