Employment Application Form
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Please note: It is not compulsory for the applicant to complete every one of the details sought in this form. All details provided by the applicant on this form are provided voluntarily and the applicant agrees that he/she has not been induced or offered any incentive by any person to supply any of the details provided. We are an equal opportunity employer. It is our policy to abide by all Federal, State and Local laws concerning discrimination. No question is intended to elicit information in violation of any such law, nor will any information be used contrary to this.








Note: If you suffer from anything that could effect your ability to carry out your duties, you MUST advise in this section




Please list present & former employers for last 5 years, beginning with most recent.





Please provide the details fo 3 referees





I hereby certify that:


To the best of my knowledge and belief, the answers given by me to the foregoing questions and statements made by me in this application are correct and complete. I understand that misrepresentation or omission of facts in this application may lead to my discharge.


If employed, I understand and agree that such employment is subject to a three-month probationary period and may be terminated at any time, without prior notice. Should employment be terminated by either party during this period of probation it is understood and acknowledged by me that this releases the employer from any further financial payment/s for the remainder of the probationary period and that I will not pursue any matters, issues or claims relating to my employment with the company.


My employment will not be governed by any expressed or implied contract but is at will.


I agree to abide by all rules, regulations, performance standards, systems, procedures and policies put forth by the company, contained in rule books or handbooks supplied by the company and amended from time to time.


I give permission for the company to obtain medical, health, injury and other records including a federal police report, claims history, relating to myself, from Doctor's or other personnel. State work cover / worker's compensation authorities or designated agents/insurers.


I have had any queries clarified to my satisfaction and understood all areas of this application form and agree to abide by all contained herein.


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