Community Employment Scheme

Application Form
This Job Application Form MUST be completed when applying for any Employment
Project positions within Gold Coast City Council.
PART A – VACANCY DETAILS
Position Community Employment Scheme Participant
Title:
Job Ref. Closing Date:      
No:

PART B – APPLICANT DETAILS

Surname:      
First Name:      
Address:       Suburb      
:
State:       Post      
Code:
Mobile:       Home Phone:      
Work Phone:       Email Address:      
DOB:       Male Female
Current Yes No
Drivers
License:
Current Health Care Yes No
concession card:
If you are not an Australian citizen, please provide the following information:
Type of       Expiry Date:      
Visa :
Visa no:       Work Eligibility: Yes No

PART C – COMPULSARY REQUIREMENTS

To be eligible for a employment project you MUST be UNEMPLOYED (Not Working) AND identify with
one of the following groups:

Priority Population Definition Evidence

Group
Long Term People who have not been in employment for 12 Self-identification by the individual.
Unemployed months or longer.

Youth An individual who is between 17 to 24 years of age at Date of Birth.

time of commencement of the project subject to youth
participation legislative.

Mature age 45 years and older. Date of Birth.

Aboriginal , Torres Must be identified as, and be accepted by the It is important to remember that ONLY
Strait Islander or community in which you live as being of Aboriginal or Aboriginal people can determine who
South Sea Islander Torres Strait Islander descent. is Aboriginal and who is not.
Peoples
Self-identification by the individual.

People from a Non People from culturally and linguistically diverse Self-identification by the individual.
English Speaking communities who have migrated to Australia including
Background migrants, refugees and humanitarian entrant.
EXCLUDING people on temporary work visas or their
spouses, partners or dependants.
 GOLD COAST CITY COUNCIL – JOB APPLICATION FORM

Parent and/or Parents including sole parents, with at least one Self-identification by the individual.
Carer dependant child, who either have been continuously
unemployed for 12 months or longer or are
underemployed (working less than 25 hours per week)
and are currently actively seeking work; or carers who
have been continuously unemployed for 12 months or
longer or are underemployed.

People with a ‘Disability’, in relation to an individual, is a condition An independent assessment and

Disability that: verification of the criteria a) to d) by a
a) Is attributable to medical, psychiatric, sensory, qualified third party such as:
physical, cognitive and/or learning impairment; and - Doctor (GP)
b) Can reasonably be expected to be present for the - Occupational Therapist
duration of the Apprenticeship/Traineeship; and - Psychiatrist
- Psychologist; and/or
c) Impacts on the person’s ability to undertake
training and work in the chosen - Suitably qualified professional
Apprentice/traineeship; and
d) Would result in the person requiring additional
training and/or work-related support services
and/or modifications.

Part D – UNEMPLOYMENT DETAILS

Period Less than 12 Between 12 -24 Greater than 24 Employed N/A
unemployed: months months months

Employment Job Parental or Personal Disability Other (please

Service Network Carer Support Support Program specify)
receiving: Member allowance Program

Job Network Job Search Support Intensive Support Intensive Support N/A
Provider Only (Less than 3 (between 3-12 customised Service (Greater
Status: months) months) than 12 months)

PART E – ADVERTISING SOURCE

How did you become aware of this vacancy?
GC GCCC Website Referral from a Other (please specify)
Bulletin friend

PART F – KEY SELECTION CRITERIA

When responding to the selection criteria, identify the key points in the criteria and outline how you
meet the criteria. Give practical examples of how you meet each criterion, for example, previous work
experience, voluntary work, tertiary or school-based projects, training courses or qualifications.
Where a criterion relates to a specific qualification, license or certificate, please attach copies of the
relevant documents to your application.
Key Selection Criteria 1: Demonstrated ability to achieve expected outcomes.
Give examples of how you have achieved workplace targets/objectives in the past and describe how
you will utilise the skills and experience acquired during the project to seek and obtain other full-time
on-going employment in the general workplace.
(NB. This position is not permanent nor is it a lead-in to Gold Coast City Council jobs in the future.)
     

Key Selection Criteria 2: Demonstrated interest in developing a working knowledge

and skills in horticulture/landscaping or construction work with intention of
securing employment in these industries.
What attracts you to this type of work and how will you go about getting a job in the industry?
     

Key Selection Criteria 3: Demonstrated commitment to full-time work.

Describe what you have done to prepare yourself for full-time work. (E.G. Transport arrangements,
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 GOLD COAST CITY COUNCIL – JOB APPLICATION FORM

childcare arrangements, physical fitness improvement, English language studies, licences/tickets are
current, job searching activities)
     

Key Selection Criteria 4: Demonstrated ability to participate and contribute as part

of a team.
Tell us about the teams that you may have participated in and how you have contributed to the teams
objectives– i.e. in the workplace, sports, events, work experience.
     

Key Selection Criteria 5: Demonstrated ability to learn new skills and processes.
Describe your ability and give examples of how you have been willing to learn. E.g. How you have
been open minded, able to try new things, and take instructions from others.
     

Highly Desirable –
Possession of a current C Class Driver’s License
     

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PART G – EDUCATION AND EMPLOYMENT HISTORY

If you are able to attach a copy of your resume to your application, you do not
need to complete this section. Please go straight to Part H.
Please provide details of highest educational (secondary/tertiary) standard achieved:
Place of Study:      
Course Name:      
Date      
Completed:

Place of Study:      

Course Name:      
Date      
Completed:
Please provide details of licenses, certificates or qualifications relevant to the position you
are applying for:
Licence:       Valid to:      

Certificate:       Date      

completed:

Qualification:       Date      

completed:

White Card Yes No

Construction:
Please provide details of your employment history to date, starting with your most recent
position:
Position held: From       To      
: :
Employer’s      
Name &
Address:
Key Duties      
Performed:
Reason for      
Leaving:

Position held:       From       To      

: :
Employer’s      
Name &
Address:
Key Duties      
Performed:

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 GOLD COAST CITY COUNCIL – JOB APPLICATION FORM

Reason for ' FORMTEXT      

Leaving:

Position held:       From       To      

: :
Employer’s      
Name &
Address:
Key Duties      
Performed:
Reason for      
Leaving:

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PART H – REFEREE DETAILS

Please provide the details of two work related referees below:
Name:      
Company:      
Contact details:      
Relationship to      
you:
e.g. Supervisor,
Manager

Name:      
Company:      
Contact details:      
Relationship to      
you:
e.g. Supervisor,
Manager

PART I – APPLICANT DECLARATION

I certify that the information I have provided is true and correct.

Name:
Date:

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