Aquaponics WA

Shop Now

Surname

First Name/s

Address

Postcode

Contact Number

Emergency Contact Name

Emergency Contact Phone

Drivers License

Yes No

Type of License

Manual Auto

Drivers License #

Forklift License

Yes No

Year Obtained

Is it Current?

Yes No

What type of work are you interested in?

Full Time Part Time Casual

What days are you available to work?

Mon Tue Wed Thu Fri Sat Sun

Are there any days/hours that you will be unavailable to work?

Have you ever been convicted of a crime?

Yes No

Do you currently use illegal drugs?

Yes No

Please provide details

In the last five years, have you been involuntarily discharged from a position?

Yes No

Please provide details

Are you, or have you engaged in the last six months in any activities that may compromise or affect this application?

Are you a citizen of Australia /NZ?

Yes No

Are you authorised to work in Australia?

Yes No

Please attached work visa to the application

What languages can you read, speak, or write fluently?

Please tell us your secondary and tertiary education history (e.g. complete Year 12, Uni Degree, Trade Certificate etc.)

Do you have any responsibilities other than work that will interfere with specific job requirements?

Application For Employment

The inherent requirements of the role involves the following functions:

Repetitive bending and stooping
Reaching and stretching
Frequent ladder climbing
Repetitive gripping and handling
Frequent twisting
Standing / walking for extended periods
Regular lifting of weights
Work above shoulder height

Do you have any reasons such as injuries, illnesses or disabilities of which you are aware that may affect your ability to work in this position or perform any tasks?

Please let us know about your previous employment history:

Employer

Dates(to - from)

Position TItle

Employer 1

Dates 1(to - from)

Position TItle 1

Employer 2

Dates 2(to - from)

Position Title 2

Do you agree to have referees contacted in relation to this application?

Yes No *

Name

Contact Number

Name 1

Position Held/Working Relationship

Contact Number 1

Position Held/Working Relationship 1

Name 2

Contact Number 2

Position Held/Working Relationship 2

If you have anything you would like to include that may help your application, please detail:

I acknowledge that Aquaponics WA is a smoke free premises.

DECLARATION: I declare to the best of my knowledge the information given is true and correct. I understand that
inaccurate, misleading or untrue statements or knowingly withheld information may result in termination of
employment with this organisation. I understand that this application does not constitute an offer of employment. I
understand that, in some cases, police and credit checks will be required.

I confirm that I have read and understand and hereby consent to the terms described in Aquaponic’s Candidate Privacy Policy. *

Search

Shopping Cart

Shop Now

Application For Employment