Expressions of Interest - On Track to Thrive Expert Reference Group

Expression of Interest application form

Please complete and submit the form below to formalise your expression of interest.
Applicant name*

First NameLast Name
Mobile phone number*
Please enter a valid work phone number.
Work phone number

Area CodePhone Number
Email*

Confirmation EmailEnter a valid email address.

Referee details

Please provide current contact details for two referees that can attest to your knowledge, skills or experience in the relevant field(s) of expertise. Please advise your referees that they are being nominated prior to submitting your EOI.
Referee 1 Name*

First NameLast Name
Referee 1 Mobile phone number*
Please enter a valid mobile phone number.
Referee 1 Email*
Enter a valid email address.
Relationship to Referee 1*
Referee 2 Name*

First NameLast Name
Referee 2 Mobile phone number*
Please enter a valid mobile phone number.
Referee 2 Email*
Enter a valid email address.
Relationship to Referee 2*

Expressions of interest are sought from passionate individuals with expertise in working with Aboriginal and culturally diverse communities and strong community connections in Armadale and/or Geraldton in their field of work.

Please upload two documents:
1. A current CV that clearly demonstrates your relevant experience
2. A cover letter outlining your interest in On Track to Thrive and suitability to be appointed as an ERG member.
File Upload*

Upload most current CV and a cover letter. Only PDF and Word documents allowed. Maximum 2 documents.
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Acknowledgement*

Expert Reference Group members must be available for regular monthly meetings, which may fall outside of regular work hours and/or out-of-session work. Meeting cadence may be adjusted to support timely assessment of program referrals.
Please verify that you are human*
Submission date*

DayMonthYear
Hour MinutesAM/PM Option
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Expression of Interest application form