Application

Agent / Partner Details

Agent / Partner Company Name*

Your Name*

First Last

Agent / Partner Email*

Your email address

Applicant Details

Name*

First Last

Email Address*

Date of birth*

Gender*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone (home) (include country/city codes)

Phone (mobile) (include country/city codes)

Skype ID

Is the applicant a permanent Australian resident/citizen?*

Passport Details

Country of citizenship

First visit to Australia

Is the applicant eligible for a Working Holiday Visa 417 or 462*

If you are unsure, visit http://www.immi.gov.au/Visas/Pages/417.aspx & http://www.immi.gov.au/Visas/Pages/462.aspx

English language skills

Emergency Contact Details

Their Name

First Last

Relationship to the applicant

Their phone number (include country/city codes)

Their Email

Details of Internship

Minimum duration of internship (number of weeks)*

Note – Internship duration can be a minimum of 12 weeks. Some exceptions apply.

Maximum duration of internship (number of weeks)

Note – Internship duration can be a maximum of 26 weeks.

Earliest internship start date*

Latest internship start date

Internship Industry (1st preference)*

Please choose one '1st preference'

Other Industry

If '1st preference' industry of interest is not listed above, please provide here.

Internship Industry (2nd preference)

Please provide a maximum of 3 fields from the secondary preferences. Note – While we will make every effort to arrange an internship in the chosen industry, factors such as education and experience as well as the current industry availability may affect successful placement.

Other Industry

If '2nd preference' industry of interest is not listed above, please provide here.

Completed, or completing a tertiary qualification in requested industry of internship*

Requested Internship Location*

Flexible
Sydney
Melbourne
Brisbane
Gold Coast
Perth
Other

Other Location

If requested location is not listed above, please provide here

Expectations of the internship

Please provide brief details of what the applicant wants to achieve from the internship and the skills they wish to gain. This should be addressed more comprehensively in the cover letter.

Any additional information about the internship request

Additional Services

Accommodation assistance required

If 'yes', please complete the accommodation application form found in 'Extra Services' http://www.internshipsdownunder.com/extra-services/accommodation/

Will the applicant require an Airport Transfer

If 'yes', please complete the Airport Transfer application form found in 'Extra Services' http://www.internshipsdownunder.com/extra-services/airport-transfer/

Will the applicant require assisitance arranging insurance

If 'yes', please complete the Insurance application form found in 'Extra Services' http://www.internshipsdownunder.com/extra-services/insurance/

Medical Information

Does the applicant have a health problem or disability which may affect their training as part of an Internship with a Host Organisation*

Please provide details

Does the applicant have any special requirements or require special equipment to perform their duties as part of an Internship with a Host Organisation*

Please provide details

Does the applicant have a health problem or disability that will require them to take medication during the Internship period*

Please provide details

If required by the Host Organisation, does the applicant agree to attend a medical examination prior to commencing their Internship Program*

ACKNOWLEDGEMENT

Term 1*

The information given on this application form is to the best of my knowledge complete and correct and I understand that Internships Down Under shall have the right to terminate the Internship Placement at any stage if proven otherwise.

Term 2*

Should any changes to these details be made at any time before and during the Internship, I will inform Internships Down Under immediately.

Term 3*

I have informed the applicant and they understand, acknowledge and agree that it is a condition of Internships Down Under that prior to any Internship with a Host Organisation, the intern obtains insurance cover for Medical, Accident, Travel and Personal Liability and such copies are forwarded to Internships Down Under & the Host Organisation.

Term 4*

I have informed the applicant and they understand, acknowledge and agree that the internships arranged by Internships Down Under are not employment, but are a voluntary unpaid temporary training experience which does not lead to employment.

Document Upload

Drop files here or

Please upload cv, cover letter, recent colour photo, and any other essential documents (maximum 8 files, total 10mb). Please email additional documents if required.

Intern Application Form for Agents & Partners

Agent / Partner Details

Applicant Details

Passport Details

Emergency Contact Details

Details of Internship

Additional Services

Medical Information

ACKNOWLEDGEMENT

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