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POSITION APPLICATION FORM
J14/23
SENIOR SCADA TECHNICIAN
(RE-ADVERTISED)
This cover sheet must be completed, signed and attached to the front of your application.
Please ensure that you have addressed the essential and desirable requirements of the
position in your application.
Name:
................................................................................
Postal address:
................................................................................
................................................................................
................................................................................
Contact telephone number(s):
................................................................................
................................................................................
................................................................................
Email address:
By signing this cover sheet I am in agreement for Council to contact the nominated referees or any
other person quoted in my application, and
I declare that the qualifications that are asserted in my application are genuine and I acknowledge
that any falsely claimed qualifications can lead to my dismissal.
Signed
.........................................................
Date
.........................................................
I have enclosed the following:



Responses to the Key Selection Criteria including, 2 referee contact details
Copy of my resume
Copies of any current licences or certificates I hold (not originals – originals will be required
to be presented at the interview stage).
Please do not send your application or certificates in a plastic/presentation folder.
Health and Wellbeing:
Are you aware of any injury, illness or condition that may affect your ability to safely perform all the
inherent requirements of the proposed employment role, or place you at risk of aggravation of an
existing condition?
Yes  No 
If yes, briefly detail:
.............................................................................................................................................................
.............................................................................................................................................................
SIGNED ..............................................
DATE...............................
Completing your application

Applicants should first obtain a copy of the Information Package.

If you wish you may use this form to submit a handwritten application, or use it as a
wordprocessing template.

The criteria may be addressed in sentence or dot point format.

Should you be submitting a hand written application and there be insufficient space, please
attach additional pages as necessary, and include the relevant item number.
Key Selection Criteria
Applicants must address each of the individual criteria listed below in their application.
Key Selection Criteria
SC1
Demonstrated detailed knowledge and experience in the operation, maintenance and
programming of SCADA telemetry systems, programmable logic controllers, variable
speed drives and uninterruptible power supplies.
SC2
Experience in the design of complex circuitry and switchboard design.
SC3
Extensive experience as an electrical tradesperson within the water and wastewater
industry, including pump stations and treatment plants.
SC4
Demonstrated experience working within a team environment with a respectful and
supportive attitude to work colleagues. [open and honest communication style that shows
understanding and respect for difference].
SC5
Demonstrated behaviour that aligns with our adopted values – [please provide an
example for each of our four key values of how you have demonstrated that value]
Qualifications and Licences
Essential
Electrical Trade qualification together with relevant work experience.
Yes 
No 
A current Class C driver’s licence.
Yes 
No 
Electrical Contractor’s Licence.
Yes 
No 
Telemetry SCADA Training/Qualification.
Yes 
No 
A Certificate IV qualification in Instrumentation or similar
Yes 
No 
A current Class MR driver’s licence
Yes 
No 
Experience in CAD drawing software
Yes 
No 
Experience in DNP3 programming
Yes 
No 
Highly Regarded
Current Immunisation Status
Hep A
Yes 
No 
Date of Vaccination: ….../….../…...
Hep B
Yes 
No 
Date of Vaccination: ….../….../…...
NOTE: I understand that this is a requirement of the job and is my responsibility to ensure I am
fully vaccinated prior to commencement with Council.
If you are unable to participate in the Immunisation Program please provide reason:
…………………………………………………………………………………………………………………..
…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………..
…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………
Referees
Applicants must supply the details of at least two current work related referees:
Name of referee:
Company name:
Title:
Relationship to referee:
(e.g. supervisor)
Telephone
Business:
Private:
Mobile:
You must advise your referee about your application
Yes 
No 
and give them permission to provide a verbal reference.
Have you contacted your referee?
Name of referee:
Company name:
Title:
Relationship to referee:
Telephone
(e.g. supervisor)
Business:
Mobile:
You must advise your referee about your application
and give them permission to provide a verbal reference.
Have you contacted your referee?
Private:
Yes 
No 
If you require further information on how to effectively address the Selection Criteria,
please refer to Lismore City Council’s website – Positions Vacant - Guidelines for
Applicants. http://www.lismore.nsw.gov.au
Applications will be received by email at [email protected] or submit
On-line via Lismore City Council’s Website www.lismore.nsw.gov.au – Positions Vacant.
Additionally applications can be submitted as follows:
The General Manager
PO Box 23A
LISMORE NSW 2480
or by fax:
(02) 6625 0400
Applications close Wednesday, 4 June 2014