Yes, Aboriginal Are you of Aboriginal and / or Torres Strait Islander origin? Yes, Torres Strait Islander (For both Aboriginal and Torres Strait Islander origin, mark both “Yes’ No, Neither Aboriginal or Torres Strait Islander boxes) Not Stated Do you hold a current driver’s licence? Yes No (Copy of driver’s to be attached to this form in the allocated position) Birth Country of origin: Town: How long have you lived in Australia? (This question is asked for provision of information on Government reports required by legislation from time to time. You will be required to provide a copy of your PASSPORT and VISA or an Australian birth certificate.) Yes Other Do you trial a language other than English at home? (If more than one language, indicate the one that is spoken most (Please Specify) Are you a member of a trade union? Yes No If so state name of union: Australian Citizen or permanent resident Citizenship Status: Other Visa Type and Document Number – (If No, you will be required to provide evidence confirming your eligibility to work in Australia before any of employment is made to you. This information is necessary to meet Australian Government requirements) Next of Kin Emergency Contact Details Spouse Family Relative Contact Contact Name: Relationship: Friend Other Contact Number Contact Mobile: SECTION B EDUCATION AND TRAINING RECORDS QUALIFICATIONS – Have you attached a current resume to this application? Yes No (If you provide a copy a current resume you will not be required to complete this Section B) Period Studied Full Time or Schools, Colleges Details of course & Universities Attended undertaken Part Time From To or professional qualifications: (List full details of qualification & date attainment) Other training completed within the last 5 years. (Include all courses undertaken both on and off the job) What is your highest COMPLETED school level? (Or its equivalent) Year 12 Year 11 Year 10 Year 9 Year 8 or Below Did not go to school When did you complete that school SECTION C PERSONAL – Do you have experience in the use of a knife: Yes No Are you currently registered as unemployed: Yes No Sureway Best Employment Hire WA If Yes, who is your Job Active Provider: Joblink Max Employment Other:
Are you of Aboriginal and / or Torres Strait Islander origin? (For both Aboriginal and Torres Strait Islander origin, mark both “Yes’ boxes) Yes, Aboriginal Yes, Torres Strait Islander No, Neither Aboriginal or Torres Strait Islander Not Stated Do you hold a current driver’s licence? (Copy of driver’s to be attached to this form in the allocated position) Yes No Country of origin: Birth Town: How long have you lived in Australia? (This question is asked for provision of information on Government reports required by legislation from time to time. You will be required to provide a copy of your PASSPORT and VISA or an Australian birth certificate.) Do you a language other than English at home? (If more than one language, indicate the one that is spoken most Yes Other (Please Specify) Are you a member of a trade union? Yes No If so state name of union: Citizenship Status: Australian Citizen or permanent resident Other – Visa Type and Document Number (If No, you will be required to provide evidence confirming your eligibility to work in Australia before any of employment is made to you. This information is necessary to meet Australian Government requirements) Next of Kin Emergency Contact Details Contact Name: Contact Relationship: Spouse Family Relative Friend Other Contact Number Contact Mobile: SECTION B – EDUCATION AND TRAINING RECORDS QUALIFICATIONS Have you attached a current resume to this application? (If you provide a copy a current resume you will not be required to complete this Section B) Yes No Schools, Colleges & Universities Attended Period Studied Full Time or Part Time Details of course undertaken From To or professional qualifications: (List full details of qualification & date attainment) Other training completed within the last 5 years. (Include all courses undertaken both on and off the job) What is your highest COMPLETED school level? (Or its equivalent) Year 12 Year 11 Year 10 Year 9 Year 8 or Below Did not go to school When did you complete that school SECTION C – PERSONAL Do you have experience in the use of a knife: Yes No Are you currently registered as unemployed: Yes No If Yes, who is your Job Active Provider: Sureway Best Employment Hire WA Joblink Max Employment Other: trial
Application_Employment_Form.docx