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Employee Application Form

This document is an employment application form for StayWell Hospitality Group. It requests information such as contact details, availability, education history, work history, and a declaration authorizing StayWell to verify the information provided. The form notifies applicants that false information may result in dismissal and that personal information will be kept confidential and used only for seeking further opportunities within the company.

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Sule Fikran
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© © All Rights Reserved
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66 views3 pages

Employee Application Form

This document is an employment application form for StayWell Hospitality Group. It requests information such as contact details, availability, education history, work history, and a declaration authorizing StayWell to verify the information provided. The form notifies applicants that false information may result in dismissal and that personal information will be kept confidential and used only for seeking further opportunities within the company.

Uploaded by

Sule Fikran
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Employment Application

Surat Lamaran

Date
Position applied for
Preferred locations

Please indicate your preference


Full Time Part Time Casual Temporary Contract
What days & times are you available to work?
Monday AM/PM Tuesday AM/PM Wednesday AM/PM Thursday AM/PM Friday AM/PM
Saturday AM/PM Sunday AM/PM
Personal Details
First name Title MR / MRS / MISS / MS
Surname D.O.B
Address
Suburb
State Postcode
Mobile Home Phone
Email address
Your payslip & eLearning notifications will be sent to this email address
Work rights Australian or New Zealand Citizen Working Holiday Visa
I require sponsopship to work in Australia Temporary resident with permission to work in Australia
In the last 5 years have you served any art of a sentence of imprisonment
or been charged with any offence that has been proven against you? YES NO
Please note – If the conviction for the offence has been nullified or if you have been pardoned or you were a minor at the inception of a prison sentence
more than five years ago, you are not required to disclose that offence. If you have been charged with and found guilty of an offence but discharged
without sentence, you should provide details unless the judgment has been nullified or you have been pardoned.
Are you willing YES NO
to relocate?
To the best of my knowledge I have no current or recurring injury, illness or medical
condition that would impede my ability to meet the inherent requirements of the position,
other than that which could be corrected by a reasonable adjustment by StayWell to the YES NO
work or work environment.
(Note – If a reasonable adjustment is required, please provide details on separate
attachment.)
EDUCATION Please indicate (tick)
High School of Certificate Bachelors Degree Masters Degree or
Diploma Certificate
Equivalent PhD
Copies of your education results and other qualifications should accompany this form. Please provide English translations of any overseas
qualifications.
Institute Level Achieved
Course name
Country/suburb Year Completed
Level Achieved
Institute Level Achieved
Course name
Country/suburb Year Completed
Level Achieved

AFFILIATIONS (Memberships & associations, if applicable)

WORK HISTORY

Company

Position

Employment Period From To

Achievements

Duties & Responsibilities

Reason for Leaving

Company

Position

Employment Period From To

Achievements

Duties & Responsibilities

Reason for Leaving


PERSONAL DATA (Indonesia Only)
Name of Spouse
Occupation of Spouse
Date of Birth of Spouse
Telephone number of Spouse
CHILDREN
Name Date of Birth Education Gender Comments

PRIVACY

Personal information obtained during your application shall not be used for any purpose without your expressed permission and shall be
discarded with your authority if you are unsuccessful. I would like StayWell Holdings to retain my personal details for the purpose of seeking
further employment opportunities for me within the company for a period of three months.

YES NO

IMPORTANT NOTES FOR APPLICANTS

StayWell Holdings places great value on its people and expects high standards of personal integrity, honesty and a genuine focus on service. It is
a condition of employment for all StayWell Holdings employees to adhere to the Group’s Code of Conduct (copy of which will be provided if
application is successful). Non adherence to the Code of Conduct, or the provision of false or misleading information in this application, may
lead to dismissal.

DECLARATION

The information I have provided in this application is true and correct. I acknowledge that I have read and understood the paragraphs ‘Privacy’
and ‘Important Notes for Applicants’, and hereby authorise StayWell Hospitality Group to make any such enquiries as it deems necessary (other
than my present employer – pending my expressed permission) to verify any information I have provided in this application.

SIGNATURE DATE

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