Employment Application

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Given name *

Surname *

Address *

Mobile phone *

Email *

Date of birth: *

YYYY

Burgies Location *

Campbellfield

Hoppers Crossing

Required

Current Qualifications

Work History

Gender *

Male

Female

Prefer not to say

Are you currently undertaking study/training? *

Yes

If yes - Course/program name

What type of work are you available for? *

Full Time

Part Time

Availability *note our operating hours are 9 am to 2 am *

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Working Rights *

Visa

Australian Citizen

Hold a drivers licence *

Yes

Own Vehicle *

Yes

Transport *

Yes

Any planned holidays? *

Yes

If yes to planned holidays - provide date from - to

Reference 1 - Name / Ph number

You agree to have referees contacted in relation to this application

Reference 2 - Name / Ph number

You agree to have referees contacted in relation to this application

Please provide any other information that you identify as being pertinent to this application?(for example, medical conditions, disabilities)

When will you be available to start work? *

YYYY

I will email the flowing to careers@burgies.com.au;

A copy of my resume

A copy on my id

I declare that 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 and I will be notified if this applies to this application. *

YES I DO

Required

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