Application Form Position applied for:* Preferred Title:*Select valueMrMrsMsMissDr Surname: * Given Names:* Address:* Phone:* Email: * Date of Birth:01020304050607080910111213141516171819202122232425262728293031day / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecembermonth / 202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904190319021901year Australian Citizenship: *Select valueYesNo If no please provide Visa/Work Permit NumberPlease provide your work experience details in chronological order, commencing with your most recently held position MatrixEmployerPosition HeldFromToReason of Leaving1.2.3.4.5.Please provide details of your educational qualifications. matrix1Qualification AttainedInstitutionYear1.2.3.4.5. Current Practicing Certificate No (if applicable)Contact details for 3 referees, at least 2 should apply to previous employment Matrix3NameAddressTelephone1.2.3. Are you willing for us to contact your prevoius employer as a referee?*Select valueYesNo Are you legally entilted to work in Australia?*Select valueYesNo Are you willing to work weekends?*Select valueYesNo Are you willing to work shifts?*Select valueYesNo Are you over 18 years of age?*Select valueYesNo Do you have a physical restriction which would prevent you from carrying out the functions of the role you have applied for? If so please give details.* Are you the subject of any criminal charge(s) still pending before a court, or have you been the subject of criminal conviction(s) or finding(s) of guilt before a Court which are not "pardoned, quashed or spent convictions" under Legislation? If YES provide details* Why do you wish to apply for this position?* Why do you believe you should be selected for this position?*1. How have you displayed Anthem Care Values in previous work situations? Integrity - Being ethically unyielding and honest and inspiring trust by saying what we mean, matching our behaviours to our words and taking responsibility for our actions.* Respect - Valuing diversity and unique contributions, fostering a trusting open and inclusive environment and treating each person in a manner that reflects Anthem's values. We are dedicated to relationships.* Care - We bring empathy and understanding to all we do and from this we deliver holistic (physical, social and emotional) care and hope. We are commited to the ideas of mercy, dignity and quality in our caring.* Consistency - Our consistency of actions, methods, principles, expectations and outcomes exemplifies our quality.* 2. Please respond specifically to each of the selection criteria* Upload your resume: Disclaimer*By ticking this box you certify that the information in this application form is correct in every detail. You also accept that if you have given any false information your employment may be discontinued.SubmitReset