Business Manager Job Application Form

Job Application Form

Information on this form is confidential
Title of position (that you are applying for) *
Position Location *

Grafton Lismore Maclean Coffs Harbour

APPLICANT DETAILS

Section 1
Applicant's Name *

First Name Last Name
Email *
example@example.com
Phone Number *
Please enter a valid phone number.
Current Address *

Street Address

Street Address Line 2

Suburb State

Postcode
Date of Birth *

Day Month Year
Date

APPLICANT DETAILS

Section 2
Are you either a Permanent Resident or Citizen of Australia? *

Yes No
Do you hold a valid work permit? *

Yes No
Do you identify as Aboriginal or Torres Strait Islander? *

Aboriginal Torres Strait Islander No Prefer not to say
What is your first language? *
Do you speak any other languages fluently? *

APPLICANT DETAILS

Section 3
Do you have any pre-existing medical conditions or disabilities which could affect your capacity to carry out all of the duties of this position? *

Yes No
If Yes, please provide details below:
Including any workplace modifications that may be required
Do you have an active Workers Compensation claim lodged?:

Yes No
If yes, please give details of any injury which may affect your capacity to carry out any of the duties of the position for which you have applied:

Do you have a current WWCC?:

Yes No
If no, please note that it is your responsibility to organise this check prior to commencing employment with Anglicare North Coast. It is highly recommended that you commence this process immediately.
If yes, what is your WWCC number:

DOCUMENTATION REQUIRED TO SUPPORT THIS APPLICATION
To support this application it is essential that you provide:
- Cover Letter
- A statement addressing the selection criteria
- Resume
Please ensure each of these documents are uploaded to your application.
File Upload *

Cancel of

REFEREE 1
Name: *
Phone Number *
Please enter a valid phone number.
Connection to this person - (eg Manager of where I work, etc): *
REFEREE 2
Name: *
Phone Number *
Please enter a valid phone number.
Connection to this person - (eg Manager of whereI work, etc): *

In submitting this application I acknowledge that I understand and agree:
a. That all statements in this application are correct to my knowledge and that the making of a false statement may lead to rejection of this application or dismissal if a false statement is detected after appointment;
b. That I am required to submit to a medical examination if requested by an authorised person;
c. That I am required to produce, before commencing duties, documentary evidence of my identity, educational attainment and current professional registration;
d. That it will be my responsibility to obtain documentary evidence of all my previous service to gain recognition for Award purposes;
e. That the terms and conditions of my employment will be in accordance with the appropriate industrial award or agreement and subject to acceptable performance and availability of funds;
f. To work shift work or reasonable overtime as may be required;
g. That if I am employed as a trainee, my continued employment will be subject to maintaining satisfactory progress in both theoretical and practical training and continued employment after training is dependent on the availability of a position;
h. That Anglicare North Coast is a smoke free workplace and smoking is not permitted in buildings or vehicles;
i. I understand my commencement is subject to a satisfactory criminal record check;
j. That I will notify the Chief Executive Officer (in writing) immediately or no later than within 14 days, should I be charged with, or convicted of, a criminal offence.

APPLICANT DETAILS

VERIFICATION
Signature *

Clear
How did you become aware of this vacancy?
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APPLICANT DETAILS