PERSONAL DETAILS:

    *this information will not be used in hiring decision

    POSITION APPLIED FOR (please Select):

    CheckoutsGroceryShelf Stacker/Night fillDeli Dept.Meat Dept.Liquor Dept.ProduceAdminDairy/Freezer Dept.
    Please indicate days and times available for work:
    Monday
    Tuesday
    Wednesday
    Thursdau
    Friday
    Saturday
    Sunday
    Start Time
    End Time

    GENERAL DETAILS:

    Please Select

    Do you hold a current drivers licence ?
    YesNo
    Do you hold any other Licences?
    YesNo
    Are you currently employed?
    YesNo
    Have you ever claimed workers compensation?
    YesNo
    Do you have any physical disability or medical condition that would affect your ability to do the job?
    YesNo
    Have you any prior police convictions?
    YesNo
    Are you prepared to allow a police check to be conducted?
    YesNo

    PREVIOUS EMPLOYMENT HISTORY

    Employer
    Position/Title
    Contact person
    Telephone

    DETAILS OF 3 REFEREES

    Name
    Position
    Telephone

    PLEASE ATTACH A CURRENT COPY OF YOUR RESUME

    *** Please note your application will be kept on file for 3 months. If a position becomes available during this time we may contact you for an interview. All details on this application form will remain confidential.***

    Application forms can be downloaded from the links below.
    Fill out and return via email, fax or post to the relevant store.