Broadcast Australia’s Apprenticeship in Electronics and Communications
Application Form 2012
Closing Date: 31 October 2011
Please circle your preferred location:
; Wetherill Park, Sydney
; Crace, Canberra ACT
; Beresfield, Newcastle
; Launceston, Tasmania
; Brisbane, QLD
; Toowoomba, QLD
; Hamersley, Perth, WA
; Berrimah, Darwin, NT
Instructions for completing the application form:
; The form should be typed (minimum font size is 10) or completed in black or blue ink. ; Complete all sections of the application form (Section 2 only if applicable) ; Ensure all required attachments are included, detach the application form from the Terms and Conditions.
; List of attachments you should include:
o Passport photo of yourself
o Photocopy of your birth certificate
o If you were born outside Australia: a copy of your Certificate of Citizenship or passport entry showing
permanent residency in Australia.
; A photocopy of your school reports or your HSC results & any work experience evaluations ; Make two photocopies of the completed application form and keep one for your own information.
; Send the original application and (1) one copy including attachments to:
Attention: Liz Scannell
PO BOX 1212
Crows Nest 1585
OR email all information and your application to recruitment@Broadcastaustralia.com.au
Application Closing Date: 31st October 2011
Interviews will be held at the relevant location
SECTION 1. PERSONAL DETAILS Family Surname:
Please attach a Given Name(s): Passport size photo Address: of yourself here. Postcode:
Phone: ( ) Mobile:
Date of Birth: / / Country of Birth:
*If born in Australia, attach a photocopy of your birth certificate
*If born in Australia, go to Section 3; If born outside Australia, go to Section 2
SECTION 2. FOR APPLICANTS BORN OUTSIDE AUSTRALIA ONLY
Residential Status: (Please tick ; the appropriate Box)
Australian Citizen ； Permanent Resident of Australia ； Neither of these ； Photocopy Evidence * To verify your residency status, provide a photocopy of your Certificate of Citizenship, or a
passport entry showing permanent residency in Australia
SECTION 3. YOUR EDUCATION
School’s Name and Postal Address:
Attach copies of your Postcode:
Year 11 & 12 Reports List below the subjects you are taking / have taken in the HSC (or equivalent)
Please ( ;) to indicate Yr attempted Subject Units Trial Yr/Class Rank *HSC Result
Enclosed Will send
Year 12 yearly ； or ；
Year 12 ? yearly； or ；
Year 11 yearly ； or ；
Year 11 ? yearly； or ；
Attach a photocopy of your school reports (see above) or your HSC results if completed & any work experience
evaluations. *If applicable.
SECTION 4. PLEASE ANSWER THE FOLLOWING QUESTIONS
1. Provide an example of your leadership abilities and/or how you have taken initiative recently.
2. Tell us about any part time work you have undertaken.
3. Provide an example of your ability to be creative or innovative. (Eg Something you have made or a hobby
SECTION 4. Continued
4. Tell us why you have chosen Electronics and Communications as your career.
SECTION 5. SPECIAL ACHIEVEMENTS Provide information about:
1. Your two best academic achievements.
2. Significant contributions you have made to your community or to charities (national, local, religious,
sporting or other).
3. Your personal strengths and weaknesses.
I further declare that the information I have supplied herein is complete and accurate.
Signed: ___________________________ Dated: _________________________
SECTION 6. COMMENTS FROM THE YEAR 12 COORDINATOR OR PRINCIPAL.
IF YOU HAVE WORK EXPERIENCE PLEASE PROVIDE A REFENCE FORM A PAST EMPLOYER.
Please comment on the applicant’s overall academic performance
SCHOOL’S DECLARATION BY YEAR 12 COORDINATOR OR PRINCIPAL
I hereby declare that the trial exam results, class ranks and/or Year 12 ranks provided in Section 3 are correct.
Signed:_____________________ Dated: ____________________
(Affix school stamp here) Schools: Please pass the completed application form back to the applicant for return to:
Attention: Liz Scannell
PO Box 1212 | Crows Nest 1585 alternatively scan in all documents and email email@example.com Application Closing Date: 31st October 2011