APPLICATION FOR EMPLOYMENT

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APPLICATION FOR EMPLOYMENT Date Submitted:.. Position(s) applied for:... Type of Employment (please circle) FULL-TIME / PART-TIME / CASUAL Were you referred by a current staff member? YES NO Staff member name/s: PERSONAL DETAILS Given names: Surname:.. DOB:.. /./.. Residential Address: P/Code:.. Mobile:.. Home Phone:. Work Phone:.. Email:... Are you an Australian Citizen? YES NO If no, what is your VISA number? ARE YOU LEGALLY ALLOWED TO WORK IN AUSTRALIA? YES NO PLEASE BE ADVISED: It is a requirement for your employment to have a Police Check completed. If you have any criminal history this will show up in the police checks and may impact your application success. Completion and submission of this application form to Brothers Leagues Club Townsville Limited means you are aware of this requirement, you give permission to have a Police Check carried out and you agree to sign the necessary paperwork to facilitate this occurring. Refusal to comply with this provision subsequent to engagement will be considered serious misconduct and may result in immediate termination of your employment. RECEPTION USE ONLY: Application received by:

AVAILABLITY Brothers Leagues Club is open from 10am to 2am every day of the week. You will be required to work late shifts, weekends, Cowboys home games and public holidays. When are you able to start: Public Holidays YES NO Split shifts YES NO Late nights (2am) YES NO DAY AVAILABILITY TUESDAY START FINISH N/A (tick) WEDNESDAY START FINISH N/A (tick) THURSDAY START FINISH N/A (tick) FRIDAY START FINISH N/A (tick) SATURDAY START FINISH N/A (tick) SUNDAY START FINISH N/A (tick) MONDAY START FINISH N/A (tick) YOUR HEALTH & WELL BEING Are there any medical factors that may prevent you from carrying out allocated duties? YES NO If you answered yes to the above questions, please provide details Do you smoke? YES NO Do you suffer from a medical condition/s that may require Brothers to obtain special knowledge and/or training to protect you health and safety (i.e. asthma, diabetes) YES NO If you answered yes to the above question, please provide details

EMPLOYMENT HISTORY Please list your last 3 employers, present employer first EMPLOYER:. TOWN/SUBURB:....... EMPLOYER:.. TOWN/SUBURB:......... EMPLOYER:.. TOWN/SUBURB:........

EXPERIENCE Please tick if you have any of the following experience; Administration Bar Bingo Bistro Food Service Cashier Cellarman/Storeman Chef Childcare Coffee Shop Cook Customer Service *Other (list) First Aid Officer Functions Gaming Attendant Keno Attendant Kitchen Hand Management POS Systems Promotions Reception TAB EDUCATION & TRAINING Do you possess the following certification? Responsible Service of Alcohol YES NO Responsible Service of Gambling YES NO Food Handlers Certificate YES NO Bluecard YES NO Other qualifications relevant to hospitality: Qualification Date Completed Name of Institution

ABOUT YOU Tell us why you would like to work at Brothers instead of other hospitality establishments? What makes you the best candidate for the position you applied for? Describe a difficult customer service situation that you were faced with in a previous position and how you overcame it? DECLARATION We will only use your personal information for the purpose of assessing your application for employment at Brothers Leagues Club. If your application is successful, this information will be transferred across to the HR information system. The information we collect from you will be handled sensitively and securely with proper regards for privacy. If you do not provide some of the personal information we request when you apply for a position with Brothers, we may not be able to process your application. We may contact referees, whose details are provided by you, as part of our standard recruitment process. It should be clearly noted that the provision of false or misleading information on an application for employment at Brothers Leagues Club Townsville Limited, will be considered serious misconduct and may result in immediate termination of you employment. I hereby certify that the above information is correct and complete to the best of my knowledge and belief I have read the declaration below and fully understand the terms specified Date: / /... Signature:..