Employment Application Form

THE COMPLETION OF THE REQUIREMENTS IN THIS APPLICATION DOES NOT MEAN OR IMPLY THAT AN OFFER OF EMPLOYMENT HAS BEEN MADE

PLEASE READ EACH OF THE POINTS SET OUT BELOW

If I am to be employed by Coolibah herbs I understand the following TERMS AND CONDITION FOR EMPLOYMENT will apply

1. I understand that any appointment is conditional on the Company’s nominated Medical Officer and Physiotherapist certifying me physically fit to perform the tasks associated with my employment with this Company as set out in the attached job description/s. The cost of these examinations will be met by Coolibah Herbs
2. I agree to provide for verification purposes, a relevant identity or work visa document, if requested to do so.
3. I agree to abide by all safety and work regulations and instructions.
4. I am prepared to wear, and maintain, any clothing, footwear or safety equipment that may be supplied by the Company.
5. I am prepared to attend all training courses as decided by the Company.
6. Company policy is that alcohol and/or illicit drugs are not to be consumed between the commencement hours and finishing hours on any working day, including the times designated as unpaid meal breaks.
7. If, for any reason, my driving and/or any other licence is suspended or cancelled whilst employed in a position requiring me to have the licence, I agree to inform the Company within 24 hours. In the case of a driver/operator OR Market Customer Service Officer classification of employment, I understand that failure to do so is a dismissible offence. Employment may be terminated for loss of licence.
8. I agree to allow a company representative to search my personal locker, vehicle, parcel or any receptacle in my possession or control while I am on company property or on the property of a customer. A witness shall accompany the company representative.
9. I understand that I am to be employed initially as a on a (CASUAL/PERMANENT/ FIXED TERM/ PART-TIME) basis with the first six months of employment on a probationary basis and that I may be required to work or be transferred to other work areas at the discretion of the Company and acknowledge that the rate of wage applicable to the relevant work shall apply.
10. I understand that any offer of appointment is based on accuracy of information contained in this application.
11. I agree to abide by all Company Rules and Policies and the Coolibah Herbs Certified Agreement 2005, as published.
12. ABANDONMENT OF EMPLOYMENT; in the case of a failure to attend work without notifying the Company of the reasons for your absence and expected duration of the absence, and without the Company's authorisation for three days or more, shall mean that the Company may treat the absence as a repudiation of the employment contract, in which case your employment with the Company will be deemed terminated.

To the best of my knowledge, the information supplied is accurate and true. I note that my employment may be terminated if any statement is found to be incorrect after employment has commenced. I understand that I am to be employed initially on a six month trial basis and that during the six month trial basis my employment may be terminated with one day’s notice, if my work performance is unsatisfactory or if I am deemed unsuitable or unskilled for the job I have been employed to perform. I consent to the Company carrying out reference and verification checks that may be necessary to support this application. I release any firm, or person from liability in respect to the information given.

APPLICANT'S SIGNATURE:DATE
Witnessed: Name & Position:

IMMIGRATION STATUS FORM

Name Address

1. Which of the following categories describes your current Immigration status?

Signed Date

2. What documents have you produced to verify your Immigration status?(tick as appropriate)

Australian Birth Certificate (No: )
Australian Citizenship Certificate (No: )
Australian or New Zealand passport (No: )
Evidence of resident status
A foreign passport that contains evidence of your permission to work (No: )