APPLICATION FOR EMPLOYMENT

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EMERGENCY CONTACT


REFEREES / REFERENCE NOMINEES

** WORK references ONLY (not family members or friends)

Must supply MINIMUM OF TWO names and companies who could speak on your behalf

Referee #1

Referee #2

Referee #3

Occupational Licences & Certificates

Please indicate your licences/training (please provide copy/s with your application)

First Aid

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Drivers Licence

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Qualifications

** Please advise your qualifications and provide certificates where possible**

Drugs and Alcohol in the Workplace - Zero Tolerance Policy

We have a zero tolerance policy for the consumption and presence of drugs and alcohol whilst at work.

Drug and Alcohol testing will occur and is on a random basis


PRIVACY & PERSONAL INFORMATION CONSENT

Please complete the following consent statement


Consent to the Collection and Use of Personal InformationI hereby consent to the collection of necessary personal information by Mentoring, Coaching & Counselling PTY LTD, including but not limited to age, gender, medical history/reports, and address details. I understand that this information may be disclosed to third parties, including medical practitioners and psychological service providers, for the purpose of facilitating my counselling and mentoring services.I declare that all information provided in this form is true and accurate to the best of my knowledge. I authorise Mentoring, Coaching & Counselling PTY LTD to verify any information provided if required. I understand that any false or misleading information may result in the termination of my position or application.I have read and understood my rights in respect of access to and collection of my personal information.


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