Number 1 Careers - Application for Employment

APPLICATION FOR EMPLOYMENT

First Name *

Surname *

Do you require a Visa to work in Australia?

YESNO

Which position are you applying for? *

Sales Representative - Sunshine Coast, QLDSales Representative - VICWarehouse Manager - Boronia, VICMarketing Coordinator - Boronia, VICVeterinary Channel Manager - VIC & NSWPet Food Event Demonstrators; Nutritional Advisors - Australia-wide

Email Address *

Mobile *

Home Address

Home Ph

Suburb *

State *

Postcode

INCOME EXPECTATIONS

What are your income expectations?

Annual Salary *

DETAILS OF EMPLOYMENT

**Please provide details below ( at least the last three positions held )

Position #1

START DATE OF EMPLOYMENT

FINISH DATE OF EMPLOYMENT

COMPANY

POSITION HELD

REASON FOR LEAVING

Position #2

START DATE OF EMPLOYMENT

FINISH DATE OF EMPLOYMENT

COMPANY

POSITION HELD

REASON FOR LEAVING

Position #3

START DATE OF EMPLOYMENT

FINISH DATE OF EMPLOYMENT

COMPANY

POSITION HELD

REASON FOR LEAVING

Position #4

START DATE OF EMPLOYMENT

FINISH DATE OF EMPLOYMENT

COMPANY

POSITION HELD

REASON FOR LEAVING

Position #5

START DATE OF EMPLOYMENT

FINISH DATE OF EMPLOYMENT

COMPANY

POSITION HELD

REASON FOR LEAVING

Do you need to give notice to current employer?

YESNO

How Long?

Do you have any upcoming commitments/pre-booked holidays?

YESNO

Give Details

Do you have a 2nd Employer / Job?

YESNO

Give Details

REFEREES / REFERENCE NOMINEES

** WORK references ONLY (not family members or friends)

Must supply MINIMUM OF TWO names and companies who could speak on your behalf

Referee #1

Company

Person to contact

Title

Business Phone No.

How long have you known Referee #1?

Referee #2

Company

Person to contact

Title

Business Phone No.

How long have you known Referee #2?

Referee #3

Company

Person to contact

Title

Business Phone No.

How long have you known Referee #3?

Occupational Licences & Certificates

Licences/Certificates

** Please indicate any licences/certificates held **

Do you hold a current First Aid Certificate? *

YesNo

Do you hold a current drivers licence? *

YesNo

Do you hold a forklift licence? *

YesNo

Qualifications

** Please advise your qualifications **

Certificate

Diploma

Trade

Degree

Health and Safety / Medical Questionnarie

Please answer the following questions and provide details where applicable.

Have you ever had any injuries that impacted on your ability to perform work? *

YESNO

Injury #1

Year of injury

Nature of injury

Duration of injury

Any restrictions

Clearance date

Injury #2

Year of injury

Nature of injury

Duration of injury

Any restrictions

Clearance date

Injury #3

Year of injury

Nature of injury

Duration of injury

Any restrictions

Clearance date

Is a doctor currently treating you for any illness? *

YESNO

Details

Are you currently taking any medication? *

YESNO

Details

Have you ever spent time in hospital as a patient with a significant injury or illness? *

YESNO

Details

Are you allergic to anything including medications? *

YESNO

Details

Have you ever received treatment for back pain or neck pain? *

YESNO

Details

Do you suffer from or have you ever suffered from RSI, tennis elbow, tenosynovitis or similar conditions? *

YESNO

Details

Do you now or have you ever had any concerns with the following?

Do you have any current restrictions lifting? *

YESNO

Details

Sitting / Standing for prolonged periods in one spot? *

YESNO

Details

Pushing / Pulling / Reaching? *

YESNO

Details

Heart trouble? *

YESNO

Details

Blackouts, fainting attacks? *

YESNO

Details

Fits, Epilepsy? *

YESNO

Details

Diabetes? *

YESNO

Details

Hernia? *

YESNO

Details

UPLOADS

Please upload your resume and cover letter here.

Resume *

Browse

Cover Letter *

Browse

DECLARATION

Please complete the following consent statement

I,

I hereby declare that the information I have provided in this form is true and accurate and I authorise the company to verify any information if required. Any false or misleading information may result in the termination of my position / application.

Signed

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