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* 1. Please provide your name and details below:

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* 2. How many hours per week are you looking to work?

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* 3. What is your hourly pay rate expectation?

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* 4. Please detail your current working availability
Example: 6am - 11.30pm
If you are NOT available please use 'NA'

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* 5. Do you have Food Manufacturing/Food Handling experience?

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* 6. Do you have a high level of physical fitness and are capable of occasional heavy lifting?

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* 7. Do you have a license and reliable transport to get to and from work in Greenfields, Mandurah?

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* 8. In this role you need to be able to read recipes and weigh and measure ingredients. Do you have sound math and comprehension skills?

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* 9. Are you currently enrolled in any tertiary education or study?

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* 10. Why are you wanting to leave your current employment? Or if you are not currently working why did you leave your previous employment?

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* 11. Do you have any scheduled leave/holiday commitments over the next 12 months?
If yes, please list the dates of your planned leave/holiday commitments

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* 12. Are you an Australian Resident?

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* 13. Have you previously been employed by Miami Bakehouse?

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* 14. If successful, can you provide a police clearance?

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* 15. Do you agree to undergo a pre-employment medical assessment, including a drug & alcohol screen?

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* 16. Do you have any medical condition, disability or restrictions that would prevent you from carrying out the functions of the position applied for to the required standard or may aggravate your condition? Disclosure of a medical condition or restriction will not necessarily be a barrier to consideration of your application. The relevance of any medical condition or restriction will depend on the nature of that medical condition or restriction and the position applied for. Applicants should include information on any medical condition or restriction that has arisen out of a previous workers compensation claim. Failure to disclose such information may jeopardise your right to workers compensation if a pre-existing injury is aggravated at work. Refer section 79 Workers
Compensation and Rehabilitation Act 1981.

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* 17. Are you taking any prescribed medication that may impact on your capacity to carry out your duties? If yes, list restrictions on your work and how this will affect your attendance at work.

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* 18. Do you have a condition that may manifest itself in the workplace and which you would like to advise us of so that if it arises, we can adequately attend to your needs?

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* 19. Are you colour blind?

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* 20. If you are a smoker, are you prepared to comply with all policies which restrict smoking?

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* 21. By submitting this survey you acknowledge that the information contained herein is true and correct, to the best of your knowledge and beliefs, and that your employer, in considering this decision, may rely on this information.

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* 22. Do you acknowledge that previous employers will be contacted to verify your work history and performance?

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* 23. If you haven't already done so, please attach your current and up to date resume, cover letter and any other documents to be reviewed.

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