Position Applied For *

Location *

Your Details

Name *

First

Last

Address

Address Line 1

City

State

Zip Code

Home Telephone

Mobile

Email *

Right to Work Details

Are you an Australian Citizen or Permanent Resident *

Yes
No

DIRECT MANAGER IS PERSONALLY ACCOUNTABLE FOR SIGHTING PROOF OF CITIZENSHIP Photocopy to be forwarded to HR

What type of temporary Visa do you have? *

How many hours does your Visa allow you to work per week? *

If requested for an interview, please bring along proof of residency with one of the following documents:

Australian or New Zealand passport
Australian birth certificate and photograph
Australian citizenship certificate

Note to Interviewer:Record document number of proof provided e.g. passport, birth certificate, citizenship certificate number/s, take copy and attach to application.

Document Type *

Document No. *

Evidence of permanent resident status* Temporary visa *

Availability

What type of employment are you interested in? *

Part-time
Full-Time
Casual

Are you prepared to do Shift Work (If applicable) *

Yes
No

Monday *

Morning
Afternoon
Night

Tuesday *

Morning
Afternoon
Night

Wednesday *

Morning
Afternoon
Night

Thursday *

Morning
Afternoon
Night

Friday *

Morning
Afternoon
Night

Saturday *

Morning
Afternoon
Night

Sunday *

Morning
Afternoon
Night

Note - you will not necessarily be asked to work all the hours you are available. The information enables us to source employment opportunities to your availability

Section 4 - Employment History – (or attach a copy of your CV/resume)

Position *

Type of Business *

Supervisor *

Location *

Date Started *

Date Finished *

Responsibilities/Duties: *

Reason for Leaving

Position *

Type of Business *

Supervisor *

Location *

Date Started

Date Finished *

Responsibilities/Duties *

Reason for Leaving *

Have you worked for MSK/G-SS previously? *

Yes
No

If yes, provide details and reason for leaving *

Referees (names to be contacted for a reference check)

Name *

Contact for reference check *

Company *

Position *

Phone *

Email *

Certified Qualification (If requested to interview, please bring proof of relevant licences)

Licences or Certificates

Yes
No

Class *

Other details *

Expiry Date *

Driver’s Licence *

Yes
No

Class *

Other details *

Expiry Date *

First Aid Certificate *

Yes
No

Class *

Other details *

Expiry Date *

Trade Certificate *

Yes
No

Class *

Other details *

Expiry Date *

Security Licence *

Yes
No

Class *

Other details *

Expiry Date *

Certificate II or III in Asset Maintenance *

Yes
No

Class *

Other details *

Expiry Date *

Other *

Yes
No

Class *

Other details *

Expiry Date *

Highest Level of education completed

Secondary (high school)
Tertiary – Details
Other

Are you currently studying?

Yes
No

Name of degree/Diploma/Certificate: *

Institution *

Date started *

Expected completion Date *

Skills

List relevant skills *

e.g. domestic, retail, commercial cleaning, computer, customer service, hospitality etc

Is English your first language? *

Yes
No

What is your level of spoken English? *

Basic
Intermediate
Advanced

What is your level of written English? *

Basic
Intermediate
Advanced

Health

Are you suffering from any medical conditions which would prevent you from doing any of the range of your responsibilities required of this position? *

Yes
No

Please provide details *

This employment application form is maintained in strict confidence. Personal information collected via this application will only be used for the purpose of recruitment by MSK/G-SS Pty Ltd. The information you submit to us may be disclosed to referees, our team members who are involved in recruitment or support roles, security organisations, recruitment agencies and other third parties who assist us in the recruitment process. Any information we collect about you in future will be used and disclosed in the same manner as described above unless we tell you otherwise in advance. You may request access to personal information about you that is held by us.

I consent to MSK/G-SS Pty Ltd using and disclosing my personal information in the manner described above. To the best of my knowledge, the information I have provided (oral or in writing) as to qualifications and experience in applying for this position are true and complete. I have disclosed to MSK/G-SS any injuries and/or illnesses previously suffered that may affect my ability to effectively carry out the functions and responsibilities of my position. I have no objection to any of my referees nominated being contacted for a confidential reference report regarding my performance, services and any other information that will help determine my suitability for employment. I have no objection to be enrolled in the TOIL scheme. I have no objection to either a Police Check or DIMIA (Department of Immigration and Multicultural and Indigenous Affairs) Check to be completed on myself to determine my suitability for employment. I have no objection to having a medical examination to determine my capacity to safely perform the inherent requirements of the position for which I have applied. I declare that the statements made by me in this application are true, complete and correct. I understand that a false statement or dishonest answer to any questions may be grounds for my immediate discharge from employment.

Signed *

Dated *

Site *

Position applied for *

Interviewed by *

Have proof of licences, passport, etc. been copied and attached? *