APPLICATION FOR EMPLOYMENT
PLEASE ATTACH RESUME FOR APPLICATION TO BE CONSIDERED
NATIONAL POLICE CHECK and RIGHT TO WORK IN AUSTRALIA
If you proceed to offer stage with your application, you will be required to provide a National Police Clearance.
1. Do you have any convictions, and or/pending police charges against you?
If yes, please provide brief details:
2. Are you an Australian Citizen or a Permanent Resident?
If you proceed to offer stage, you will be required to provide a copy of your Australian Citizenship Certificate or Australian Passport or bring along the original for our staff to sight and photocopy.
3. If you are NOT an Australian Citizen or a Permanent Resident, please indicate your current visa status in the box below.
ADDITIONAL INFORMATION
1. Please list the languages that you speak in the box below:
Occasionally we have residents that speak a variety of languages, and it is helpful to know which languages our employees can speak, as they may be able to provide support to our residents.
2. Do you have any pre-existing injury or disease which you are aware of or foresee, that could be affected by the nature of the duties and responsibilities of the position for which you are applying for?
Disclosure of a medical condition or restriction does not necessarily exclude an applicant from employment.
3. If you have answered yes to the above medical question, please insert below what modifications/support do you think would be required for you to be able to undertake the role you are applying for?
Employment History (current or most recent position):
Why are you applying for this position?
REFEREES
Referees will not be contacted without the applicant’s permission and the applicant will be advised prior to checks being carried out. Previous direct supervisors from 2 recent employers are required, if possible
Please provide details of two Referees we may contact. These must be people you have reported to in previous roles (direct supervisor/manager).
First
Second
DECLARATION
I understand that I may be required to complete a Statutory Declaration if my application is progressed stating that I have no criminal convictions in any other country or territory.
I certify that the information in this application form is correct and complete to the best of my knowledge and belief.
I understand that Dale Cottages Inc. reserves the right to verify all information on this application (as well as details contained in my Resume) and I am fully aware that if I fail to disclose any relevant matter relating to my application and health, which rendered me incapable of properly fulfilling the duties of the position, the employer may not employ me and if already employed by the employer, my employment may be summarily terminated.
Your signature below indicates your written permission for Dale Cottages Inc. to contact your referees, educational organisations, and government agencies (if required) to verify the information you have provided. Please indicate below if you object to this occurring.
