Personal
Information |
Title |
|
First
Name |
|
Middle
Name |
|
Surname |
|
Current
Address |
Street |
|
Suburb |
|
State
/ Territory |
|
Postcode |
|
Contact
Details |
Home
Phone |
|
Work
Phone |
|
Mobile
Phone |
|
Email
Address |
|
Citizenship
Details |
Place
of Birth |
|
Date
of Birth |
|
Are
you an Australian citizen? |
or |
Are you
a Permanent Resident |
or |
Do
you have a current visa |
|
Visa Type |
|
Passport
Type |
|
Passport
No. |
|
Employment
History |
| Are
you currently employed? |
|
| How
much notice must you give? |
|
| Current
/ previous employer #1 (most
recent employer) |
| Employed
from...... |
|
| to |
|
| Name
of employer |
|
| Position
held |
|
| Reason
for leaving |
|
| Current
/ previous employer #2 |
| Employed
from...... |
|
| to |
|
| Name
of employer |
|
| Position
held |
|
| Reason
for leaving |
|
| Current
/ previous employer #3 |
| Employed
from...... |
|
| to |
|
| Name
of employer |
|
| Position
held |
|
| Reason
for leaving |
|
Educational
Summary |
| Course
provider / Institution |
|
| Course
studied |
|
| Status |
|
| Completion
date (if applicable) |
|
| Length
of Course |
|
| Qualification
attained |
|
Application
Details |
Position
applied for |
|
Ready
to start |
|
Contract
type |
|
| Are
you involved in any club, society
or organisation?
|
| If Yes,
please give details |
|
Other
Information |
Have
you previously been employed
by Canterbury?
|
| Employed
from |
|
| to |
|
What
position did you hold? |
|
| Do
you have any other commitments
which require you to designate
days/times off work? |
|
|
|
Pre-Employment
Statement |
Please
take the time to read this
important Pre-Employment
Statement before submitting
your application details.
By submitting
this form I certify that,
to the best of my knowledge,
the foregoing statements
given by me are true. I understand
that if I am employed, any
misrepresentation or omission
by me herein will be sufficient
cause for dismissal from
the service of Canterbury.
I also authorise any investigation
of the above information
for the purposes of verification.
I consent to taking any pre-employment
physical examination required
by the company and such future
physical examinations as
may be required by the company.
I also understand that the
playing of gaming machines
within the club premises
by employees is a dismissible
offence. I understand that
application forms are held
for 90 days. I understand
that after this time I will
have to re-apply. |
Privacy
Statement |
Canterbury is subject to the provisions of the Privacy
Act 1988. The personal information
provided by you on this application
form and any attached documents
will be used to process your
employment application only.
Under the Privacy Act 1988, you
have a right to access and correct
any personal information that
the Club holds about you.
Canterbury will not disclose any personal information
you supply on this application form or attached
documents to any other organisation or person unless
legally required to do so.
After 90 days, Canterbury will dispose of your
employment application, in accordance with NPP4. |
