work placement application form. - Parks Victoria

Some information about yourself;Who could we contact at home in case of emergency?Name:Address:Country:Telephone: Daytime: Evening:e-mail Address:Relationship to you:(eg. Mother)Do you have health insurance? Yes ❏ No ❏Do you hold an International Drivers Licence?Yes ❏ Licence Number;………………………..No❏Which languages do you speak?❏ English❏ French❏ German❏ Japanese❏ Italian❏ Spainish❏ Other,……………………Your work placement:Which skills do you wish to develop?❏ practical horticulture❏ plant identification❏ management of gardens❏ other? Please specify:………………………………………………………………………………………What do you expect to learn during your work experience placement?Please attach a copy of your current resume/curriculum vitae to indicate yourexperience in Horticulture.2 of 3