Employment Application

Position applying for:*

As shown on your Employment Offer

Personal Details

Name*

First Middle Last

Date of Birth*

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:

Contact Person and Phone Number

Comments

Is there any further information that you wish to add?

EDUCATION

Secondary Education

School attended

Date last attended

Highest level achieved

Major achievements at this level

Further Education

Institution attended

Date attended

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?*

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*

_________________________________________*

I understand and agree

Employment Application

EMPLOYMENT DETAILS

Personal Details

NEXT OF KIN - EMERGENCY CONTACT DETAILS

SUPERANNUATION DETAILS

Please provide details below

TAX DETAILS

BANK ACCOUNT DETAILS

Fair Work Information Statement

QUALIFICATIONS & SKILLS

EMPLOYMENT HISTORY

Position 1

Position 2

Position 3

Position 4

EDUCATION

Secondary Education

Further Education

MEDICAL HISTORY

EMPLOYEE DECLARATION

Meet the new IDEO FAMILY!

Meet the new IDEO FAMILY!

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