Register Your Interest - Woomera Aboriginal Corporation

Name of the Applicant*
Phone (Home)
Phone (Mobile)
Address*
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Email*
Are you*
Country of Birth*
Languages Spoken at Home*
Do you have a Current Driver's Licence?*
Details of All Household Members
Name Date of Birth Relationship to the Applicant Occupation / Student

It is regulatory requirement that Woomera Aboriginal Corporation conduct an NSW Working with Children Check (which includes a National Police Check) as part of the assessment process for carers, all household members over 18 yrs and all visitors who regularly stay overnight. i.e. more than 2 consecutive nights each week in a month. Please list all household members and their details above.
Do you have children under 18 years residing away from home?*
If yes, please provide their details below

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Name	Date of Birth	Relationship to the Applicant	Occupation / Student