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* 1. Please provide your name and details below:

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* 3. What type of employment are you looking for?

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* 4. Please detail your availability eg. 8:30am to 5:30pm 
If you are not available, please indicate with n/a

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* 5. Do you have a valid Drivers License and reliable vehicle?

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* 6. What mode of employment were you most recently (or are currently) employed in?

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* 7. Have you been employed in a hands on role that required you to roll up your sleeves and get your hands dirty?

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* 8. Have you had experience fault finding/troubleshooting equipment failure/breakdowns of a commercial nature?

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* 9. What has been the most challenging role you have worked in? Why was it challenging?

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* 10. What do you believe sets you apart for success in this role? Share some of the strengths and experiences you think make you a strong fit for the position.

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* 11. Do you have any scheduled leave / holiday commitments over the next 12 months?
If yes, please list the dates of your planned leave / holiday commitments

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* 12. If successful, can you provide a police clearance?

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* 13. Are you an Australian Resident?

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* 14. Have you previously been employed by Miami Bakehouse?

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* 15. Do you agree to undergo a pre-employment medical assessment, including a drug & alcohol screen?

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* 16. Do you have any medical condition, disability or restrictions that would prevent you from carrying out the functions of the position applied for to the required standard or may aggravate your condition? Disclosure of a medical condition or restriction will not necessarily be a barrier to consideration of your application. The relevance of any medical condition or restriction will depend on the nature of that medical condition or restriction and the position applied for. Applicants should include information on any medical condition or restriction that has arisen out of a previous workers compensation claim. Failure to disclose such information may jeopardise your right to workers compensation if a pre-existing injury is aggravated at work. Refer section 79 Workers
Compensation and Rehabilitation Act 1981.

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* 17. Are you taking any prescribed medication that may impact on your capacity to carry out your duties? If yes, list restrictions on your work and how this will affect your attendance at work.

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* 18. Do you have a condition that may manifest itself in the workplace and which you would like to advise us of so that if it arises, we can adequately attend to your needs?

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* 19. Are you capable of heavy manual work?

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* 20. Are you colour blind?

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* 21. If you are a smoker, are you prepared to comply with all policies which restrict smoking?

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* 22. By submitting this survey you acknowledge that the information contained herein is true and correct, to the best of your knowledge and beliefs, and that your employer, in considering this decision, may rely on this information.

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* 23. Do you acknowledge that previous employers will be contacted to verify your work history and performance?

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* 24. I already have your resume, but if you feel you need to, please feel free to attach your resume, cover letter or any other documents.

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