Unit 32, 2-4 Picrite Close, Pemulwuy, 2145
EMPLOYMENT APPLICATION FORM
01
PERSONAL DETAILS
Date of Birth:
Are You An Australian Citizen?YesNo
02
ACCOUNT DETAILS
03
EMERGENCY CONTACT DETAILS
04
QUALIFICATIONS, TRAINING & LICENSES
Expiry Date:

Expiry Date:

Expiry Date:

Expiry Date:

Are You An Australian Citizen? YesNo
Do you have any other relevant licenses or qualifications? YesNo
Please upload any CV relevant documents (You may upload more than one)
05
EMPLOYMENT HISTORY
Please provide your last 2 employers details starting with the most recent


Employer #1


Employer #2
06
MEDICAL HISTORY
Do You Have Any Pre-Existing Injuries? YesNo
Do you suffer from any illnesses? YesNo
Have you ever had any surgery? YesNo
07
AVAILABILITY
If you can’t work certain shifts don’t put them in.
TIMES
MON
TUE
WED
THU
FRI
SAT
SUN
0600 - 1400

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1400 - 2200

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2200 - 0600

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08
TERMS & SUBMISSION
iagree
I agree to the Terms and Conditions and accept the Privacy Statement. I certify that the information I have provided in this application is true and correct and understand that if I have misled Omega Training and International Protection Services Pty Ltd in any way I can be terminated.