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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. Select which of the following position/s would you like to be considered for? NOTE: You can choose more than one

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* 4. Why are/did you leave your previous/current employment?

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* 5. Select which of the following location/s you are available to work in? Note: you can choose more than one.

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* 6. Operating across 7 days a week means we have a large range of shift times within each day. To help us understand your availability please give us an outline of your available working hours across the various days of the week.

Note this does not mean we expect a 7-day working week.

eg. 5.30am to 8pm, if you are not available please indicate with N/A

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* 7. 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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* 8. Are you an Australian Resident?

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* 9. Do you have a valid Drivers Licence and reliable vehicle?

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

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

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

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* 13. 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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* 14. 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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* 15. 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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* 16. Are you capable of heavy manual work?

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* 17. Are you colour blind?

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

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

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* 21. 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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