Online Form - Expression of Interest – Volunteer Bush Fire Brigade

Name *

Company *

Shire of Coolgardie Location

Mailing Address

Mailing Address:

City:

State:

Post Code:

Country:

Email *

Contact Number *

Please give details below of your skills & experience in Bushfire Control management *

Please give details below of your skills & experience in Operating equipment or machinery *

Please give details below of your skills & experience in any other areas relavent *

Restrictions - Please identify if there any restrictions or work commitments that would prevent you from undertaking the role *

Volunteer Consent *

Yes - By checking this box you consent to online submission