UWA Development Office
35 Stirling Highway, Crawley WA
Phone: 9347 4219

Application Form - Student Caller 2003
Please complete, printing clearly in black ink and return to Simon Miskin no later than Friday, March 14, 2003 to the above postal address, in person to the Development Office, (Corner of Stirling Highway and Broadway) or by email to smiskin@admin.uwa.edu.au 

Surname: 						First Name: 

Term-Time Address:					Phone Number:
							Mobile:
							E-mail:
							Please print legibly
Home Address:

School/ Faculty of Study:			Year of Study:

Why are you interested in becoming a caller? 

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Experience is not vital as we will provide full training, however communication skills are.  Can you give any examples where you have used such skills? 

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Which UWA Clubs and Societies are you involved in?

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How did you find out about the position? Poster / Email / O’Day stall / other (please state)

	

Referees

Employment

Employer’s Name.....................................................................................................................

Employer’s Address/Phone....................................................................................................

Position.......................................................		Responsibilities...................................

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Dates employed..............................................................................

Employer’s Name.....................................................................................................................

Employer’s Address/Phone....................................................................................................

Position.......................................................		Responsibilities...................................

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Dates employed..............................................................................

Course Tutor/Previous employer/School

Name.....................................................................................	

Address................................................................

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Telephone.................................................................

Relationship with Referee...............................................................

Are there any times during the week when you cannot attend an interview?

Please remember that it is a condition of employment that you attend all training sessions.  Your time whilst training will be fully paid only if you commence employment.