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Home
Online Forms
About Us
Our Board & Executive Team
Stronger ACCO's
Partnerships
Our Strategic Pillars
Leadership
Swimming the River on Horseback
Governance and Leadership
East Kimberley Aboriginal Achievement Awards (EKAAS)
Bedford Stock Route Walk
Education
Target 120
Kimberley Education Excellence Program (KEEP)
Driver Training Programs
Choose Your Future
Early Years Support Program and HIPPY
Financial Hub
Employment
Lily Lagoon Resort
Indigenous Business Accounting Services (iBase)
Wunan Construction
Wunan Maintenance Services
Wunan Media
Journey to Empowerment
Jobs & Skills Centre
Housing
Burraluba Yura Ngurra Hostel
Pathways to Home Ownership
KNX Community Hostel
Healthcare
Wunan Health & Wellbeing Centre
headspace Kununurra
Low Medical Withdrawal Unit
Commercial
What's On
Events
Latest News
Resource Centre
Annual Reports
Document Centre
Media Releases
Monthly Newsletters
Research Papers
KNX Community Hostel Application Form
Personal Information
Full Name
*
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Date of Birth
*
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Current Address
Street Address:
*
City:
*
State:
*
Post Code:
*
Country:
*
Select Country >>
AUSTRALIA
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AFGANISTAN
ALBANIA
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Contact Number
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Email Address
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Are you Aboriginal or Torres Strait Islander?
*
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Yes
No
Language/Cultural Group(s):
Previous Stay
Have you stayed with us before?
*
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Yes
No
If yes, what year?:
Accommodation Type Requested
*
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Short Term Tenant (less than 3 months)
Long Term Tenant (more than 3 months)
Supporting Documents
Police Clearance (less than 6 months old)
*
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Proof of Income (two recent pay slips or Centrelink statement)
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Proof of full-time employment or training
*
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Allowed File Types:
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Identification x 1 (Bank Card, Medicare Card, Drivers Licence or other)
*
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10.00 MB
Allowed File Types:
.avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx
Employment Status
*
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Select an Option
Full Time
Part Time
Casual
Unemployed
Current Housing Situation
Have you rented before?
*
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Yes
No
Current Housing Type:
*
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Select an Option
Homeswest
Community
Shared
Homeless
Other
Duration at Current Housing
*
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Do you own or are buying a house?
*
This field is required.
Yes
No
Interested in buying your own home?
*
This field is required.
Yes
No
Where have you lived before and why did you leave?
*
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Why do you want Wunan accommodation?
*
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Estimated Fortnightly Income
Work Income
*
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CDEP
*
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Centrelink
*
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Royalties
*
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Other
*
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Fortnightly Income Bracket
*
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Select an Option
$0 - $299
$300 - $499
$500 - $699
$700 - $899
$900+
Do you owe any money?
Yes
No
If yes, how much?
How well do you manage your money?
*
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Select an Option
Fairly well most of the time
Sometimes I manage it well
I often have money troubles
Do you need help managing money?
*
This field is required.
Yes
No
Are you prepared for payroll deductions for rent?
*
This field is required.
Yes
No
Achievements and Work History
Are you currently working?
*
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Select an Option
Yes - Full Time
Yes - Part Time
Yes - Casual
No
Current Employer
Are you studying or training currently?
*
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Select an Option
Yes - Full Time
Yes - Part Time
No
Previous Training/Employment (last two years)
Duration of Previous Training/Employment (last two years)
Skills Assessment
*
This field is required.
Manage myself
Manage others
Read
Write
Talk with people
Solve problems
Referees
Referee 1 Name
*
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Referee 1 Phone
*
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Referee 2 Name
*
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Referee 2 Phone
*
This field is required.
If accepted into the KNX Community Hostel, I commit to:
*
This field is required.
Paying rent and bond as agreed
Engage in work/training or job searching
Attending my monthly support plan meeting and actively participating
Participating in Wunan and other agency services
Following hostel handbook and rules
Attend hostel activities and workshops
Applicant Signature
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Signature Date
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