Application for Employment

• Print Friendly Application.pdf   Personal Details Surname First Name Street Town/Suburb State Postcode Phone Fax Mobile   Email D.O.B Sex Marital Status Height (cm) Weight (kg) Next Of Kin Relationship Contact No Interests/Hobbies/Sports Drivers License No State Expiry Classes Do you have any medical problems/difficulties that may affect your work?   No Yes   Specify Do you have a criminal record?   No Yes   Specify Education Details When did you finish high school? (e.g. 2002) Grade Completed Other Courses Completed The Available Position Job Title Preferred Location What are your main strengths for this position? How did you find out about Jumbuck? Are you interested in a rural traineeship? Yes No When are you available to start? Employment History Provide previous employment details (start with most recent) Dates   From To Position Employer Address Contact Person Phone Position             Dates   From To Position Employer Address Contact Person Phone Position             Dates   From To Position Employer Address Contact Person Phone Position             Have you previously made any workers compensation claims? Yes No Referees Name Relationship Contact No Name Relationship Contact No Name Relationship Contact No Declaration I Hereby declare that the information in this application is true and correct Your Name Date home