CHICKENFEED EMPLOYMENT
APPLICATION FORM

*Please fill in all fields to make the process quicker *
 
Position Applied For:            
Position:

Select type of position: (i.e.casual)
               
Personal Details:            
First Name:     Gender:    
Last Name:   Date of Birth: Optional
Address:   Phone:  
City:   Mobile:  
Postcode:     Email:
               
Location:
Please indicate below store(s) you would be interested in working at:		      
South North North-West East
Centrepoint George Town Burnie St Helens
Claremont Kings Meadows Deloraine  
Cove Hill Launceston Devonport  
Eastlands Mowbray Fourways  
Glenorchy Prospect Latrobe  
Huonville Scottsdale Smithton  
Kingston   Ulverstone  
Moonah   Wynyard  
New Norfolk      
North Hobart      
Sandy Bay      
Shoreline      
Sorell      
       
Availability:
Please indicate below your hours of availability		      
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Start:
Finish:
               
Please indicate the maximum number of hours you would like to work each week: (3 hours - 45 hours)
Do you expect your availability to change throughout the year?    Yes    No
Eg. Sporting commitments, training courses.
If yes please specify:
               
Education:      
Select the highest level of education you have completed:  
If 'Other', Name of Course:  Year completed:
Name of School/Institution: Are you currently studying:
       
Employment History:
Commence with most recent position   

 

  
  Position 1 Position 2 Position 3
Start Date:
Finish Date:
Employer:
Position:
Reason for Leaving:
       
Have you worked for Chickenfeed, Go-Lo, Crazy Clarks, Sam's Warehouse or The Warehouse in the Past?
 (please select one)		 Have you been interviewed for a position at Chickenfeed in the past?
 (please select one)


If yes please include dates and store location  
     
Proof of right to work in Australia
It is a Department of Immigration, Multicultural and Indigenous Affairs requirement that we ensure all employees are legally entitled to work in Australia. (Please select one)

You will be required to provide proof prior to commencing employment.
   

Referees:
Please list your three(3) most recent positions; please do not include personal references.
All referees provided by you may be contacted to obtain verbal references.

  
Referee Name Position Contact Details
   
Health:  
Do you have (or have you had) any disabilities, injury, medical treatment or illness, which may prevent you (now or in the future) from performing the inherent requirements of the job?
  YES NO
If yes to any of above please specify:
   

Recruitment Information And The Privacy Act
In accordance with the Privacy Act, we would like to advise you of the following :
Collection of Personnel Information
 Chickenfeed Bargain Stores will only collect information for the purpose of assessing your suitability for employment. Should you not provide some of the information which we have requested, we may not be able to process your application.
 Security of Personal Information
 We take all reasonable steps to ensure that all personal information is handled sensitively and securely. SHould your application be unsuccessful, we will destroy all personal information that we no longer require.
 Use and Disclosure of Personal Information
 We will not disclose your personal information outside the company, except in those instances where we outsource our recruitment functions to other organisations.

Declaration
I authorise Chickenfeed Bargain Stores to use the information contained within this form to assess my suitability for employment. I certify that the foregoing particulars are complete and correct, and acknowledge that I may be summarily dismissed if any of the information provided by me is found to be in any way inaccurate or misleading.

Should I be successful in my application for employment, I agree to abide by all company policies, standards and procedures.

I have read and understood the information explaining Chickenfeed's recruitment process and the Privacy Act.

By Clicking on Submit you are agreeing with the declaration.