Email
Password

Rural women scholarship - Burnie Advocate

The future looks bright for Ashley - Burnie Advocate

Win boosts dairy career - Country News

Home Page

Job Application Form - Tongala

Please tick the appropriate box or circle the appropriate answer

PERSONAL INFORMATION:

Surname * :
First Names * :
Address * :
Telephone Numbers :	Home :	Mobile :
Date of Birth * :		Sex *	Male Female
Email * :

Are you an Australian, a New Zealand citizen, or a permanent resident? State which * :
If you are not an Australian or New Zealand citizen and you do not have the right of permanent residency here, we are required to ask the following question:
Do you have a work permit * ?	Yes No
If Yes, you will need to produce your passport for verification

EDUCATION AND QUALIFICATIONS:

Name of School, College, University,etc	Dates Attended From: To:		Qualifications Obtained
School	From	To	Qualification
School	From	To	Qualification
School	From	To	Qualification
School	From	To	Qualification
School	From	To	Qualification

TRADE / OCCUPATIONAL QUALIFICATIONS:

Please list trade/occupational qualifications : (Where appropriate, you will be required to produce original documents)

Are you currently studying or planning to study for any qualifications ?	Yes No
If requested, are you willing to undertake training during and/or outside business hours ?	Yes No

Please advise us of any knowledge of livestock you possess. Set out here what experience you may have of farm work, forms of animal handling, meat or general food processing knowledge of livestock


PERSONAL INTERESTS / HOBBIES please list: Personal Interests / Hobbies

EMPLOYMENT RECORD:

List your most current employer first.
Current / Past Employer
Position	From	To
Reason for leaving

Current / Past Employer
Position	From	To
Reason for leaving

Current / Past Employer
Position	From	To
Reason for leaving

Current / Past Employer
Position	From	To
Reason for leaving

May we discuss references with past employers ? Yes No

REFEREES:

In addition to past employers, could you please give names and their contact numbers of two non-work related persons who will provide references:

Name		Contact
Name		Contact

CONDITIONS OF EMPLOYMENT:

SUPERANNUATION:

Are you a Member of a Superannuation Fund ?	Yes No
If yes, provide details of the fund to which contributions are to be remitted:

Name :
Address :

HOURS OF WORK:

The company works one shift per day.

6:00 am to 3:30 pm approx

Work at H.W. Greenham and Sons Pty Ltd can involve physically demanding tasks. Given this please give details of any health or physical problems which may affect your work performance :

Please detail any Workers Compensation and Accident Compensation claims resulting from work and/or non-work injuries :

Have you had, or do you suffer from:		If YES, Give Details
Allergies	Yes No	Allergies Details
Are you taking drugs or other medication	Yes No	Drugs Details
Any illness that may disallow you from working in the food industry (ie: Hepatitis)	Yes No	Illness details

In making this application for employment to this position you are required to disclose any (all) preexisting injuries or diseases suffered by you, which you reasonably believe could be affected by you undertaking this position, the details of which are set out above. If you fail to disclose this information or if you provide false or misleading information you and your dependents may not be entitled to WorkCover benefits in the event of any recurrence, aggravation, acceleration, exacerbation or deterioration of the pre-existing injury or disease, arising out of, or in the course or due to the nature of this employment with H.W. Greenham & Sons Pty. Ltd.

	I acknowledge that I have read and understood the above statement and declare that the answers to the questions in this application are true and correct *
	I accept that should my application be successful, the foregoing information will form part of my contract of employment and falsification or omission of information are ground for summary dismissal *
	I have agreed to supply the information on a confidential basis between myself and my prospective employer, who may make any necessary inquiries to satisfy themself about the application *

HW Greenham & Sons Pty ,Greenham Tasmania Pty Ltd, meat exporters, Australian beef, meat processing plant, Australian beef exporter
Website Development Search Engine Optimisation Web design Melbourne Australia The Web Designer

Do you agree to your wages being paid by direct credit ?	Yes No
Do you agree to work overtime as and when required ?	Yes No
Do you agree to attend a Doctor nominated by the company for a pre-employment medical examination and Drug Test ?	Yes No
Do you agree to have a Q-fever test ?	Yes No
Do you agree to abide by the Company Rules and Procedures ?	Yes No
Do you agree to sign a written employment agreement if you are selected for work ?	Yes No
Would you be able to perform work of up to 50 hours manual labour competently per week ?	Yes No
If your application is successful, when could you start work?
Day :	Date :