Application for Employment

Thank you for taking the time to complete an application form.

Please tell us about you.

Position Applied for: *

Area: *

First Name *

Last Name *

Title: *

Residential Address: *

Street address *

City *

State *

Postcode *

Email Address: *

Phone Number: *

Date of Birth: *

Do you have a current Drivers Licence? *

YesNo

Licence Number: *

Licence Class: *

Licence Conditions: *

Licence Expiry Date: *

Are there any restrictions on you taking up employment in Australia? *

YesNo

Please provide more information on restriction to employment *

Emergency Contact Details

Emergency Contact Name: *

Relationship: *

Phone Number of contact: *

Now tell us about your education history

What Schools have you attended? *

What is your Highest Qualification? *

University or College attended? *

Other Training? *

Other Employment

Please note any other employment you would continue if you were successful in obtaining this position *

Employment History:

*Please provide at least the last three postitions held

Most recent position:

Start Date of employment *

Still Employed? *

YesNo

Do you need to give notice?

YesNo

End Date of Employment *

Company Name: *

Position Held: *

Reason for Leaving

Employment #2

State Date *

End Date

Company Name: *

Position Held: *

Reason For Leaving: *

Employment #3

Start Date: *

End Date:

Company Name: *

Position Held: *

Reason For Leaving: *

References

Please note two persons from who we can contact to obtain WORK references only (not family members or friends).

Contact 1: Name *

Contact 2: Name *

Contact 1: Phone *

Contact 2: Phone *

Contact 1: Known in the capacity of: *

Contact 2: Known in the capacity of: *

Worker Verification, certificates and licences

(you will be requested to provide copy/copies if offered a position)

Please tick all certificates or licenses that you currently hold. *

Criminal Record ****Please note any criminal convictions. If none, please state. Employment is dependant on obtaining a satisfactory National Police Check and/or Working with Children's Check.

Drug and Alcohol in the workplace- Zero Tolerance Policy

We have a zero tolerance for consumption and presence of drugs and alcohol whilst at work

Drug and Alcohol testing will occur and is on a random basis in most cases.

Do you have any concerns undergoing Drug and Alcohol testing? *

YesNo

Please comment your concerns: *

Please give us more information about you.

Leisure Activites *

Do you have any health conditions we need to consider that would impact your ability to perform your tasks at work? *

Why do you want to work with Blacksheep Care Services? *Please details here your reasons for this application, your main achievements to date and your strengths you could bring to this role. Specifically, please details how your knowledge, skills and experience meet the requirements of this role.

Comments

Please upload resume here if you have one

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And Lastly, How did you find out about Blacksheep Services? *

Declaration

(Please read this carefully before signing this application)

I confirm that the above information is complete and correct and that any untrue or misleading information will give my employer the right to terminate any employment contract offered. I give my employer the right to verify any information above is true and correct.
I agree that the employer reserves the right to require me to undergo a medical examination. I understand that should the employer require further informationand wish to contact my doctor with a view to obtaining a medical report, the employer will inform me of their intention and obtain my permission prior to contacting my doctor. In addition, I agree that this information will be retained on my personnel file during employment and for up to six years thereafter.
I agree that should I be successful in this application, I will, if required, apply for a National Police Check and/or Working with Children Check. I understand that should I fail to do so, or should the check not be to the satisfaction of my employer,any offer of employment may be withdrawn, or my employment terminated.
I have read and understood my rights in respect of access to and collection of my personal information including the collection of necessary personal information, including age, gender, medical hostory, address and discolsure of infomation to executive team members if needed.

Sign: *

Clear

Date *

Did this person make it to interview? *

Yes No

Date of interview?

Have you offered the applicant a position? *

YesNo

Have you sent applicant the required paperwork to be completed prior to induction?

Yes- Via emailYes- via paper versionNo

Comments from Interviewing group *