Employment Application Form

Fill Out the details

POSITION APPLIED FOR

PERSONAL DETAILS

CURRENT QUALIFICATIONS

PREVIOUS EMPLOYMENT (Most recent first please)

REFERENCES

Please provide details of three people who can speak on your behalf regarding your work history.

ROLE REQUIREMENTS

Customer service, replenishment and work on registers involves “being on your feet” for most of it, if not all shift and team members are frequently required to assist customers with products of varying shapes and sizes.

The inherent requirements of this role involve but are not limited to the following functions:
  • Repetitive bending and stopping
  • Repetitive kneeling
  • Frequent twisting
  • Regular lifting of weights up to 10kgs
  • Irregular lifting of weights 10 to 17kg
  • Reaching and stretching
  • Repetitive gripping handling
  • Standing/walking for extended periods
  • Work above shoulder height
  • Assisted lifting of weights greater than 17kg

ADDITIONAL INFORMATION

WORK LOCATION PREFERENCES

AVAILABILITY

Clickable Circle Table
DaysMorning Before 9amDay 9am to 1pmAfternoon 1pm to 5pmNight After 5pm
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

DECLARATION

I declare that to the best of my knowledge the information given is true and correct.  I understand that inaccurate, misleading or untrue statements or knowingly withheld information may result in termination of employment with this organisation.I understand that this application does not constitute an offer of employment.

I understand that, in some cases police and credit checks may be required and I will be notified if this applies to this application.

Click or drag a file to this area to upload.

For Office Use Only

REFERENCE CHECKS

Reference NameCommentsWould re-employ?InitialDate
Khan’s Supa IGA Picton

Supermarket Hours

Mon to Fri 7:30am – 9pm
Sat & Sun 7:30am – 8pm

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