Employment Application Form

Employment Details:
What position are you applying for:*
If other, please specify:
What type of employment are you seeking?*

Full timePart timeCasual
If successful, when can you start?*

DayMonthYear
Date
Have you worked for Allfab before?*

YesNo

Current Employment Details:
Are you currently employed?*

YesNo
If yes, where are you employed?
Current position title:
Start date
Current pay rate
Reason for Leaving?
May we contact your current employer?

YesNo
Employment History:
Previous employer:*
Previous position: *
Reason for leaving:
Start date:*
End date:*
Previous employer:
Previous position:
Reason for leaving:
Start date:
End date:
Previous employer:
Previous position:
Reason for leaving:
Start date:
End date:

References:
Reference 1*
Name of Reference
Position title*
Phone*
Email*
Reference 2*
Name of Reference
Position title*
Phone*
Email*
Do you give Allfab permission to contact your referees?

YesNo

Cover Letter & Resume:
Cover Letter

Cancelof
Resume

Cancelof

Health:
As we work with clients that required notification of vaccination status, please indicate your current vaccination status.*

Fully vaccinatedPartially vaccinatedNo vaccination
To assist us comply with our obligation to ensure a safe workplace, and in order to enable us to determine whether applicants are able to safely and adequately perform duties required by the position, please provide details of any previous or current injuries, illnesses or disabilities of which you are aware and which you believe may affect your ability to carry out the requirements of the position.

Position requirements: You may be required to be available for shift work and or out of normal hours work. You will be required to undertake physical work.

Medical examination: You will be required to attend a medical examination, which may include testing for drugs and alcohol, at the company’s expense, in order to determine whether you will be able to safely and adequately perform the duties required of the position.
I declare that:*

I have no health concerns or disabilities which would prevent me from undertaking the requirements of my role in a manner that is safe for me and others.I have the following health conditions or disabilities that may limit my ability to undertake the requirements of my role in a manner that is safe for me and others.
Health conditions that may require adaptations to the workplace or work procedures.
Please tick the statement that applies to you:*

I have had health problems or workers compensation claims, including one which results from accidental injury or medical condition caused by gradual process, disease or infection which may be aggravated by my working at the job for which I am applying, or which may reduce my ability to carry out efficiently all the duties required of meI have not had any health problems or workers compensation claims, including one which results from accidental injury or medical condition caused by gradual process, disease or infection which may be aggravated by my working at the job for which I am applying, or which may reduce my ability to carry out efficiently all the duties required of me
The injury or condition and the accommodations that would be required to enable me to perform this position are listed here:

Declaration:
I understand that any false or misleading information given in this application, whether in writing or during an interview, may be reason for my employment, if I am appointed, to be terminated. I declare that to the best of my knowledge any information provided in or in relation to this application, is true, complete and correct.
Signature*

Clear
Should be Empty:

Employment Application Form

Personal Information:

Employment Details:

Current Employment Details:

Employment History:

Qualifications & Skills:

References:

Cover Letter & Resume:

Health:

Declaration: