Template – Job application form - Business Tasmania
ATTRACT, RECRUIT AND SELECT
Template ? Job application form
POSITION APPLIED FOR
PERSONAL DETAILS Surname Preferred name Address
Given name
Work phone Home phone Mobile phone Email
CURRENT QUALIFICATIONS Qualification title
Institution/Training provider
Year completed
Are you currently undertaking study/training? (tick one)
Yes
Course/program name
No
Full-time
Part-time
Distance
Other
PREVIOUS EMPLOYMENT (MOST RECENT FIRST PLEASE)
Employer name/establishment Dates
Position held
from/to
Reason for leaving
Office use check Initial/date
REFERENCES
Do you agree to have referees contacted in relation to this application? (tick one)
Yes
No
(Reference checks will be conducted legally in an ethical manner and all information derived will remain confidential.) Please provide details of three people who can speak on your behalf regarding your work history.
Name
Contact number
Position held/working relationship (for example, supervisor)
Office use check Initial/date
What type of work are you available for? (tick one)
Full-time
Part-time
Casual
businesspoint..au
BETTER WORKPLACES ? EMPLOYER RESOURCE KIT ATTRACT, RECRUIT AND SELECT 39
ATTRACT, RECRUIT AND SELECT
Template ? Job application form continued
OTHER INFORMATION When will you be available to start work?
Please provide any other information that you identify as being pertinent to this application? (for example, medical conditions, disabilities)
DECLARATION
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.
Signed
Date
CONFIDENTIAL For Office Use Only
REFERENCE CHECKS
Reference name
Comments
Would re-employ? Initial
Date
Yes No
POLICE CHECKS Comments
OTHER ACTION
Action
Interview arranged for
/ /
Offer of employment made
Position
Acknowledgement letter sent
Letter of offer sent
Induction due on / /
Payroll details entered
Probationary period expires on / /
NOTES:
Application unsuccessful
Letter of advice sent
Application to be destroyed on / /
Other
40 BETTER WORKPLACES ? EMPLOYER RESOURCE KIT ATTRACT, RECRUIT AND SELECT
Yes No (Not appropriate)
Name
Date
businesspoint..au
................
................
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