SELECT LANGUAGE

Applicant Information

First Name:  *
Last Name:  *
Address:  *
City:  *
State:  *
Country:  *
Post Code:  *
Home Phone: 
Mobile: 
Fax: 
Email Address:  *
Can you produce proof of identity on request in the form of:
 Birth Cerificate
 Drivers Licence
 Police Clearance
Date Available:  calendar
Desired Salary: 
 Full Time
 Part Time
 Casual
Position Applied for:
 Manufacturing
 Accounts
 Administration/Secretarial
 Construction
 Sales & Marketing
 Warehouse
 Information Technology
 Mining
 Research & Development
 Maintenance
 Management
 Machine Assembler
 Aviation
Preferred Work Location 1: 
Preferred Work Location 2: 
Are there any circumstances which could in any way affect your ability to undertake shift work or to work weekends or overtime?
Answer: 
Are you interested in undertaking a traineeship?: 
Do you have transport to and from work?: 
Some positions may entail repetitive actions, physical work involving lifting and/or standing for long periods of time. Do you currently have, or have you had, a disability, injury or illness that may prevent you from performing the job applied for?
Answer: 
Do you have, or have you suffered from:
 Skin Disorders/Allergies
 Hernia
 Epilepsy/Blackouts
 Back Pain
 Joint Muscular Injuries
PLEASE NOTE: You may be required to undergo a pre-employment medical to verify your fitness to work at Z Global Corporation.
Are you a citizen of Australia?: 
Have you ever worked for this company?: 
A criminal record will not necessarily preclude you from employment, but full disclosure is required:
Have you ever been arrested, prosecuted or charged in respect of any offence under any Act?
Answer: 
Have you for any reason to believe that any prosecution or charge against you may be pending?
Answer: 

Education Details

High School: 
Address: 
From:  calendar
To:  calendar
Did you graduate?: 
Degree: 
University: 
From:  calendar
To:  calendar
Did you graduate?: 
Degree: 
Other: 
From:  calendar
To:  calendar
Did you graduate?: 
Degree: 
Do you have a First Aide Certificate?: 
Do you have a Fork Lift Licence?: 

References

Reference 1
Full Name: 
Company: 
Address: 
Phone: 
Relationship: 
Reference 2
Full Name: 
Company: 
Address: 
Phone: 
Relationship: 
Reference 3
Full Name: 
Company: 
Address: 
Phone: 
Relationship: 

Previous Employment

Are you presently employed?: 
Company: 
Address: 
Phone: 
Job Title: 
Starting Salary: 
Ending Salary: 
Responsibilities: 
From:  calendar
To:  calendar
Reason for Leaving: 
May we contact your previous supervisor for a reference?: 
Company: 
Address: 
Phone: 
Job Title: 
Starting Salary: 
Ending Salary: 
Responsibilities: 
From:  calendar
End:  calendar
Reason for Leaving: 
May we contact your previous supervisor for a reference?: 
Company: 
Address: 
Phone: 
Job Title: 
Starting Salary: 
Ending Salary: 
Responsibilities: 
From:  calendar
To:  calendar
Reason for Leaving: 
May we contact your previous supervisor for a reference?: 
Attach CV: 

Conditions of Employment

I agree that if my application for employment is successful: 1. I will abide by all Company policies and procedures’, including the Company’s grooming standards and those regulations as outlined in the Induction Booklet/Program as presently in force and as amended from time to time. 2. The company is granted permission to check references and to verify previous employment and quality of work. The company may disclose information you have provided to the extent necessary to undertake these checks. You are entitled to access the information you provide which will be dealt with in accordance with the Privacy Act 1988. I acknowledge and declare that the above mentioned particulars are complete and accurate in every detail. I also understand that should any information that I have provided be found to be false or misleading, my contract of employment may be instantly terminated without notice.
 Do you agree to the above terms? *
Please enter full name as digital signature:  *

Parent / Guardian to complete (for applicants under 18 years of age)

I hereby authorise my son/daughter to work for Z Global Corporation and give permission for him/her to work after 8pm on any trading day. I also confirm that the information detailed on this application is true and correct.
 Do you agree to the above terms?
Parent / Guardian Name: