Online Application Form

Shire of Mundaring
Online Job Application Form

Job Title:        
Job Number:  

Personal Details

Family Name *

Given Name(s) *

Post Code

Contact Details

Work Phone
Home Phone

Qualifications & Licenses

Please list your qualifications and relevant licenses, including any current studies. Dates must be entered in yyyy-MM-dd format, or selected from the date picker.

Qualification / License
Date Acquired

Expiry Date

Details of Local Government Experience (Optional)

Most Recent Employment (Optional)

Length of Service

Equal Employment Opportunity

Shire of Mundaring is an equal opportunity employer. If you are being considered for a position and you have a disability or medical condition that may impact on your ability to carry out the duties of the position, we will discuss this with you in confidence prior to making our selection decision.

Do you have any disabilities or illnesses which may require support from your employer to enable you to perform the requirements of this position?


If YES, please indicate the nature of support that may be required:


All prospective employees must attend a pre-employment health assessment. The purpose of this assessment is to establish your fitness in respect to the job you have applied for. This health assessment will be paid for and carried out by a provider nominated by the Shire of Mundaring.

A summary of findings of the medical assessment will be provided to the Human Resources department for review.

A satisfactory medical assessment is a requirement for appointment.

Selection Criteria

To be considered for this role, please address the following:

Criteria 1:

Criteria 2:

Criteria 3:

Criteria 4:


Cover Letter



By ticking the box below, I declare that all the above statements are true. I accept that I may be required to attend a confidential health assessment to assess my fitness for the position I have applied for.




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