Employment application
Note: Information to be supplied on this application complies with the relevant Privacy legislation regarding employment details. The information contained herein is strictly private, and not disseminated to third parties except under due process of law.
Employer
Applicant name
Position
Position no.
EMPLOYMENT TYPE
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POSITION INFORMATION
(Tick all applicable categories)
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- Full time
- Part time
- Casual
Shifts (if applicable)
APPLICANT INFORMATION
Full name: First name Middle name(s) Surname
Residential address
- Apartment/street number
- Street
- Suburb
- City (if part of normal postal address)
- State/province
- Country
- Post code or Zip code
Phone number (include area code)
Mobile
Fax
Email
Date of birth 00/00/00
Applicant disability information
Are you officially classified as having a disability? Yes / No
If yes, describe the disability as per your classification
__________________________________________________________________________________________
___________________________________________________________________________________________
EDUCATION
Year Course / stream
- High school
- College / Tertiary
- Postgraduate
- Trade certificate
List qualifications:
- High school
- College
- Postgraduate
- Trade qualifications
Military Service
Have you served in military Yes / No
If you served in the military, please provide the following information:
- Armed Forces branch Army / Navy / Air Force / Marines / Coast Guard
- Dates of service 00/00/00 to 00/00/00
- Rank on departure
- Specialist status (insert full description)
- Honorably discharged Yes / No
EMPLOYMENT HISTORY
List your two most recent employers only.
Name of current or previous employer
Contact details
Name of position held
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Period of employment 00/00/00 to 00/00/00
Reason for leaving
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Name of former employer
Contact details
Name of position held
Period of employment 00/00/00 to 00/00/00
Reason for leaving
OTHER QUALIFICATIONS
List any relevant qualifications, experience or skills which you consider relevant to this position, including hobbies.
EMPLOYMENT REFERENCES
Please supply names and contact details of two referees
Name of referee
Relationship to employment
Name of referee
Relationship to employment
EMERGENCY CONTACT PERSON:
Name
Contact details
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Note: Under employment law, information given on this application must be correct and factual. Any information provided which is false or misleading may lead to refusal of the application, and / or disqualification from consideration of any future applications. Penalties may apply in some cases.
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Signature of applicant
Date
Disclaimer
Please note:
- This text is intended for advisory and guideline purposes only.
- Any business letter can become a legal document, so check your content properly before issuing.
- Any executable or statutorily defined document should be checked for compliance with legal requirements, and you should seek legal advice regarding its contents.
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Business Letters 
