Position Details

Job Name

Type of employment-Please select-Full TimePart TimeCasual

If you are applying for a part time or casual position please indicate the hours and days you are available to work.

Would you be prepared to undertake a Police check for a position with our company?YesNo
If no, please give details

Do you have any current MR or HR Licence endorsements?-Please select-MRHR

Do you have a current first aid certificate?-Please select-YesNo

Some positions in our company (eg. Driver, Sales Assistant, Labourer) involve manual handling tasks. Are you willing and able to undertake manual handling tasks if required? -Please select-YesNo

Do you have a current Drivers Licence?-Please select-YesNo
If no, please give details.

Do you have a current Forklift Licence?-Please select-YesNo
If no, please give details.

Education

Secondary school attended, Studies Undertaken & Results from and to dates. (Up to 3 last schools)

College/University attended, Studies Undertaken & Results "from" and "to" dates. (Up to 3 institutions)

Professional qualifications gained

Training courses attended (please list all you may think relevant)

Employment

Please list all present and past employment beginning with the most recent. (Make sure to include their name, address, job title, dates, salary and briefly describe your main duties and reasons for leaving)

You are invited to state below details of the experience you have gained through your employment or private life that is relevant to your application

If we made you an offer of employment how soon would you be able to join this company?

Are you willing to work overtime if required?-Please select-OccasionallyMost of the timeAll of the time

Do you have any other employment that you intend to continue should your application be successful?-Please select-YesNo
If yes, please give details

Do you have any holiday commitments?-Please select-YesNo
If yes, please give details

Is there any reason preventing you from performing the tasks of the position you are applying for such as injury or illness ?YesNo
If yes, please give details

I declare the information I have given in this form is, to the best of my knowledge, true and complete and I consent to it being held on file. I hereby give permission for the employer to contact the employers listed in the employment history of this form in order to obtain a reference.