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Ben & Jerry's ANZ
I am applying for
Scooper
Shift Lead
Store Manager
Select the Scoop Shop Location*
Referral Applicant? (APM)*

Yes - I am an agencyNo - I am applying for myself
Name *

First NameLast Name
Email*
example@example.com
Mobile*
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DOB*

DayMonthYear
Date
Min Weekly Hours Required
Hours/Week
Wage sub amount and payment scheduled
Hours/Week

Availability*

	Mon	Tue	Wed	Thu	Fri	Sat	Sun
(A) Day
(A) Night
N/A

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AMP Contact Name

First NameLast Name
AMP Contact Number
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Amp Contact Email
example@example.com
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