The Forbes Services Memorial Club is an Equal Opportunity Employer. The information requested in this application form is required for us to enable a fair and equitable assessment process for all applicants. It is requested in accordance with the guidelines established in the relevant legislation in Australia.
Position/s Applied For:
Personal Details
First Name:
Last Name:
Telephone:
Mobile:
E-Mail Address:
Date of Birth:
Residential Address:
Suburb:
State:
Post Code:
Postal Address:
Emergency Contact Details
Name:
Relationship
Availability
Please tick ALL times you are available to work.
AM = between 7:00 AM and 5:00 PM
PM = between 5:00 PM and 2:00 AM
Note: This is not an indication of shift length
MondayAMPM TuesdayAMPM WednesdayAMPM ThursdayAMPM FridayAMPM SaturdayAMPM SundayAMPM
Mandatory Knowledge Checklist: RSA CertificateRCG CertificateFood Handling
Industry Knowledge Checklist: Do you have any of the following? TAB KnowledgeKENO KnowledgeWHS KnowledgeCurrent First Aid CertificateCurrent Security LicenseSenpos POS KnowledgeSystem 7000Others
If "Others" is ticked, please specify:
Education Details
Secondary Education Completed: Year 10Year 11Year 12Others
Employment History (Please list most recent first)
Company Name:
Reference Name:
Position Held:
Started:
Finished:
Reason For Leaving:
Referees
Position:
Health Record
Have you ever had an accident or serious illness, either work related or personal? YesNo
If Yes, please give details:
Have you ever received Workers Compensation? YesNo
Are you aware of any Health Problems which may affect your capacity to work? YesNo
Are you willing to take a pre-employment medical at your own expense with a nominated doctor? YesNo
General Information
Have you been convicted of a criminal offence? YesNo
Have you ever been discharged from employment? YesNo
If employed, are you willing to undergo further training? YesNo
Would you be willing to undergo an induction prior to employment, within your own time? YesNo
Are you legally entitled to work in Australia? YesNo
Declaration
1. I authorise the Forbes Services Memorial Club to obtain from any personal information in relation to my suitability for employment. I hereby release any such person, firm or institution from liability for any damage, claims, costs or expenses which may arise from the provision of such information.
2. I confirm that the information supplied in this application is, to the best of my knowledge, both true and complete. I understand that knowingly providing false or misleading information may be sufficient cause for rejection, or in the case of employment or dismissal.
3. I understand and accept that as a condition of my obtaining the position applied for, I shall have to undergo a probationary period and pre-employment medical check.
4. I will abide by the club policies and procedures as disclosed to me or contained in the Employee Handbook, Notice Boards or other Club Manuals.
5. In the event of being requested I will consent to being drug tested by a Medical practitioner and I will consent to a search of my locker and empty the contents of any bag or other container whilst on Club premises if requested to do so.
6. If I am supplied with a uniform, it will be worn at all times and I agree to return it in good condition upon termination of employment. Loss or damage may result in deductions from my final pay.
I agree to the terms and condition
STATEMENT OF ACKNOWLEDGEMENT/RECEIPT OF APPLICATION
Thank you for your Application for Employment and expressing your interest in working for Forbes Services Memorial Club. The Club will not send you a receipt of your application but we will keep your resume on file for six months in case such an opportunity opens up.