Graduate Program Application
Personal Information
Your Full Name:
*
Enter your full name
Date of Birth:
*
.
Day
.
Month
Year
Date
Email:
*
example@example.com
Phone Number:
*
Please enter a valid phone number.
Residential Address:
*
Enter full address with postcode.
Education Details
Current Institution / University Name:
*
Your College or Uni name.
Course / Program Name:
*
e.g., Bachelor of Social Work, Master of Occupational Therapy
Expected Graduation Year:
*
Is this placement part of a course requirement?
*
Yes
No
Placement Details
Placement Type:
*
Internship
Placement for the Course
Volunteer
Graduate Program
Other
Preferred Start Date:
*
.
Day
.
Month
Year
Date
Preferred Placement Duration (Number of months):
*
Availability:
*
Monday
Tuesday
Wednesday
Thursday
Friday
Area of Interest:
*
NDIS Support Coordination
NDIS Plan Management
Allied Health Therapist (OT, Physio, Speech, Dietitian, Exercise Physiology)
Disability Support Worker
Personal Care Assistant
Social Work
Client Services / Admin
Marketing / Communications
IT & Systems
Other
Resume / Supporting Documents:
*
Browse Files
Drag and drop files here
Choose a file
Upload CV / Resume, Upload Academic Transcript (if available), Upload Placement Agreement (if applicable)
Cancel
of
Work Rights / Compliance:
*
Browse Files
Drag and drop files here
Choose a file
(ANY THREE) Passport, Valid Visa, Police Clearance, Children Check, Australian Driving License, NDIS Worker Screening Check
Cancel
of
Why are you interested in joining Access Foundation's Graduate Program or Placement?
*
Referee Name:
*
Referee Email:
*
example@example.com
Referee Phone Number:
*
Please enter a valid phone number.
Relationship to Referee:
*
e.g., Lecturer, Supervisor
Submit
Should be Empty: