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| PERSONAL DETAILS |
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| Surname | |
| Given name | |
| Address | |
| Suburb | |
| Postcode | |
| Telephone Private | |
| Business | |
| Mobile | |
| Email address | |
| Are you over 18 years of age? | Yes No |
| Identification Number
(License, Credit card etc.) | |
| Next of Kin | |
| Contact Number for next of kin | |
| Have you ever previously been employed at or applied for a position at Ryde-Eastwood Leagues Club? | Yes No |
| If yes please provide details | |
| Ryde-Eastwood Leagues Club membership number (if applicable) | |
| Have you ever been suspended or cited while a member of Ryde-Eastwood Leagues Club? | Yes No |
| If yes please provide details | |
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| POSITION AND AVAILABILITY |
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| Position Applied for | |
| 2nd Choice | |
| Employment Status | Permanent Permanent part-time Casual |
| Please select your availability to work | Monday Tuesday Wednesday Thursday Friday Saturday Sunday Days Nights Anytime |
| You are able to work on | Weekend shifts Public holidays Shift work Overtime Night shifts |
| Comment on your availability to work | |
| Do you hold any of the following certificates? | RSA - Responsible Service of Alcohol RCG - Responsible Conduct of Gambling Neither |
| Are you willing to work in a designated smoking area? | Yes No |
| Are you an Australian citizen? | Yes No |
| If NO, are you legally entitled to work in Australia? | Yes No |
| Work Health and Safety - WHS |
| Are you prepared to attend a medical examination with the Club doctor if required? | Yes No |
| To assist the Club to fulfill its obligations under WHS laws please disclose any information about any disability or medical condition: | |
| Education |
| What courses or certificates have you achieved and where did you study them? | |
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| SKILLS CHECK LIST |
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| Please tick any of the areas you have already obtained hospitaltity experience/skills in | Beverage Services Cocktails Tray Service Beverage Supervisor Useful/Cleaner Kitchen Hand Keno Cashier TAB Gaming Attendant Gaming Supervisor Computer Skills Food Services Silver Service Restaurant Coffee Shop Functions Supervisor Swim Instructor Current 1st Aid Certificate Current Resus Certificate Reception Door Telephonist Fitness Industry |
| Other | |
| Do you speak any other language other than English? | Yes No |
| If YES what other languages? | |
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| GENERAL |
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| Have you ever been discharged from employment because of unsatisfactory work conduct? | Yes No |
| Is there any additional information you wish to give us? | |
| Do you have any objections to us seeking verification and any additional information to any matter within this application, including a Working with Children's Check as required by the Child Protection ACT 1998 if you are engaged in a capacity of responsibility of children? | Yes No |
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| EMPLOYMENT HISTORY |
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| Please list your last three(3) employers or last ten(10) years service (last employer) |
| EMPLOYER #1 |
| Employer Name and Address | |
| Position held | |
| Employed From/Until | |
| Reason for leaving | |
| Reference name and contact number | |
|
| EMPLOYER #2 |
| Employer Name and Address | |
| Position held | |
| Employed From/Until | |
| Reason for leaving | |
| Reference name and contact number | |
| EMPLOYER #3 |
|
| Employer Name and Address | |
| Position held | |
| Employed From/Until | |
| Reason for leaving | |
| Reference name and contact number | |
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| DECLARATION |
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1. |
| I authorise Ryde-Eastwood Leagues Club to obtain information from any persons concerning my suitability for employment with the Club and in doing so, release any such person from, liability for any damages, claims, cost or expenses which may arise form the provision of such information. |
2. |
| I further declare that the statements made by me in this application are true, complete and correct. |
3. |
| I understand and accept that a false or misleading answer to any question in this application and following interview will be regarded as wilful misconduct and may be grounds for dismissal from employment. |
4. |
| I understand as an employee of the Ryde-Eastwood Leagues Club, certain areas of the Club I may be working in are under video surveillance. |
5. |
| If employed I will follow all Club policies and procedures. |
| If you agree to the above, please type your full name and the current date here | |
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