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Lismore Workers Group of Clubs
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APPLICANT PARTICULARS
Position applying for
*
Please indicate which club
*
Lismore Workers Club
Workers Sports Club (Goonellabah)
Workers Golf Club
Name
*
Phone Contact
*
Email
*
Address
*
Country
United States (US)
United Kingdom (UK)
Canada
Australia
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Afghanistan
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Chad
Chile
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City
Are you over the age of 18?
Yes
AVAILABILITY
*
Availability
Please indicate your availability
MONDAY
FROM
TO
TUESDAY
FROM
TO
WEDNESDAY
FROM
TO
THURSDAY
FROM
TO
FRIDAY
FROM
TO
SATURDAY
FROM
TO
SUNDAY
FROM
TO
QUALIFICATIONS
*
Qualifications
Accreditation
Do you have your RSA? (Responsible Service of Alcohol)
Do you have your RCG? (Resonsible Conduct of Gaming)
Please note, it is a requirement that you must have your RSA and RCG to work for the Lismore Workers Group in our bar areas.
Are you currently undertaking study/training?
If yes, please provide the course or program name.
Please indicate study load
*
Full Time
Part Time
Distance
Other
Previous Employment
Please order by most recent first
Employer
From
To
Reason for Leaving
Employer
From
To
Reason for Leaving
Employer
From
To
Reason for Leaving
Referees
Consent to Contact Referees
*
I agree to have referees contacted in relation to this application
Reference checks will be conducted legally, in an ethical manner. All information derived will remain confidential.
Please provide the details of three people who can speak on your behalf regarding your work history.
Name
Contact Number
Position Held / Working Relationship ( e.g. Supervisor )
Name
Contact Number
Position Held / Working Relationship ( e.g. Supervisor )
Name
Contact Number
Position Held / Working Relationship ( e.g. Supervisor )
Additional Information
Are you a permanent resident of Australia?
*
Yes
No
If not, please explain your visa type
*
Do you have a current drivers license?
*
Yes
No
Have you had a serious accident or illness either work related or personal?
*
Yes
No
Details of illness or injury
*
Have you ever been on workers compensation?
Yes
No
Details of workers compensation claim
Have you ever been employed by Lismore Workers Ltd at any of our three clubs?
*
Yes
No
Have you previously applied for employment with Lismore Workers Ltd?
Yes
No
DECLARATION
Declaration
Please read the following before you submit your application
*
I declare that, to the best of my knowledge, the information given is true and correct. I understand that inaccurate, misleading or untrue statements, or knowingly withholding information may result in termination of employment with this organisation. I understand that this application does not constitute and offer of employment. I understand that, in some cases, police checks will be required and I will be notified if this applied to this application.
I have read and understand the information provided above
I consent to a police check
Submit
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