Australian Rodent Registry

Staff Application
All applications are considered confidential as per this Registrys Privacy
Policy. Information contained therein can only be shared with other Staff for
the purpose of assessing potential employment.
Position Being Applied for: ________________________________________
Have you submitted the following?
Police reference check
Yes/No
Working with Children Check
Yes/No
Outline:
Outline your reasons for wanting to take part as a volunteer for this Registry?
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Ownership:
Do you already own one or more of the following, if so, how many?
Rabbit(s)
Yes/No ____________
Rat(s)
Yes/No ____________

Mice
Yes/No ____________
Guinea Pig(s)
Yes/No ____________
Experience:
Please outline your experience.
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References:
Who else knows you have these animals and has seen how you look after
them? Please provide details of three persons who can visually confirm the
care and keeping methods of your own animals. This is to ascertain your
capability to assess the animals of other keepers and breeders of this
Registry.
Name: _____________________________ Contact: ___________________
Name: _____________________________ Contact: ___________________
Name: _____________________________ Contact: ___________________
Emergency Contacts:
Name: ________________________________________________________
Address: ______________________________________________________
Phone Number: ____________________ Relationship: _________________
Email: ________________________________________________________
Personal Information:
Name: ________________________________________________________
Address: ______________________________________________________
Suburb: ___________________ Postcode: ____________ State: _________
Email: ________________________________ Phone: __________________
Date of Birth: ___________________________
Have You Read (all information viewable on the website):
Code of Conduct for staff and members
Yes/No
Code of Practice
Yes/No
Privacy Policy
Yes/No
Customer Service Policy
Yes/No
Terms and Conditions
Yes/No
Visited the website at www.AustralianRodentRegistry.weebly.com
Yes/No
Disclaimer:
By submitting this application, you are authorising Registry staff to contact you
or others as required in this application and to only use this information as

outlined in this Registrys Privacy Policy and agree to our terms and
conditions of employment, if application successful, as outlined in our Staff
Code of Conduct.