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Employment Application

If you wish to work at Club City Central please complete and submit the below Employment Application form to register your interest. A representative from the Club will be in touch to discus your application.

Employment Application Form

Fields marked with * are mandatory.

Contact details

* Title:

* Given names:

* Surname:

* Street:

* Suburb:

* State:

* Postcode:

* Date of birth:

(eg. 28/06/1970)

* Occupation:

* Email:

* Phone:

Home
Work
Mobile

* Age and work

1. Are you over 18 years old? Proof of age will need to be provided	YesNo
2. Are you a permanent resident or citizen? If No, proceed to question 3, if Yes, proceed to next section	YesNo
3. Are you legally permitted to work in Australia? If No, do not proceed	YesNo
If you answered Yes to question 3, please indicate your Visa type

* Work type you are applying for (You may tick more than one box)

If Other, please specify:

* Availability of work

Please select your availability. If you select 'Shift', please indicate time in 'From' and 'To'
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

* Computer skills

Microsoft Word
Excel
PowerPoint
Access
MYOB

Licenses or certificates

Responsible Service of Alcohol Certificate
Responsible Conduct of Gambling
NSW First Aid Certificate
Australian Driver's License
Licence Type	AutomaticManual
Security Class 1ABC License
Other

Employment history

Position held	Dates	Organisation	Relevant skills obtained

Education and qualifications

Qualification / Certificate	Year obtained	Relevant skills obtained

* References (at least one should be work related if possible)

	Title	Name	Company	Contact number
Referee 1
Referee 2

* Additional questions regarding employment history

Have you ever been convicted of a criminal offence within the past 5 years?	YesNo
Have you ever been convicted of an offence relating to theft, dishonesty or gaming?	YesNo
Do you have an illness or injury that may prevent you from performing the duties of the position(s) you have applied for, or for which special care needs to be taken in the workplace?	YesNo
If you answered Yes to any of the above questions, please provide further details below:

* Conditions of application

a)	I understand that completion of this application may not necessarily lead to an interview.
b)	I understand that an offer of employment is subject to a reference check from a previous employer.
c)	I certify that the information given in this application and any enclosed documentation is true and correct

	I accept the above conditions

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