Chalhoub Acceptance Form / Employee Record

1
We will ask you for some personal details to assist us in assessing your suitability for the position you are interested in. If we do not receive your completed form back within three (3) days, we will take that as a withdrawal of your interest in employment at White Whale Coffee Roasters.
2
What position are you applying for?* This field is required.
3
What is your legal name?* This field is required.
First Name
Last Name
4
Do you have a preferred name?
5
Please provide your Australian residential address.* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
6
What is your phone number?* This field is required.
7
What is your email address?* This field is required.
example@example.com
8
Are you an Australian citizen?* This field is required.
YESNO
9
If no, do you have a permit to work? * This field is required.
YESNO
10
Please provide your visa type, the expiry date and any work restrictions?* This field is required.
11
Please select the days you are available?* This field is required.These are not shifts, thses are the scope of hours White Whale is operational.
Monday, 5 AM - 2 PM
Tuesday, 5 AM - 2 PM
Wednesday, 5 AM - 2 PM
Thursday, 5 AM - 2 PM
Friday, 5 AM - 2 PM
Saturday, 6 AM - 12 PM
12
Are there any circumstances that may affect your ability to attend work on any given day or time?* This field is required.
YESNO
13
Do you have an holidays booked/ time off required over the next 12 month?* This field is required.
YESNO
14
If yes, please describe in detail the dates/ time off required?* This field is required.
15
If yes, please provide deatils on the circumstances.* This field is required.
16
Approximately what date could you commence employment?* This field is required.
Date
Year
Month
Day
17
Do you have a vehicle, current drivers licence, and do you plan on driving to work?
YESNO
18
If no, explain how you plan on getting to work.
19
Please list your qualifiactions? Including but not limited to drivers’ licence, first aid, manual handling, education, certificates etc. You may be asked to produce coipes if your application is successful.
Huge
Large
Normal
Small
Ok
Ok
20
Please list your greatest relevent professional/personal achivements?
Huge
Large
Normal
Small
Ok
Ok
21
Why are you interested at working at White Whale Coffee Roasters?* This field is required.What do find you most appealing about working at White Whale? If you are currently employed why would you refer to work at White Whale?
Huge
Large
Normal
Small
Ok
Ok
22
What skills and attributes can you bring to White Whale Coffee Roasters?* This field is required.Think about your superpowers and how they can benefit the White Whale team?
Huge
Large
Normal
Small
Ok
Ok
23
Roles at White Whale Coffee Roasters are physically demanding and require the following tasks (see below). Considering the tasks, will you require any adjustments to be made to perform the role's duties?* This field is required.All positions at White Whale Coffee Roasters are physically demanding, and our climate is often hot and humid, adding additional strain to the role. This position requires someone who can manage the physical and climatic conditions, including but not limited to the following tasks: Long periods of standing - the role requires prolonged periods of standing; for some people, this can lead to discomfort, fatigue, and potential musculoskeletal issues. Hot and humid climate - we live and work in a hot and humid climate, and barista work is physical by nature; during times of high temperatures, this can lead to heat exhaustion in some people. Repetitive movements – barista work requires repetitive movements, such as tamping, pulling espresso shots, and steaming milk. These repetitive tasks, particularly in the wrists, hands, and shoulders, cause some people discomfort. Heavy lifting - the need to lift heavy objects, crates of supplies, and other equipment is required.
YESNO
24
Do you have any past or current medical condition/s or other condition/s which may affect your performance in the role applied for, or which may be aggravated or worsened by the duties of the role? * This field is required.
YESNO
25
If yes, you may provide further detail here.
26
Is there any reason why you cannot wear PPE?* This field is required.
YESNO
27
You agree that, at the time of completing this application form, you have disclosed all relevant issues, including but not limited to any pre-existing injury, illness or use of prescription medication of which you are aware, which may adversely affect your ability to carry out your functions and duties for White WhaleCoffee Roasters.
YESNO
28
Ref 1. a) What is the business name where you were/are employed, including the website or social media account?
29
Ref 1. b) Name of employer/manager?
First Name
Last Name
30
Ref 1. c) What is the daytime phone number or email of your former employer/manager?
31
Ref 1. d) What was your position and duties within the business?* This field is required.
32
Ref 2. a) What is the business name where you were/are employed, including the website or social media account?
33
Ref 2. b) Name of employer/manager?
34
Ref 2. c) What is the daytime phone number or email of your former employer/manager?
First Name
Last Name
35
Ref 2. d) What was your position and duties within the business?
36
Conditions of EmploymentThe information requested on this application for employment is necessary to ensure a fair and thorough evaluation of all White Whale Coffee Roasters applicants. Personal information contained within this form shall be available only to employees and managers of the company with direct involvement in the recruitment process. You may update or access your application information anytime by contacting the administration office. Your application form will be kept in a secure place and, after 3 months, will be destroyed. In order to ensure the suitability of the person for our requirements and to ensure that the employee is satisfied in the position, it is the policy of White Whale Coffee Roasters to put each new employee on a probationary/qualifying period. I hereby affirm that all information given by me in this application for employment is true and correct and that I have not knowingly withheld any circumstances or facts that would if disclosed, affect my application. I understand that if considered for employment, the information provided in this application and my employment and personal history may be subject to investigation by White Whale Coffee Roasters and I hereby authorise such an investigation to be made. If employed, I understand I shall be subject to company regulations. I further affirm my understanding that in the event I am employed by the company my employment or any assignment during said employment shall be for the convenience of the company, shall be governed by applicable Australian law and Company policy.
37
Please attach your CV.* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
38
Do you have difficulties with any of the following?* This field is required.Tick what is applies
Back probelms
Neck problems
Shoulder pain or discomfort
Sporting injuries
Prolonged standing
Allergies
Conditions of the bones (including fractures/broken bones and dislocations)
Skin conditions
Sitting for prolonged prolonged periods
Walking on rough or uneven ground
Kneeling or crouching
Other
None of the above apply to me
Should be Empty: