USAU Group Employment Application Form

Name

First NameMiddle InitialLast Name

Telephone

Email

example@example.com

Address

City

State

Post

Available Start Date

Date

Desired

Full TimePart TimeCasualCustomer Service

Are you a citizen of Australia or do you have a legal right to work in Australia?*

Are you currently on a Visa?

YesNo

If yes, what is your Visa number?

Do you have a current Victorian Private Security Licence?

YesNo

If yes, provide licence number and expiry date*

Have you ever pleaded “guilty”, “no contest” or been convicted of a crime? if yes, when and where?

YesNo

If yes, provide the details

How many hours per week would you like to work?

What is the minimum amount of hours you are willing to accept?

How were you referred to us?

What are your preferred working hours and days?

	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday
From
To

USAU Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, colour, religion, sex, national origin, age, disability or genetics.

PO Box 291 Drysdale, VIC 3222 Phone: 03 5251 0413 ACN: 613 654 287 ABN: 51 613 654 287 www.usau.com.au email: info@usau.com.au

Availability