EXPRESSION OF INTEREST
Victorian Civil and Administrative
Tribunal
Part 1 – Personal Details
P.2
Part 2 – Curriculum Vitae and Self Assessment
P.6
Part 3 – References
P.7
Part 4 – Character
P.9
Part 5 – Declaration
P.11
Page 1 of 11
Positions
Please indicate the position you are expressing an interest in:
Non-sessional Member (full-time or part-time)
Sessional Member (on an irregular as needed basis)
Please indicate the list(s) you are expressing an interest in by ticking the relevant box
below.
Administrative Division – Legal Practice List
Administrative Division – Planning and Environment List
Administrative Division – Review and Regulation List
Civil Division – Building and Property List
Civil Division – Civil Claims List
Civil Division – Owners Corporation List
Human Rights Division – Guardianship List
Human Rights Division – Human Rights List
Residential Tenancies Division – Residential Tenancies List
More than one box may be selected.
Page 2 of 11
Part 1: Personal Details
1.1 Personal Information
Professional surname:
Surname:
(if different from above)
Given names:
Preferred name:
Title:
Date of birth:
Private address:
DD / MM / YYYY
Street
Suburb/town
State
Postcode
Telephone
Fax
Mobile
Email
Professional/business
address:
Street
Suburb/town
State
Postcode
Telephone
Fax
Mobile
Email
DX number
Address to use for
correspondence:
Page 3 of 11
It is a condition of appointment that you are a citizen of Australia.
Do you meet this
condition?
1.2 Professional Information
Current position:
(title and organisation)
Do you now hold, or have you ever held, any judicial appointments or any appointment to a
Board or Tribunal? If yes, specify position, jurisdiction and period of appointment.
Legal practitioners
Have you been admitted to legal practice or are you enrolled as a legal practitioner in
Australia?
Yes
No
If yes, please specify the date you were first admitted or first enrolled and the court or
jurisdiction.
Date of admission:
DD / MM / YYYY
Court or jurisdiction:
Have you been admitted to practice or enrolled as a legal practitioner in any other
Australian jurisdiction? If yes, specify relevant court/s and date/s of admission or
enrolment.
Page 4 of 11
Other professionals
I am a qualified:
Architect
Accountant (or have financial management qualifications)
Town and Regional Planner
Surveyor
Registered valuer
Municipal Engineer
Medical Practitioner
Specialist Medical Practitioner – specify area of specialisation
Psychologist
Social Worker
Chinese Medical Practitioner
Chiropractor
Dental Practitioner
Medical Radiation Technologist
Nurse
Optometrist
Osteopath
Pharmacist
Physiotherapist
Podiatrist
Other – please specify
Page 5 of 11
Part 2: Curriculum Vitae & Self Assessment
2.1 Curriculum Vitae
You must submit your curriculum vitae with this completed form. Your curriculum vitae
must include information about:

your further and higher education qualifications (including institution/s attended and date/s
qualification obtained); and

your employment history.
2.2 Self Assessment
Please use the following section to provide any further information in support of your
expression of interest. You may wish to have regard to the qualities and abilities listed
below. You are not expected to address all of these qualities and abilities. Your self
assessment must be a maximum of 500 words.

Legal or professional skills

Ability to conduct hearings

Capacity to make fair decisions quickly

Integrity

Sound judgement

Ability to communicate fairly, effectively and courteously to all VCAT users

Mediation skills

Commitment to ongoing professional education

Commitment to the use of information technology
Further information:
Page 6 of 11
Part 3: References
We are seeking evidence from people who are in a position to comment on how you meet
the competencies. We will contact referees as a matter of course.
1 Title, name and position
Street
Suburb/town
Postcode
Telephone
Please state how they are known to you (include details of relevant cases, where
appropriate).
2 Title, name and position
Street
Suburb/town
Postcode
Telephone
Please state how they are known to you (include details of relevant cases, where
appropriate).
Page 7 of 11
3 Title, name and position
Street
Suburb/town
Postcode
Telephone
Please state how they are known to you (include details of relevant cases, where
appropriate).
If your work is not often seen by this group of people please give details of the nature of
your work, and why this would not be visible to referees, so that we can ensure your
application and any comments are assessed with this in mind.
Page 8 of 11
Part 4: Character
Please answer the following questions by ticking the appropriate box. If you answer “yes”
to any of the questions in this section, please provide details in the area provided below or
in an attachment to this form.
1
2
3
4
5
6
7
Have you ever been convicted of, or cautioned for, any criminal offence
(including minor traffic offences), or are any other proceedings pending?
 Yes
Have you ever been declared bankrupt, made a composition with your
creditors, or been sued to judgment for any debt, or are any such
proceedings pending?
 Yes
Have you ever had proceedings brought against you, or paid a penalty,
or made a composition in respect of failure to pay, or any other default
relating to income tax, GST or any other form of tax or rates, or are any
such proceedings pending?
 Yes
Have you ever had an action brought against you for professional
negligence, without the matter being dismissed, or are any such
proceedings pending? If you are a solicitor and such a matter has been
brought against your firm in respect of a matter under your supervision,
answer ‘Yes’.
 Yes
Are you, or have you ever been, subject to the disciplinary process of
any professional body in respect of a matter involving you personally or
under your supervision, or any professional body’s internal complaints
procedures, or any disciplinary process undertaken by your employer or
manager, without the matter having been dismissed, or are any such
proceedings pending?
 Yes
Are there any allegations about the disciplinary or complaints handling
process of the Bar, or the Law Institute, currently subject to investigation
by the Legal Services Commissioner, the former Legal Ombudsman, or
any other similar organisations in respect to a matter involving you
personally, or under your supervision?
 Yes
Is there any additional information or conflict of interest that should be
brought to the attention of the Attorney-General, which might call into
question whether it is appropriate for you to be appointed as a member
of VCAT?
 Yes
Page 9 of 11
 No
 No
 No
 No
 No
 No
 No
Details:
Page 10 of 11
Part 5 – Declaration
Please make sure you have completed all sections of this document
I declare that the information that I have given on this form is true to the best of my
knowledge and belief and (if completing this form electronically) I certify that the ‘typed’
signature is intended to be my signature.
Signature of applicant
DD / MM / YYYY
Date
To submit this expression of interest and your curriculum vitae
Electronically
1. Save this file to your computer
2. Apply online via http://vacancies.publicboards.vic.gov.au
(select "Search current vacancies", "VCAT" options and then click "Apply online".
You will then be asked to log in to the system. As you will not have a log in you
will need to click on "Register here" to create a profile).
3. Attach the saved Expression of Interest form to your online application.
Privacy statement
The Victorian Government is committed to protecting individual’s privacy. Information collected
through the expression of interest process is primarily used to assess candidates’ suitability for a
judicial appointment and is shared with individuals involved in the recruitment process. You can
request a copy of your completed form by contacting us.
Page 11 of 11