APPLICATION FOR CASUAL EMPLOYMENT Personal Details: Full Name: Address: Suburb: Postcode: Date of Birth (format : DD/MM/YYYY): Home Phone Number: Mobile Phone Number: Emergency Contact Details: Name: Address: Relationship: Contact Number: Availability: Do you have your own transport? Yes No Day Shift Afternoon Shift Night Shift Saturday Sunday Skillsets: You must select at least one skillset below Show Skillsets Admin - Accounting Software Admin - Customer Service Admin - Data Entry Admin - Microsoft Office Admin - Reception Assembly Assembly - Installation Assembly - Production Line Batching Bob Cat Boilermaker Boner Butcher Carpenter Cashier/Cash Handling Chemicals Chemicals - Batch OP Chemicals - Production/Process Cleaner - Factory/Industrial Cleaner - Machine Cleaning Cleaning Cold Storage Concrete Construction Container - Load/Unload Container - Unpacker Conveyor lines Cook/Chef Customer Service Date Stamper Deliveries Dirty Environment Driver - Auto Driver - Heavy Combination Driver - Heavy Rigid Driver - Light Rigid Driver - Manual Driver - Medium Rigid Driver - Multi Combination Driver - Van Electrician Electrician - A Grade Electrician - Auto Electrician - B Grade Electrician - Disconnect Farmhand Fast Paced Environment Fitter/Turner FLD - Container 20/40ft FLD - IBC Drums FLD - Long Extn Tines FLD - Palletised Goods FLD - Reach Driver Food Industry Food Prep/Handling Food Process Worker Forklift - Counterbalance Forklift - High Reach Forklift - Stockpick Forklift Driver Freezer/Chiller General Warehouse Duties Heavy Combination Driver Heavy Lifitng Heavy Lift - Box/Packages Heavy Lift - Carcass' Heavy Rigid Driver Injection Moulding Kitchen Hand Knifehand Labelling Labourer Labourer - Factory/Prod Line Load/Unload - Forklift Load/Unload - Manual Logistics Low Rigid Driver Machine OP - Blow Film Machine OP - CNC Machine OP - Injection Mould Machine OP - Packaging Machine Machine OP - Plastic Extrusion Machine Operator Machine Setter Manual Mechanic Mechanical Aptitude Medium Rigid Driver Multi Combination Driver Office/Admin Packing Painter Palletizing Pick/Pack Picking Plastics Industry Plumbing Process Worker Production - Food Ind Production - Pack/Packaging Production - Plastics Ind Production - Print/Paper Ind Production - Textiles Ind Production Line Quality Assurance Quality Checks Quantity Count Read Drawings Read/Write Receiving/Despatch Repetitive Work Retail Industry RF Scanning Sheet Metal Sheet Metal - Bolt Sheet Metal - Riverting Sheet Metal - Weld Shrink Wrap Sorting Spray Paint - Base Colours Spray Paint - Body Shop Spray Paint - Colour Mixing Spray Paint - Panel Shop Spray Paint - Trucks Spray Paint - Vehicles Spraypainter Stacking Stacking Stocktake Storeman Supervisor Tools - Air Tools - Hand Tools - Power Trade Qualified Trades Assist - Electrical Trades Assist - Mechanical Trades Assistant Tuggers Voice Pick Warehouse - Pick/Pack Warehouse - RF Scan Warehouse - Tugger exp Warehouse - Voice Pick Weights - above 25kg Weights - below 25kg Welder Welder - ARC Welder - Fabrication Welder - MIG Welder - Mild Steel Welder - OXY Welder - TIG WMS - Electronic Data Employment Work Rights: An Australian Citizen Yes No A Permanent Resident / NZ Passport holder Yes No A Visa Holder Yes No Licenses: Probationary License Full Driver's License LR License MR License Manual Driving Experience HC License MC License Forklift License HR License Medical History: There is a legal obligation on the Company to exercise a Duty of Care to all employees and members of the public, and as such we require you to advise us of any condition (physical or mental) which may impact on your ability to perform work. Do you know of any medical reason why, if appointed, you would be unable to carry out the full requirements of the position? Yes No Do you have any pre-existing illnesses or injuries which could be affected by the duties as described in the job specifications? Yes No Employment History: Important Notes : Please list THREE of your most recent Employers/ Agency. This section must be completed and accompanied with a recent and updated resume. *Business Landline Numbers MUST be provided. No reference Check, No job offer. 1. Employment History NAME OF EMPLOYER: Dates Of Employment (DD/MM/YYYY): POSITION: Contact Details: Name of Supervisor/ Manager: Address/ Suburb: Business Landline Number: 2. Employment History NAME OF EMPLOYER: Dates Of Employment (DD/MM/YYYY): POSITION: Contact Details: Name of Supervisor/ Manager: Address/ Suburb: Business Landline Number: 3. Employment History NAME OF EMPLOYER: Dates Of Employment (DD/MM/YYYY): POSITION: Contact Details: Name of Supervisor/ Manager: Address/ Suburb: Business Landline Number: IMPORTANT: PLEASE READ AND APPROVE BELOW REFEREE AUTHORITY In connection with my application for Casual Employment with Alton, I hereby agree to the above nominated persons acting as referees and being contacted for the purpose of seeking referee information regarding my previous employment performance and my suitability for future employment I confirm that the above referees have been contacted by me and have consented to acting as a referee on my behalf. I understand that failure to gain the consent of the persons listed above to act as referees may result in Alton not being able to consider me for employment, or withdrawing or limiting future employment opportunities. I further understand that only information relevant to the position/s applied for will be sought from the referees; that such information when collected may used to assist in assessing my suitability for employment; and that such information will be handled in accordance with Alton's Privacy Policy, including the provision of access to that information. TRUE AND CORRECT INFORMATION In connection with my application for Casual Employment with Alton, I confirm that the information and details included this form is, to my best knowledge; true and correct. I understand that the provision of misleading or false information may result in Alton not being able to consider me for employment, or withdrawing or limiting future employment opportunities. I further understand that only information relevant to the position/s applied for will be considered and that such information may be used to assist in assessing my suitability for employment. Furthermore, such information will be handled in accordance with Alton's Privacy Policy, including the provision of access to that information. PRIVACY All information gathered by us during the Application/Interview/Reference checking process remains confidential, if your unsuccessful in your application all data held by Alton will be destroyed. APPLICANTS DECLARATION I approve (type your name): Apply