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GREEN ARMY PARTICIPANT APPLICATION
Project Delivery Agency - Project Platypus – 5358 4410
If you’d like to apply to join a Green Army Project, please print off, then complete the below
application and submit it to Project Platypus via email, post or drop it in to the office. For
more information please call 5358 4410 or 0427 881 021.

Email:
[email protected]
Post:
PO Box 838, Stawell, 3380
Office:
11a Ararat Road, Stawell
Your Personal Details
All information collected by Job Futures and [Insert Project Delivery Agency Name] is kept
confidential for use in the application and participant enrolment process.
As the Green Army Programme is funded by the Australian Government, Job Futures
reserves the right to provide this information to the Department of Environment upon
request.

First Name *
________________________________________

Middle Name(s)
________________________________________

Last Name *
________________________________________

Preferred name
________________________________________

Street Address
________________________________________

Address Line 2
________________________________________
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City
________________________________________

State
________________

Postcode
________________

Home Phone Number
(___)____________________

Mobile Number *
________________________

Email Address *

Do you wish to identify as Aboriginal or Torres Strait Islander?*
□ Aboriginal
□ Torres Strait Islander
□ Both
□ Neither
_______________________________________

Date of Birth * (DD/MM/YYYY) __ / __ / _____

Current Age * ______
NOTE: Proof of age original document will need to be presented at interview:
-
Australian full birth certificate, showing parental details OR
Australian Passport OR
Driver's license OR
Proof of Age card OR
Current Australian Defence Force card

Are you an Australian citizen or a Permanent Resident? * Y/N

Highest level completed at Secondary School Year 7 / 8 / 9 / 10/ 11/ 12

Date left Secondary School * MM/YYYY

Have you completed any training since leaving school?
__ / _____
________________________________________________________________________
________________________________________________________________________

Have you participated in any local community or environmental activities?
________________________________________________________________________
________________________________________________________________________

Have you been a member of a team e.g. school, sports, work?
________________________________________________________________________
________________________________________________________________________

Have you worked in any voluntary positions?
________________________________________________________________________
________________________________________________________________________

Have you held any paid positions since leaving school?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

Any other relevant information –
________________________________________________________________________
________________________________________________________________________
Signature of Applicant - _____________________
Date - _____________________