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* 1. Surname:

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* 2. Given name(s):

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* 3. Address:

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* 5. Postcode:

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* 6. Telephone number (landline):

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* 7. Telephone number (mobile):

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* 8. Email address:

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* 9. Current driving license?

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* 10. Licence Conditions:

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* 11. Licence class:

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* 12. Expiry date:

Date

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

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* 14. If Yes, please provide details

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* 15. Schools Attended:

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* 16. Qualifications gained:

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* 17. Colleges/universities:

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* 18. Qualifications gained:

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* 19. Other training:

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* 20. Qualifications gained:

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* 21. Name of previous employer (1):

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* 22. Address of previous employer (1):

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* 23. Job title and duties (1):

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* 24. Reason for leaving (1):

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* 25. Notice required in current role:

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* 26. Name of previous employer (2):

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* 27. Address of previous employer (2):

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* 28. Job title and duties:

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* 29. Reason for leaving (2):

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* 30. Name of previous employer (3):

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* 31. Address of previous employer (3):

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* 32. Job title and duties:

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* 33. Reason for leaving (3):

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* 34. Please note any professional bodies you are a member of or are registered with.

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* 35. Please note any other employment you would continue with if you were to be successful in obtaining this position.

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* 36. Please note the name of a person from whom we may obtain character references.

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* 37. Address:

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* 38. Known in the capacity of (ej. Manager/Education):

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* 39. Please note the name of a person from whom we may obtain employment references.

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* 40. Address:

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* 41. Known in the capacity of (ej. Manager/Education):

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* 42. Please note any criminal convictions. If none please state. In certain circumstances, employment is dependent upon obtaining a satisfactory National Police Check and/or Working with Children Check.

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* 43. What would be some of the major advantages that you’d be looking for if you joined us?

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* 44. How would you Describe yourself?

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* 45. How do you Respond to Negative Feedback or Constructive Criticism?

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* 46. What does Success look or feel like to you?

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* 47. How would you describe a Great business Culture?

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* 48. Give an example of hard Work Ethic?

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* 49. Give an example of being Self-Motivated?

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* 50. What are you passionate about?

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* 51. What 3 to 5 words best describe you? _

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* 52. What is your biggest weakness?

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* 53. I confirm that the above information is complete and correct and that any false or misleading information will give my employer the right to terminate my employment without notice.

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* 54. I agree that the employer reserves the right to require me to undergo a medical examination. I understand that should the employer require further information and 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.

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* 55. 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.

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