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Home / Employment application

Employment Application

EMPLOYMENT DETAILS

Position applying for:*
As shown on your Employment Offer
Personal Details
Name*
First Middle Last
Date of Birth*
DD dot MM dot YYYY
Mobile number*
Email address*
Address*
Suburb*
State*
Postcode*
Marital Status (optional)
NEXT OF KIN - EMERGENCY CONTACT DETAILS
Name*
Relationship to you*
Phone number*
Address*
SUPERANNUATION DETAILS
Do you have an existing super fund you wish to continue with?*
- Yes
- No
Do you wish to select another fund of your choice?*
- Yes
- No
Please provide details below
(You will still need to complete the Super Choice form - download on below link) https://www.ato.gov.au/uploadedFiles/Content/SPR/downloads/SUPER17983Superannuation_standard_choice_form.pdf
Fund ABN*
Fund Name*
Fund Address*
Street Address Address Line 2 City State Post code
Fund Phone*
Unique superannuation identifier (USI)*
Your account name

(if applicable)
Your member number

(if applicable)
TAX DETAILS
Please download and complete the tax file number declaration on the link below*
https://www.ato.gov.au/Forms/TFN-declaration/
- Completed
Tax File Number*
BANK ACCOUNT DETAILS
Bank Name*
Branch*
Account Name*
Account Type*
BSB Number*
Account Number*
Fair Work Information Statement
Please download on the link below and check box below to acknowledge you have been provided this information.*
https://www.fairwork.gov.au/sites/default/files/migration/724/Fair-Work-Information-Statement.pdf
- I confirm that I have received the Fair Work Information Statement
Right to work in Australia*
Do you object to a police clearance check?*
- No
- Yes
Drivers licence classes*
Drivers licence number*
Have you ever lost your drivers licence?*
- No
- Yes
If Yes, Please provide details
Forklift Licence No:
If applicable
First Aid Certificate No:
If applicable
Trade Certificates:
If applicable
Other Licences/Tickets:
If applicable
QUALIFICATIONS & SKILLS
List your qualifications related to this position and any relevant certificates, diplomas or other.
Briefly list your skills relating to this position
EMPLOYMENT HISTORY
Provide previous employment details (start with your most recent Employer).
Position 1
Dates - From / To:
Company Name
Position Held
Contact Person and Phone Number
Position 2
Dates - From / To:
Company Name
Position Held
Contact Person and Phone Number
Position 3
Dates - From / To:
Company Name
Position Held
Contact Person and Phone Number
Position 4
Dates - From / To:
Company Name
Position Held
Contact Person and Phone Number
Comments
Is there any further information that you wish to add?
EDUCATION
Secondary Education
School attended
Date last attended
DD dot MM dot YYYY
Highest level achieved
Major achievements at this level
Further Education
Institution attended
Date attended
DD dot MM dot YYYY
Course/s completed
Level achieved
Major achievements
MEDICAL HISTORY
Do you currently have or have you ever had a workers compensation claim in the past?*
- No
- Yes
If yes, describe the nature of the injury and claim.*
Do you object to a pre-employment medical examination and drug screen?*
- No
- Yes
Do you have any special medical conditions that may hinder your job tasks?*
From what date will you be able to start work?*
DD dot MM dot YYYY
Anything else you want to tell us?
Upload your resume and any other documents here
Drop files here or

Max. file size: 128 MB.
EMPLOYEE DECLARATION
To the best of my knowledge, I believe that the above statements are true and correct. I understand that any deliberately false, misleading or incomplete statements may lead to my dismissal, if employed. I give this company permission to conduct the relevant reference checks and obtain the required information from past employers and or other relevant parties. I understand that this will be done in an ethical and legal manner and will not compromise my current employment situation.
SIGNED*
Date*
DD dot MM dot YYYY
_________________________________________*
- I understand and agree

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