Application for Supervisor/Manager

Application for Supervisor/Manager

Kingsley's Chicken Pty Ltd ABN 59 008 597 877
Application for Supervisor/Manager Position - for all stores including franchised stores
Name *

First Name Last Name
Email *
example@example.com
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Numbers *
Birthdate *

Month Day Year
Date
Do you have internet access? *

Yes No
What is your age? *
Your height? *
Are you currently *

At school At Uni/CIT Other
If other, please specify
Where did you learn of this job? *
Do you have your own transport (car or motorbike)? *

Yes No
If yes, do you have to share the use of this transport? *

Yes No
Do you have a Tax File Number? *

Yes No
Do you have a Bank Account into which your wages can be paid? *

Yes No
Are you a Citizen or Permanent Resident of Australia? *

Yes No
If you answered No to the previous question, what is the number of your visa type?
If you have a visa, what condition number applies to it?
How many hours can you work in a week?
If you have a visa, when does your visa expire?

Month Day Year
Date
What is your passport number?
Which country issued your passport?
Please provide details of your last three employers. For each, provide the name of the employer, when you started, when you left, and why you left. If you have not worked for three employers, put N/A.
First Job
The name of the first employer: *
What was your role? *
When you started *

Month Day Year
Date
When you left *

Month Day Year
Date
Why you left: *
Name and phone number of contact for reference. *
Second Job
The name of the second employer: *
What was your role? *
When you started *

Month Day Year
Date
When you left *

Month Day Year
Date
Why you left:
Name and phone number of contact for reference. *
Third Job
The name of the third employer: *
What was your role? *
When you started *

Month Day Year
Date
When you left *

Month Day Year
Date
Why you left: *
Name and phone number of contact for reference. *
If you are currently working, why do you want to leave?
What experience do you have in a food business? *
If you are currently working, how many staff report to you?
What experience have you had in training staff? *
Have you experience with the following:

Spreadsheet eg Excel Word prcessing eg Word Experience with computer hardware
If yes to above, please provide more information. *
Please provide the annualised amount you expect to earn in a year. *
Please provide the annualised amount you currently earn. *
Disclosure - we require the following information to assess your suitability for employment with this company. This information is confidential and will not be disclosed to any unrelated party.
Please provide names and telephone numbers of 2 character referees we can contact. *
Have you ever been dismissed for breaching cash handling procedures? *

Yes No
Have you ever been dismissed for fighting or being intoxicated at work? *

Yes No
Have you ever been dismissed for misconduct? *

Yes No
Have you made any personal insurance claims - workers compensation or otherwise? *

Yes No
Have you been dismissed for unsatisfactory work performance? *

Yes No
Have you been convicted of a criminal offence in the last 10 years? *

Yes No
Do you currently have any lifting or movement restrictions? *

Yes No
If you answered "yes" to any of the questions above, please provide more details.
Do you have or expect to require medical follow up for any of the following:
Blood disorder? *

Yes No
Depression? *

Yes No
Any other mental illness? *

Yes No
Cancer? *

Yes No
Heart disease? *

Yes No
Respiratory disease requiring admission to hospital? *

Yes No
Hepatitis B? *

Yes No
Any form of surgery? *

Yes No
HIV infection including AIDS? *

Yes No
Liver Disease? *

Yes No
Epilepsy? *

Yes No
Any other health conditions not sited here? *

Yes No
Do you have any hearing or seeing impairment? *

Yes No
If you answered yes to any of the health questions above, please write the question and explain why.
Do you agree to the use of Closed Circuit Television and computer monitoring of all in-store networked computer interfaces in the store for your protection, security and training? *

Yes No
Would you be willing to attend meetings at Head Office? *

Yes No
Do you agree to work on public holidays when rostered on? *

Yes No
Do you agree to working nights? *

Yes No
Do you agree to working weekends? *

Yes No
Do you agree to attend training sessions in Kingsley's Chicken Head Office? *

Yes No
How many hours do you want to work in a week? *
How much do you expect to earn in a week? *
Are you prepared to study certain material before the commencement of training? *

Yes No
Are you prepared to attend and to hold one hour store crew meetings outside work hours once a fortnight on a Saturday or Sunday morning? *

Yes No
Are you prepared to work close-up shifts and understand this may require you to complete your responsibilities at 10:30pm or 11:00pm at night? *

Yes No
I declare that the information I have given on this form is complete and true to the best of my knowledge and belief. *

I declare
I consent to a represenative of the business contacting my previous employer(s) to conduct reference checks. *

I consent
I understand and accept that any false statement or failure to disclose any material information could result in the rejection of my application or summary dismissal from employment *

I understand
I understand and accept that if successful I will be on a probationary period of 6 months. *

I understand and accept
Kingsley's thanks you for taking the time to complete this application. It will be evaluated along with other applications and we will notify you of its progress.
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Application for Supervisor/Manager

Application for Supervisor/Manager Position - for all stores including franchised stores

Please provide details of your last three employers. For each, provide the name of the employer, when you started, when you left, and why you left. If you have not worked for three employers, put N/A.

First Job

Second Job

Third Job