EMPLOYMENT APPLICATION FORM Step 1 of 6 16% Date of Application* DD MM YYYY Preferred employer Club Southside Southside Bingo Southern Cross Sports Club Preferred work area Gaming Café Chef/Cook Guest Services Management Bar Restaurant Kitchen hand Administration Other: Other Personal DetailsName Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Address Street Address Address Line 2 Suburb ZIP / Postal Code Phone*Email* Date of Birth DD MM YYYY Are you an Australian Citizen?YesNoWhat VISA are you currently on?What working restrictions do you have?Do you have your own form of transport?YesNoDo you know anyone that works at the Southside Group of Companies?YesNoIf yes, who? Qualifications:Responsible Service of AlcoholYesNoResponsible Service of GamingYesNoFirst Aid CertificateYesNoOther Qualifications Employment HistoryEmployerDate fromDate toPosition AvailabilityMondayAnytime Yes From / ToReasonTuesdayAnytime Yes From / ToReasonWednesdayAnytime Yes From / ToReasonThursdayAnytime Yes From / ToReasonFridayAnytime Yes From / ToReasonSaturdayAnytime Yes From / ToReasonReasonSundayAnytime Yes From / ToReasonIs there any reason you could not work for a minimum of 12 months continuous service?YesNoReasonHow would you describe your personality in the workplace(please select your top 3) Efficient Introverted Friendly Bubbly Logical Extroverted Quiet Reliable Social Relaxed Confident Helpful Charming Fun Independent MedicalIt is a requirement of your employment at the Southside Group that you provide a detailed disclosure of any pre-existing injury / injuries or medical conditions. Failure to comply with these requirements including making a false or misleading disclosure may result in your application for employment being rejected and/or your employment terminated.Do you have any medical conditions / pre-existing injuries that would prevent you from performing the duties associated with the position you are applying for?YesNoIf yes please give details RefereesNameEmployerRelationship e.g. former employerContact number minimum of 2 requiredDo you have any objections regarding a police check?YesNoAll employees are required to provide proof of identity via a current form of photo ID Significant changes to your availability after commencement of employment, may result in your employment being reviewed Employment is governed by a six (6) month probation period Pre-employment statement I declare that the statements made by me in this application and information provided are true and correct and that by making a false statement or a dishonest answer renders me liable for dismissal.I authorise the Southside Group to contact my referees to obtain information that directly relates to the position that I am applying for.SignedApplication LetterUpload Resume* This iframe contains the logic required to handle Ajax powered Gravity Forms.