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    Employment Application Form: Applicant Information

    Uploaded by

    Nik Firzana
    This 3 sentence summary provides the key details from the employment application form document: The document is an employment application form that requests applicant information such as name, address, qualifications, licenses, visa details if applicable, previous employment history, availability, health information, and a disclaimer acknowledging the truth and accuracy of the information provided. The form notes that relevant documents such as tax identification, bank details, and enclosed shoes must be brought to the induction along with undergoing potential alcohol and drug screening as per company policy. Only applicants suitable for available positions will be contacted by the company.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Employment Application Form: Applicant Information

    Uploaded by

    Nik Firzana
    58 views2 pages
    This 3 sentence summary provides the key details from the employment application form document: The document is an employment application form that requests applicant information such as name, address, qualifications, licenses, visa details if applicable, previous employment history, availability, health information, and a disclaimer acknowledging the truth and accuracy of the information provided. The form notes that relevant documents such as tax identification, bank details, and enclosed shoes must be brought to the induction along with undergoing potential alcohol and drug screening as per company policy. Only applicants suitable for available positions will be contacted by the company.

    Original Title

    HRF001 APPLICATION FORM.pdf

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    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    This 3 sentence summary provides the key details from the employment application form document: The document is an employment application form that requests applicant information such as name, address, qualifications, licenses, visa details if applicable, previous employment history, availability, health information, and a disclaimer acknowledging the truth and accuracy of the information provided. The form notes that relevant documents such as tax identification, bank details, and enclosed shoes must be brought to the induction along with undergoing potential alcohol and drug screening as per company policy. Only applicants suitable for available positions will be contacted by the company.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    58 views2 pages

    Employment Application Form: Applicant Information

    Uploaded by

    Nik Firzana
    This 3 sentence summary provides the key details from the employment application form document: The document is an employment application form that requests applicant information such as name, address, qualifications, licenses, visa details if applicable, previous employment history, availability, health information, and a disclaimer acknowledging the truth and accuracy of the information provided. The form notes that relevant documents such as tax identification, bank details, and enclosed shoes must be brought to the induction along with undergoing potential alcohol and drug screening as per company policy. Only applicants suitable for available positions will be contacted by the company.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    EMPLOYMENT APPLICATION FORM

    Applicant Information
    Last Name Given Name (s)

    Address

    Town State P/C

    Male / Female Age Height Weight

    Date of Birth Country of Birth

    Phone Email

    Next of Kin Contact number

    List all qualifications, training and licenses

    Visa number for migrant applicants & expiry date


    Copy of ID required on induction

    Previous Employment (most recent first)


    Company Phone
    Date Date
    From To Type of work

    Reason for leaving

    Company Phone

    From To Type of work

    Reason for leaving

    Company Phone

    From To Type of work

    Reason for leaving

    Are you currently employed?

    If no, how long have you been unemployed?

    HRF001, Rev 3.0, Apr 2015, Q.Ashfield, QA Approved Page 1


    ! of ! 2
    Do you have a preferred shift (if yes please list)

    Please indicate the type of work you are interested in: Casual - Permanent - Part Time

    When can you commence employment?

    Do you have any criminal convictions?

    Do you have any current health problems? If yes give details:

    Have you been affected or treated for: list severity and circle all relevant boxes:

    High blood pressure……………………………………………………………………...


    Hay fever or other allergies……………………………………………………..............
    Asthma……………………………………………………………………………….….…..
    Epilepsy, fainting or fits………………………………………………………….................
    Mental or nervous disorder……………………………………………………….……...
    Diabetes…………………………………………………………………………….……..
    Any Disorder of eyes or ears……………………………………………………..……..…
    Injury to muscles, tendons, bones or joints including neck and back……………….

    Do you have any food allergies? If yes give details:

    Do you suffer from any disablement of past injury? If yes give details:

    Have you ever received workers compensation for injury or disease? If yes give details

    Employer Date Period of disablement

    Nature of injury / disease:

    Do you receive any type of pension? If yes give details:

    Would you be prepared to undergo a full medical examination?

    Disclaimer andthe
    I hereby state that Signature
    information given is true and correct to the best of my knowledge:

    Signature Date

    Please note if contacted for an induction you will need to bring in all relevant paper work such as Bank details,
    Tax file No, Superannuation details, have enclosed shoes and remove all jewellery before entering site.

    On induction you may be required to undertake a screening process for alcohol and drugs as per Blue Lake
    Millings alcohol and other drugs policy and procedures.

    BLM WILL ONLY CONTACT APPLICANTS IF A SUITABLE POSITION BECOMES AVAILABLE

    HRF001, Rev 3.0, Apr 2015, Q.Ashfield, QA Approved Page 2


    ! of ! 2

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