Staff Street Application Form

Staff St Application Form

Please take your time to carefully enter the required details. Please note that once you begin the submission process, it cannot be saved for later, and the form must be completed and submitted in one continuous session.

If you have any issues with your application please contact us on (02) 4254 1166 for assistance.

Your Details

Please take your time to carefully enter the required details. Please note that once you begin the submission process, it cannot be saved for later, and the form must be completed and submitted in one continuous session.

Name(Required)

First Last

Phone(Required)

Email(Required)

Enter Email Confirm Email

Please enter your date of birth(Required)

Application Information

Please list your address history for the last 2 years(Required)

Please list your employment history for the last 2 years(Required)

Current or recent employer(Required)

What is / was your role? Job Title & Job Type example full-time/casual etc.(Required)

Gross Income Per Week / Fortnight / Month(Required)

Employer Contact Details(Required)

Name, Email, Phone Number, Address

Please upload the last 3 payslips(Required)

Drop files here or

Max. file size: 128 MB.

Please upload a recent bank statement and savings balance(Required)

Drop files here or

Max. file size: 128 MB.

Do you have any other sources of income including government benefits?(Required)

Please upload any supporting docs to verify your other sources of income

Drop files here or

Max. file size: 128 MB.

Please upload proof of identificaiton(Required)

Max. file size: 128 MB.

Please upload any of the following: drivers license, pension card, proof of age card, any piece of legal document that displays your name and address

Do you own any pets?(Required)

Type

Pet Name

Breed

Please upload a photo of your pet

Max. file size: 128 MB.

Will there be anyone one else living with you?(Required)

Please list all household members name, date of birth and identifying gender and relationship to you(Required)