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Application for Employment

APPLICATION FOR EMPLOYMENT

Vacancy Details

Personal details

If you are not an Australian citizen, are you applying for permanent residency?

If no, please attach a copy of a Visa validating permission to work in Australia
Do you hold a current unrestricted Western Australian Motor Vehicle Driver’s Licence?

Drivers license classes
Do you hold any of the following?







Clearances
Do you hold any of the following?


Recruitment Source

How did you first become aware of this vacancy?



Employment History

Please list your employment history. Please list the most recent first

Employment Position 1 (Most recent)

Employment Position 2

Employment Position 3

Employment References

Please provide details of three contactable work related referees - i.e. Your present or most recent employer/supervisors

Referee 1

Referee 2

Referee 3


Declarations

The following declarations are NOT a barrier to being considered for employment but will assist us to take due care in assessing appropriate placement should you be the successful applicant.
Health
Do you have any previous or current medical condition or restriction, physical or otherwise, which may affect your ability to perform the essential requirements of the position you have applied for?

Workers’ Compensation Claim
This must include any medical condition or restriction arising from a previous workers’ compensation claim. Failure to provide such information may jeopardise your rights to workers’ compensation if a preexisting disability is aggravated at work (Section 79 of the Workers’ Compensation and Injury Management Act 1981)

Criminal Convictions
Have you ever been convicted of any offence in any court, or are you currently the subject of any charges pending or the subject of an investigation before a tribunal? (You do not need to give details of any conviction which you have had declared spent under the Spent Convictions Act 1988).

Attachments

Cover letter
Resume
Supporting documentation (upload as one file)

Confirm

I declare that all the above statements and attached supporting information are true in all respects. I acknowledge that any statement which is found to be false or deliberately misleading will make me, if employed, liable for dismissal.
Validation
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