Application Form

Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number.Format: 0000-000-000.

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Front of HouseBack of HouseBottleshopOther

Australian CitizenPermanent ResidentVisa with work permissions

Please detail your Visa type, expiry and work restrictions/permissions:

YesNoYes, International

YesNo

Detail any other relevant qualifications*

Detail your relevant experience*

Why have you applied for this role?*

What is your availability? Do you have any restrictions to working shifts?*

How many hours are your looking for?*

What is your salary expectation?*

If successful, when can you start?*

Lift 10kgsWork on your feet for 8 hours (with meal break)Work in the heat if outdoors

YesNo

Please describe:

YesNo

Please upload your resume*

Reference One Name*

Phone*

Reference Two Name

Phone

Declaration
(Please read this carefully before submitting this application)

1. I confirm that the above information is complete and correct and that any false or misleading information will give my employer the right to terminate my employment without notice.
2. I agree that the employer reserves the right to require me to undergo a medical examination. I understand that should the employer require further information and wish to contact my doctor with a view to obtaining a medical report, the employer will inform me of their intention and obtain my permission prior to contacting my doctor. In addition, I agree that this information will be retained on my personnel file during employment and for up to six years thereafter.
3. I agree that should I be successful in this application, I will, if required, apply for a National Police Check and/or Working with Children Check. I understand that should I fail to do so, or should the check not be to the satisfaction of my employer, any offer of employment may be withdrawn, or my employment terminated.