HIGH COURT OF AUSTRALIA
APPLICATION COVER SHEET

Vacancy Details
Position Title:		Position Classification:		

Personal Details
Title		Surname		
Given Names		Date of Birth
(optional)		
Postal Address		

Contact Phone		
Mobile Phone		
Email Address:	
You must be an Australian citizen to be eligible for employment at the High Court of Australia.

Are you an Australian citizen?    (Please circle or delete)     YES /  NO	

Have you been the subject of a Code of Conduct investigation?  	No o  Yes  o  if yes please provide details including the results of the
Investigation in an attachment.	
Are there any reasons that would prevent your employment in the High Court of Australia?	No o Yes o if yes please provide details as an attachment.	

Current employment		Date 

Previous employment		Dates

Previous employment		Dates

Previous employment		Dates

Commonwealth/APS/State Government Employment
The High Court of Australia is not an APS employer, however will recognise prior service with qualifying government employers.
Are you currently a Commonwealth, APS or State government employee? 	YES  /  NO	
AGS number		
Nominal Level		Actual Level		
Ongoing Employee	o	Non-ongoing employee	o	
Have you received a redundancy from a Commonwealth, APS or state government employer in the last 12 months? (Please circle or delete)     	YES  /  NO	

Referee 1 Details
		
Referee 2 Details
	
Name:
			Name:		
Title:
			Title:		
Organisation:
			Organisation:		
Phone No:
			Phone No:		
Mobile No
			Mobile No:		
Referee 3 Details		
Referee 4 Details
	
Name:
			Name:		
Title:
			Title:		
Organisation:
			Organisation:		
Phone No:
			Phone No:		
Mobile No
			Mobile No:		
Please note only two referees are required; however sometimes due to unavailability additional referees may be required