Hervey Bay Nurseries Job Application Form Logo
  • APPLICATION FOR EMPLOYMENT & MEDICAL

    APPLICANTS MUST ACCEPT THAT NO GUARANTEE OF EMPLOYMENT IS GIVEN BY THE COMPLETION OF THIS FORM
  • Applicant Details

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  • Availability

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  • Monday Preferred Earliest Start and Latest Finish Times

  • Tuesday Preferred Earliest Start and Latest Finish Times

  • Wednesday Preferred Earliest Start and Latest Finish Times

  • Thursday Preferred Earliest Start and Latest Finish Times

  • Friday Preferred Earliest Start and Latest Finish Times

  • Saturday Preferred Earliest Start and Latest Finish Times

  • Sunday Preferred Earliest Start and Latest Finish Times

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  • Current/Last Employment Details

  • Previous Employment

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  • Education

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  • Indigenous Applicants

  • Legal Entitlement to Work in Australia

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  • Security Clearance, Criminal Records Check, Driver's License

  • Some roles require checking for security and safety purposes either prior to commencing employment or during employment.

  • Some roles may require a current drivers licence and/or other necessary licenses to complete the role.

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  • Referees

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  • Personal Details

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  • PRE-EMPLOYMENT MEDICAL QUESTIONNAIRE
    The aim of the Pre-Employment Medical (PEM) Questionnaire is to ensure that applicant’s physical and other related abilities are matched to the medical and fitness standards for the particular duties of a job.
    Pre-Employment Medical Questionnaires (PEM’s) are necessary to determine that:

    • There is not risk of aggravating a pre-existing medical condition
    • The applicant is able to productively carry out the duties of the position safely
    • The applicant should not, because of a medical condition, increase risk to other workers, equipment, products or the general public.

     

    CONFIDENTIALITY
    The Pre-Employment Questionnaire is treated as a confidential document and access is limited to a ‘need to know’ basis. In the event of you being employed, the Company will retain this form on a confidential file and reserve the right to refer to the information in the event of an accident, sickness, injury or claim for worker’s
    compensation. The information may also be used for other purposes, if so required by law.

     

    IMPORTANT NOTICE
    To assist the Company in assessing your medical fitness for employment, you must answer the questions
    contained in this questionnaire truthfully and to the best of your knowledge.

     

    Failure to disclose any relevant matter relating to your health may result in your not being employed by the employer or, if
    already employed by the employer, your employment may be affected and rights to workplace compensation compromised.

  • Current Medical Practitioner / Family Doctor

  • Vaccinations

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  • Lifestyle Habits

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  • I declare

    1. That the answers to the foregoing are, to the best of my knowledge, true and correct in every instance.
    2. That if my application for employment is successful I will be bound by, and will at all times observe and respect such terms and conditions of my employment and such policies and rules as may from time to time be implemented, specified or otherwise stipulated by my employer.
    3. That I understand that any erroneous or false declaration made by me in this application may result in disciplinary action, including dismissal.
    4. That I understand that if my application is successful my employment may be subject to a satisfactory medical report provided by a Medical Practitioner nominated by the employer. (Such examination will be paid for by the employer.)
    5. I authorise the persons, school, current employer (if approved by me in the Employment History Section) and other organisations or employers named in this application to provide any relevant information that may be required to arrive at an employment decision.
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