Bermagui Country Club - Employment Application

Employment Application Form
Personal Information:
First Name*
Surname*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of Birth

DayMonthYear
Mobile Number*
E-mail*
Employment Information:
Please indicate what role/job(s) you wish to apply for

Wait StaffBar ServiceKitchenGamingTABReceptionAdministration/OfficeCleaningGrounds & MaintenanceDoor PersonManagementOther
Please confirm your eligibility to work in Australia (select one):*

I am an Australian or New Zealand citizenor Australian Permanent ResidentI hold a current Visa with work rights inorder to gain employment in Australia
If applying for a job involving gaming, food, and beverage service or security, please confirm you meet the minimum age requirement*

I will be 18 years of age or over at the dateI have indicated as available to commenceemploymentI will not be 18 years of age or over at the dateI have indicated as available to commenceemployment
Availability
If you are a successful applicant, please record a commencement date:*

DayMonthYear

Please record the days and times you are available to work*

	Available all day	Available in AM	Available in PM	Not Available
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Current Employment:
Current Employer*
Name of Current Employer or NONE if not Employed
Position*
Reason for Leaving?*
Start Date

DayMonthYear
Previous Employment:
Previous Employer
Name of Previous Employer
Position
Reason for Leaving?
Start Date

DayMonthYear
End Date

DayMonthYear
Previous Employer
Name of Previous Employer
Position
Reason for Leaving?
Start Date

DayMonthYear
End Date

DayMonthYear
Date
Previous Employer
Name of Previous Employer
Position
Reason for Leaving?
Start Date

DayMonthYear
Date
End Date

DayMonthYear
Date
Qualifications /License

NSW RSA photo ID competency cardNSW RCG photo ID competency cardBasic Food Handling CertificateFood Saftey Supervisor CertificateAustralian Drivers LicenseNSW Working with Children CheckNSW First Aid CertificateOther
NSW RSA photo ID competency card

Date ObtainedDate Expiry (if applicable)
NSW RCG photo ID competency card

Date ObtainedDate Expiry (if applicable)
Basic Food Handling Certificate

Date ObtainedDate Expiry (if applicable)
Food Safety Supervisor Certificate

Date ObtainedDate Expiry (if applicable)
Australian Drivers License

Date ObtainedDate Expiry (if applicable)
NSW Working with Children Check

Date ObtainedDate Expiry (if applicable)
NSW First Aid

Date ObtainedDate Expiry (if applicable)
Other Qualifications
List any other relevant certifications or qualifications
Background:
Do you have any convictions, associated with the essential requirements of the role/s for which you have applied, which were imposed as an adult and which are less than 10 years old? If yes you may be required to undertake a National Police Check as part of the recruitment process*

YesNo
Do you have any injuries or illnesses or other conditions of which you are aware and which you believe may: a) prevent you from performing any of the requirements of the job for which you are applying or b) be aggravated by performing any of the requirements of the job for which you are applying?*

YesNo
If you have answered yes to either of the above questions you may provide further information
References:

Please nominate a minimum of two referees depending on the position you are applying for. Ideally, applicants for all positions would be able to provide suitable employer reference. If applicants are unable to provide an employer referee, Bermagui Country Club will consider other referees who can attest to the applicant’s character.
Reference 1*
Name of Reference
Organisation*
Job title*
Phone*
Email*
Reference 2*
Name of Reference
Organisation*
Job title*
Phone*
Email*
Cover Letter & Resume:
Cover Letter*

Upload a File

Cancelof
Resume*

Upload a File

Cancelof
Send Application:
a) I declare that the information contained in this application and any other documents(s) provided in support of it is true and correct in every respect.
b) I understand that inaccurate, misleading or untrue statements or knowingly withheld information may result in non-acceptance of my application or termination of employment.
c) I understand that this application does not constitute an offer of employment.
d) I understand that, in some cases working with children and/ or police check/s will be required and I will notify in writing if this applies to this application.
e) I understand that an offer of employment is subject to reference check/s from nominated referees.
f) I understand that my personal information submitted and collected as part of my employment application and the recruitment process is kept on file by Bermagui Country Club for a period of 3 months for non-interviewed candidates and 6 months for interviewed candidates, after which time I am entitled to reapply.
Date

DayMonthYear
Date
Signature*

Clear
Should be Empty:

Employment Application Form

Personal Information:

Employment Information:

Availability

Current Employment:

Previous Employment:

Background:

References:

Cover Letter & Resume:

Send Application: