Application for Employment
Graduate Training Programme
Please complete this form yourself as fully and as accurately as possible, as the contents may form part of your contract of employment.
Please be advised that information provided on this form may be stored on a computerised system for use and in accordance with the Data Protection Act.
Personal Details
Title
Mr
Miss
Mrs
Ms
Dr
Surname
Name
Home Address
Dates at this address from
Address
Postcode
Daytime Phone No
Email address
Have you previously filed an application with Willis or any of its affiliates
Yes
No
Have you ever been employed by Willis or any of its affiliates
Yes
No
Residency
Please note that the Willis Australia Graduate program is only available to candidates who are Australian Citizens, Permanent Residences or holders of Work Visas.
Please indicate your residency status.
1. Australian Citizen
2. Australian Permanent Resident
3. Australian work visa
4. Australian study visa
Application Details
Please state in 50 words or less why you would like to become a professional Insurance Broker?
Please state in 50 words or less why should be selected as a Willis graduate?
How did you hear about Willis?
Graduate Guide
SEEK
Personal
Other (Please Specify)
Referees
Give the names and addresses of two independent referees, one of whom should be academic.
Referee 1
Referee 2
Name
Name
Address
Address
Postcode
Postcode
Daytime Phone No
Daytime Phone No
Educational History
Secondary Education- Highest level completed
VEC or equivalent, Year 12, Year 10
Tertiary Education
Bachelor, Post Graduate, Honours, Masters
Academic
University Attended
Degree Name
Type of Degree
Average Grade
Dates Attended
Subjects Covered in Degree Course
First Year
Second Year
Third Year
Fourth Year
Average Grade
Additional Course Information
Please give details of theses or special project undertaken
Secondary Education
Name and Address of School
Name and Address of School
Address
Address
Postcode
Postcode
Dates Attended
Dates Attended
VEC or equivalent subjects taken
Year
Subject
Grade
Year
Subject
Grade
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
Work Experience
Give details of employment including part time roles, work experience or voluntary/ community positions
Dates
Organisation
Description of work
Languages
Please indicate your degree of fluency in any language you may use at work
Working Knowledge (WK) - The ability to converse on a social and practical basis.
Fluent (F) – The ability to converse confidently and fluently with fellow professionals on a range of specialist work related topics.
Language
Rating
Language
Rating
Computer Applications/Keyboard Skills
Please state knowledge/level of computer applications/keyboard skills.
Computer applications/Keyboard skills
Level (Advanced, Intermediate, Basic)
Interests and Leisure Activities
Please give a brief outline of these activities including any positions of responsibility outside of work.
Personal Profile
Describe a situation which required you to influence people with different perspectives. What approaches did you take?
Describe the achievement you are proudest of and why
Describe a time when you had to convey a complex idea to a group of people
Declaration
This application may constitute the basis of a contract of employment with Willis. I declare, therefore, that I have not knowingly falsified facts or provided inaccurate information on this document.
I AGREE
Should your form not submit, please go back and ensure you have filled in all fields marked with a
*