Application Form for 10,000 Unit Challenge Please fill in the below form to register. * denotes a manditory field * Name * Email * Confirm (re enter) Email * Phone * Confirm (re enter) Phone * Date of Birth (dd/mm/yyyy) / / * Where did you see WorkandTravelOZ.com.au advertised? * Are you applying from Australia or overseas? Australia Overseas If you answered Overseas please complete the following Country of residence Have you visited Australia previously? Yes No If yes, have you used your working holiday visa as yet? Yes No   If no, are you eligible for a working holiday visa (click here to visit the Austalian Immigration website to check) Yes No What would be your main reasons for wanting to work with us in Australia? Please list your Face-to-Face fundraising experience Company Position Start dates / / Finish dates / / Estimated number of people signed up in this period Personal best in a week Organisations represented Please list any other experience, skills or comments that you think will help your application Are you interested in learning about long term options with us? Yes No I confirm that I have read the Terms and Conditions     WorkandTravelOz is run and operated by Equality Marketing - Website and contents © Equality Marketing 2008