2022 Sinh Phu Employment Form

PART 1: APPLICANT INFORMATION

This form is for applicants seeking employment at Sinh Phu located within Merrylands RSL Club.
Employment type: (please specify) *

Casual Permanent Part-Time
Name *

Salutation First Name Surname
Are you 18 years of age or older? *

Yes No
Email Address *
example@example.com
Phone Number
Mobile Number
Address *

Street Address

Street Address Line 2

Suburb State

Post Code
Do you hold a current Australian driver’s license? *

No Yes, Unrestricted Yes, Green P plate Yes, Red P plate Yes, Learners L plate
Have you ever worked for Merrylands RSL Club? *

Yes No
If yes, when did you leave:
Are you a member of Merrylands RSL Club? *

Yes No
If yes, membership number:
Have you previously been involved in an incident at Merrylands RSL Club? Please provide details: *
Do you know of anyone currently employed by Merrylands RSL Club? *

Yes No
If yes, what is their name
Are you legally entitled to work in Australia? *

Yes No
Are you an Australian Citizen or Permanent Resident? *

Yes No
If no, which visa do you hold
When could you start if you were offered a role *
Shifts range from the earliest starting at 10.30am with the latest finishing at 11.00pm on select days.
What is your availability to work?

I am available any time or day I am only available on select days and times (refer to availability below)

If you are only available on select days and times, please specify earliest available start time and latest available finish time:

	Earliest Available Start Time	Latest Available Finish Time
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Are there any circumstances known to you which in any way could affect your ability to undertake shift work, weekend work or overtime? *

No Yes
If Yes, please specify:
PART 3: EMPLOYMENT HISTORY
Upload resume with any other certificates or studies. Please ensure the file/s have your full name. *

Cancel of
PART 4: LANGUAGES
Please specify language and proficiency below. You can list up to a maximum of three languages including English.
Do you speak English?

Yes No
How well do you speak English?

Basic Conversational Fluent
Do you speak Vietnamese?

Yes No
How well do you speak Vietnamese?

Basic Conversational Fluent
Please specify another language you speak other than English/Vietnamese:
How well do you speak this language?

Basic Conversational Fluent
PART 5: MEDICAL HISTORY
To assist us in fulfilling our obligations under Work Health and Safety laws, please disclose any information about any disability or medical condition you have that may:

a) Prevent you from performing the inherent requirements of the position that you are applying for; or b) Pose a risk to your health and safety, or the health and safety of other employees
Please specify
- The inherent requirement of the role may include:
- Repetitive bending and stooping
- Reaching and stretching
- Repetitive kneeling
- Repetitive gripping and handling
- Frequent twisting
- Standing / walking for extended periods
- Working outdoors as well as in smoking environments
- Regular lifting of weights up to 10kgs
- Work above shoulder height
- Irregular lifting of weights 10–17kg
- Assisted lifting of weights greater than 17kgs
Do you have a disability, pre-existing injury or impairment that is likely to affect or be aggravated through the position that you are applying for? *

No Yes (please provide details)
If Yes, please provide details:
Have you ever had, or do you currently have, a serious medical illness such as heart attacks, diabetes, sleep disorders, muscular dystrophy, or psychiatric illness? *

No Yes (please provide details)
If Yes, please provide details:
It is a mandatory requirement of the Club that all staff are fully vaccinated against COVID-19 (or subsequent variants). Are you fully vaccinated? *

Yes No
If Yes, please provide details:
PART 6: DISCLOSURE OF CONVICTIONS
Do you have any criminal convictions (past and/or pending outcomes)? *

Yes No
Please disclose particulars of any convictions (or pending outcomes) that the we may need to consider if an offer of employment was to be made to you.
Should be Empty:

PART 1: APPLICANT INFORMATION

PART 3: EMPLOYMENT HISTORY

PART 4: LANGUAGES

PART 5: MEDICAL HISTORY

PART 6: DISCLOSURE OF CONVICTIONS