Position Applied For *
Full Name *
Current Address *
Email Address *
Phone Number *
Date of Birth
Gender *
Do you have a current Drivers Licence? *
Do you have your own car for reliable transport?
Your Availablitly and Location Preferences
Are there any specific days or times you are not available to work in a typical week?
When will you be available to start Work?
Preferred Work Location
Are you an Australian Citizen? *
Australian Passport
What country do you hold a passport with?
Copy of Passport
Copy of Visa
Prior to commencing work, local workers must provide a copy of their Passport or a form of Photo ID And a verified copy of their Australian Birth Certificate or Australian Citizenship Certificate.
Alternative Identification
Australian Birth Certificate or Australian Citizenship Certificate and a Photo ID e.g. Drivers Licence
If you are a visa holder, Are you eligible to work in Australia? (For Tax Purposes) *
Current Tax File Number (TFN)
Due to Covid-19 it is required that you provide the names and details of your last 3 employers in Australia
Employer 1 - Business Name *
Employer 1 - Contact Name *
Employer 1 - Contact Number *
Date of Employment *
Is This Your Current Employer
Duties *
Employer 2 - Business Name *
Employer 2 - Contact Name *
Employer 2 - Contact Number *
Date of Employment *
Is This Your Current Employer
Duties *
Employer 3 - Business Name *
Employer 3 - Contact Name *
Employer 3 - Contact Number *
Date of Employment *
Is This Your Current Employer
Duties *
Upload Resume
*If you are unable to upload a resume or attachment you can forward this once contacted by the Human Resources Coordinator
Please list any Certificates, Licenses, Education or experience that is applicable for this Role
For example: Forklift license, Chemcer, Truck License
Fruit and Vegetable Picking and Packing jobs involve "being physically fit and being on your feet" for most, if not all of your shift and team members are frequently required to assist with products of varying shapes and sizes.
The inherent requirements of the role involves the following function:
Repetitive bending and stooping
Repetitive kneeling
Frequent twisting
Regular lifting of weights up to 10kgs
Irregular lifting or weights 10-17kgs
Reaching and stretching
Repetitive gripping and handling
standing/walking for extended periods
work above shoulder height
Heat/Sun/Rain weather conditions
GENERAL HEALTH & WELLBEING
Do you have or have you ever had difficulty with any of the following:
Allergies *
Asthma, bronchitis, coughing, wheezing or any other respiratory condition *
Arthritis or rheumatism *
Bone or joint problems *
Any repetitive strain type injury *
Any back or neck complaint or injury *
Any hand, wrist or finger injuries including pins & needles, numbness or carpal tunnel *
Any shoulder complaint or injury *
Epilepsy, seizures, fainting, fits, blackouts or dizzy spells *
Skin disorders or dermatitis *
Frequent or severe suffering from motion sickness *
Hernia *
Ear conditions – including hearing loss, deafness or tinnitus *
Vision problems that can not be corrected by glasses *
Stomach problems, ulcers *
Other *
Please Specify *
PHYSICAL CAPABILITIES
Do you have or have you ever had difficulty with any of the following:
Hot, cold or wet conditions *
Lifting more than 20kg *
Repetitive movements of the hands or arms *
Bending repetitively *
Kneeling *
Walking for 2.5 hours *
Standing for 2.5 hours *
Please Specify *
I acknowledge that in applying for a position to work for ROCHNEE PTY LTD, hereby advise that I have the following existing injuries or conditions that may render me incapable of performing the ‘inherent requirements’ of the advertised job. I understand that if I am not successful in being employed in the advertised position because of my being incapable of performing the ‘inherent requirements’ of the position, that ROCHNEE PTY LTD is not being discriminatory towards me. I also understand that should I either not be aware of such an existing illness or condition, or that I fail to advise ROCHNEE PTY LTD of a known illness or condition and I become ill or am injured, that my employment may be terminated and a workers compensation claim may not be accepted by WorkCover.
Existing Injury
Please Specify
Declaration
Signature
Date / Time
