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Education/Training Courses
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Reason for Leaving: Reason for Leaving:
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Employer: Employer:
Position Held: Position Held:
Type of Business: Type of Business:
Period of Employment: Period of Employment:
Reason for Leaving: Reason for Leaving:
Your Duties and Responsibilities: Your Duties and Responsibilities:
5 things you liked best about this job: 5 things you liked best about this job:
5 things you liked least about this job: 5 things you liked least about this job:
Reference Contact Name: Reference Contact Name:
Reference Contact Number: Reference Contact Number:
Computer Experience
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About You
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If you could have your ideal position now, what would it be & why?
List some of the things in a job that are most important to you:
What do you consider to be your greatest strengths & why?
Where do you see yourself in 5 years time?
Describe your ideal working environment:
List any other experiences, skills or qualifications that you feel would especially fit you for this position:
Do you have the legal right to work permanently Australia?  Yes   No
Have you ever been convicted of a crime?  Yes   No
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In accordance with the National Privacy Principles, we may ask you for personal information essential to the proper conduct of our business. We take all possible steps to ensure that such information is not disclosed to or accessed by unauthorized persons. If you do not provide the requested personal information we will not be able to process your application for employment.

By submitting this application, I certify that this application is complete and accurate to the best of my knowledge and that I have not made any attempt to conceal information and that falsification will be cause for dismissal. I authorize the provision of employment and personal information from my previous employers and persons or corporations who provide information related to my previous employment and will be released from any liability.