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Telephone: (07) 5464 4777
Facsimile: (07) 5464 4701
Email: info@woodlandsofmarburg.com

174 Seminary Road,
Marburg, Qld 4306

Employment Application

Positon applied for:

Type of Employment:

Perm

Temp

Part Time

Casual

Date of Application:

D.O.B:

Family Name:

First Names:

Address:

Telephone (Business): (07)

A/Hours: (07)

Email Address:

Educational Qualifications:
(Please list any technical, secondary, tertiary qualifications / or special course or training undertaken below:)

Previous Employment: (in order of most recent)

Name of Employer 1:
Supervisor:
Position held:
Date of employment:
Duties:
Reason for leaving:
Employer Phone Number:

Name of Employer 2:
Supervisor:
Position held:
Date of employment:
Duties:
Reason for leaving:
Employer Phone Number:

Name of Employer 3:
Supervisor:
Position held:
Date of employment:
Duties:
Reason for leaving:
Employer Phone Number:

DO YOU HOLD A CURRENT RSA Certificate?	Yes	No
DO YOU HOLD A FORKLIFT LICENCE?	Yes	No
ARE THERE ANY REASONS WHY YOU WOULDN'T BE ABLE TO OBTAIN THESE LICENCES?	Yes	No
HAVE YOU HOLD OTHER INDUSTRY RELATED CERTIFICATES	Yes	No
DO YOU HOLD A FIRST AID CERTIFICATE?	Yes	No
ARE YOU PREPARED TO TRAVEL?	Yes	No
DO YOU HAVE YOUR OWN TRANSPORT?	Yes	No
IS THERE ANY REASON WHY YOU WOULD NOT PHYSICALLY BE ABLE TO PERFORM THE ROLE YOU ARE APPLYING FOR?	Yes	No

HOURS OF AVAILABILITY (Check days available)

DAY	SUN	MON	TUES	WED	THUR	FRI	SAT
AVAIL.

AVAILABLE START DATE:

By clicking the submit button below I give permission that relevant reference checking can be completed

The information that I have provided is true and correct to the best of my knowledge and I understand that if I have provided untrue or misleading information in this application, my position may be terminated if I was employed on grounds of this information given.