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Join Our
Team
Join the MarketPlace Fresh family.
Applicant Details
Title
*
Surname
*
Given Name/s
*
Address
Street Address
Suburb
State
Post Code
Mobile Phone
*
Home Phone
Email
*
Are you an Australian Citizen / Permanent Resident?
Yes
No
If no, do you have a working visa?
Yes
No
Visa Type
Visa Number
Issued Date
DD slash MM slash YYYY
Expiry Date
DD slash MM slash YYYY
(Note: to be eligible for employment, applicants must have the appropriate work visa or have permanent residency status. A copy of a current work visa is required)
Are you under 21 years of age?
Yes
No
Please list your availability?
Monday -> 4:30-12:00
Monday -> 8:30-16:00
Monday -> 16:00-21:00
Tuesday -> 4:30-12:00
Tuesday -> 8:30-16:00
Tuesday -> 16:00-21:00
Wednesday -> 4:30-12:00
Wednesday -> 8:30-16:00
Wednesday -> 16:00-21:00
Thursday -> 4:30-12:00
Thursday -> 8:30-16:00
Thursday -> 16:00-21:00
Friday -> 4:30-12:00
Friday -> 8:30-16:00
Friday -> 16:00-21:00
Saturday -> 4:30-12:00
Saturday -> 8:30-16:00
Saturday -> 16:00-21:00
Sunday -> 4:30-12:00
Sunday -> 8:30-16:00
Sunday -> 16:00-21:00
Do you have any convictions, finding of guilt and/or pending police charges against you relating to theft, driving, inappropriate behaviour?
Yes
No
If yes, please provide details below:
(Note: You will need to provide a national police clearance if successful in gaining employment.)
Please List Languages you know
Spoken, Written, Are you Fluent, Intermediate or Beginner?
Referee Details
(Note: TWO referees are required. At least ONE of these referees should have been your immediate supervisor in your past or existing role)
1) Name of Referee
*
Position Held
Contact No
Name of Organsation
Length of Employment
2) Name of Referee
*
Position Held
Contact No
Name of Organsation
Length of Employment
3) Name of Referee
*
Position Held
Contact No
Name of Organsation
Length of Employment
Certification
I hereby certify that the above information is correct and complete to the best of my knowledge and belief. I understand that, if I am employed, I will be liable to dismissal if any of the statements in my application are found to be deliberately misleading.
Applicants Name (Print)
*
Date
*
DD slash MM slash YYYY
