Application for: Project Officer - Customer and Corporate Support 2301-02

Rockingham Screening

In order to apply for a position with the City of Rockingham, you must be an Australian Citizen, Permanent Resident,
or provide evidence of your entitlement to work in Australia. Are you an Australian Citizen, Permanent Resident, or
holder of a valid Working Visa?

( ) Yes
( ) No

1. Applicant Details

Title
( ) Mr
( ) Ms
( ) Mrs
( ) Dr
( ) Professor
( ) Miss

Sandeep
First Name .............................................
Sandeep
Preferred Name .............................................
Salgado
Last Name .............................................
No 16 Salesian Court
Address Search .............................................
Postal Address:
Address Line 1 .............................................
Address Line 2 .............................................
Queens Park
Suburb / Town .............................................
Western Australia
State .............................................
6107
Post Code .............................................
Australia
Country .............................................
0424820275
Contact Number .............................................
0424820275
Mobile Number .............................................
Alternate Number .............................................
sandeepsalgado@gmail.com
Email .............................................

2. Citizenship and Residency

Are you an Australian Citizen?

( ) Yes
( ) No

Are you a permanent resident of Australia?

( ) Yes
( ) No
( ) Not Applicable

If "No", please provide valid work details below with work rights:

Printed on March 20, 2019, 5:56 pm | Page: 1

Visa type/class:

Sub Class - 485 (Temporary Graduate) Visa Grant Number - 0049542637753

.....................................................................................................................................................................

Visa work condition:

Full Time Work Rights

.....................................................................................................................................................................

Visa expiry date:

24 08 2020
____\____\____ (dd \ mm \ yyyy)

Driver\'s Licence

Do you have a current Driver's Licence?

( ) Yes
( ) No

If "Yes", please list the current classes (eg C, HR) and the expiry date(s)

C Class Manual
.....................................................................................................................................................................

Do you have any previous Local Government service?

( ) Yes
( ) No

If YES, which Local Government(s) have you worked with, and for how long?

Sri Lankan Goverment University Project Sector in University of Moratuwa, Colombo,

..................................................................................................................................................................... Sri Lanka.

Do you possess a relevant qualification?

( ) Yes
( ) No

If yes, please specify title and year of completion

Master of Management Information Systems at Edith Cowan University, 2018 July.

.....................................................................................................................................................................

Do you possess experience in a similar role?

( ) Yes

Continued on page 3 ...

Printed on March 20, 2019, 5:56 pm | Page: 2

 ( ) No

If yes, please list the job title(s) and organisation(s) you have worked for.

Assistant Project Officer (IT) [Project Management Internship], Project Consultancy Unit, University of Moratuwa, Colombo, Sri Lanka.
.....................................................................................................................................................................

3. Additional Information

Have you had a Workers' Compensation claim?

( ) Yes
( ) No

If Yes please provide more information below (eg date and details of incident[s], have you been cleared to return to
work, is the claim still open, etc)
.....................................................................................................................................................................

Do you have any criminal or traffic convictions from any court, or are you currently the subject of any charge pending
before any court?
( ) Yes
( ) No

If "Yes" please provide details below.

.....................................................................................................................................................................

Do you now have, or have you had a disability, illness or injury that might affect your performance in the role you
applied for, or necessitate City of Rockingham modifying the work environment? i.e. ramp etc (OPTIONAL)
( ) Yes
( ) No

If yes, please provide details:

.....................................................................................................................................................................

4. Recruitment Source

Where did you see this vacancy advertised?

( ) City of Rockingham Website
( ) City of Rockingham Jobs Mailing List
( ) Seek
( ) LG Assist
( ) Internal Job Board
( ) Indeed.com
( ) LinkedIn
( ) Other Source

If "Other Source", please specify:

Printed on March 20, 2019, 5:56 pm | Page: 3

.....................................................................................................................................................................

Attachments

Please add and review any attachments you have chosen to include with your application. These documents could
include a covering letter, resume or CV, academic results or other qualifications, statement addressing selection
criteria, and any other documentation you consider relevant to your application.

Please attach your resume.

Please attach your covering letter.

Printed on March 20, 2019, 5:56 pm | Page: 4