Application Form for Employment

 

General information
Name		Date
Street Address		Phone
City	State	Postcode
Age	Sex	Religion
Type of work required		Who referred you to us?
Names of people you know in our company
Any physical defects to prevent you from performing the work you are seeking?
Time lost in last 2 years due to illness		Reason
Current employment & duties
Rank, branch and dates of any time in Defence Force
Marital staus and children

Education and training
Institution	City & State	Years attended	Qualification achieved
Current Study
Business Subjects studied
High School
College
University
Other

Other Skills
Shorthand
Typing
Word processor
Database
Computer Programming
Foreign languages
Driving licences
First aid courses
Music

Work Experience - last 5 jobs, including casual and part time
Employer	Phone Number	Summary of Duties	Reason for Leaving

Leadership Experience
Describe any positions of responsibility you have held in work, sport or leisure in any of the following FLASC areas
1. Finance
2. Leadership
3. Administration
4. Safety
5. Communication/Community

I authorise The Space Within to verify any of the statements I have made and acknowledge that false statements or omissions may lead to termination of any susequent employment.

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