Please fill in your details below.
First name
Surname
Address
City/town
Postcode
Email
Phone
Type of employment Full-time Part-time Casual
Farm positions Works crew Fish feeder Diver
I am available to commence work from
Processing positions Processing Hygiene Crew
Do you require a work permit to work in Australia? yes no
If yes, please provide:
Your passport number
The country listed on your Passport
Your Visa number
Your Visa type
Year of High School completed
Highest education certificate achieved
Other studies completed (work related training, trade qualifications, etc)
............................................................................
Do you have reliable transport that you can use to get to and from work?? yes no
Drivers License yes no
Details
Is your drivers’ license currently suspended / disqualified or are you currently at risk of having your license disqualified for any reason? If yes, please provide details:
Truck License yes no
Coxswain / Skippers tickets yes no
Forklift License yes no
Expiry date
First Aid Certificate yes no
Other licences
Please provide 2 previous work related referees. Huon may contact your referees during the recruitment process.
.
Referee 1
Name
Position
Company
Phone number(s)
Referee 2
Are you currently employed? yes no May we contact your current employer to obtain a reference? yes no
Current employer
Period of employment
Position held
Reason for leaving
Contact person
Contact number
Duties/responsibilities
Please provide details of your 2 most recent employers (other than your current employer).
Past Employer 1
Past Employer 2
Please read the following declaration carefully before submitting this form.
I declare that the information I have provided in this application form is, to the best of my knowledge, true, complete and correct; and I acknowledge that any inaccurate or misleading statements or information withheld may result in the termination of my employment or result in any workers’ compensation or other claims being disputed and/or denied.
I authorise Huon to: 1. Obtain references and to speak with referees to verify the information in this application and to determine my suitability for employment with Huon; and 2. Use the information, including private or sensitive information, contained in this application and any supporting documents for any purposes related to my potential or actual employment with Huon.
I have read and agree with the above declaration.
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