Employment Application - Synergy Vision

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1300 938 965

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How do you want your story to be told?

Our only goal is for you to make a difference through our support and care. But it’s in your hands to start rewriting your own story.

Name *

Email *

Phone

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Name

First

Last

Phone *

Email *

Address *

Address Line 1

City

State / Province / Region

Postal Code

Resident Status

Are you an Australian Citizen? *

If yes can you provide evidence if required? *

Yes
No

If no, do you have the right of permanent residence? *

Yes
No

If no, do you have a work permit/Visa? *

Yes
No

If yes, what type of Visa? *

Yes
No

Are you an assisted immigrant under bond to the Government or any other employer? *

Yes
No

If yes provide details *

References

Reference One - Name *

First

Last

Reference One - Relationship to you and organisation if applicable? *

Reference One - Phone *

Reference One - Email *

Reference Two - Name *

First

Last

Reference Two - Relationship to you and organisation if applicable? *

Reference Two - Phone *

Reference Two - Email *

Medical

Do you agree to undergo a medical examination if required? *

Yes
No

Are you allergic to, or have sensitivity to any substances or chemicals? *

Yes
No

If yes, please provide details: *

Do you have any disabilities / medical conditions that could affect your ability to do certain types of work / activities? *

Yes
No

If yes, please provide details: *

Have you ever claimed Worker’s Compensation? *

Yes
No

If yes, please provide details: *

General

Have you been convicted of a criminal offence or placed on a good behaviour bond? *

Yes
No

If yes, please provide details: *

Are you awaiting the hearing of charges in a civil or criminal court of law? *

Yes
No

If yes, please provide details: *

Are you currently a subject of allegation under investigation with any current or previous employer? *

Yes
No

If yes, please provide details: *

Clearances

Do you have a current paid Working with Children Check (cleared) / Blue Card? *

Yes
No

Clearance number: *

Expiry Date of WWCC / Blue Card *

Your Date of Birth (for clearance verification)? *

Do you have a National Police Check? *

Yes
No

Date National Police Check was conducted? *

Do you speak any language other than English? *

Yes
No

If yes, please provide details: *

Do you identify as: *

Aboriginal
Torres Straight Islander
Niether

What position category are you applying for? *

Support Work
Office Staff

Provide your work availability by days and times? *

Documents

Are you submitting a resume? *

Yes
No

Resume Upload

Click or drag a file to this area to upload.

Must be one of the following file types: .doc, .docx, .jpg, .pdf, .png

Are you submitting a cover letter? *

Yes
No

Cover Letter Upload

Click or drag a file to this area to upload.

Must be one of the following file types: .doc, .docx, .jpg, .pdf, .png

Were you referred by an existing employee? *

Yes
No

If yes, who?

What position are you seeking and why?

Please Note: Synergy Vision is under no obligation to offer you employment We will review the information provided within to determine your suitability for employment. Any statement on this form, which is found to be deliberately misleading, your application will not be considered. Employment is subject to proof of eligibility to work in Australia. If Synergy Vision requires you to undertake a company medical examination for the purposes of determining whether you are able to perform the inherent requirements of the job then any offer of employment will be subject to you passing this examination A Criminal record, working with children check and reference checks are some of the many factors taken into account in assessing your suitability for employment. It does not necessarily disqualify your application. If rejection of your application, solely because of one of these checks, is considered, you may be given the opportunity to discuss the matter fully before a final decision is made. Any statement on this form, which is found to be deliberately misleading, will make you, if employed, liable for dismissal. Any offer of employment will not be deemed to be valid unless such offer is formally made in writing by Synergy Vision's Head Of Culture and a copy of the written offer is signed by you and returned to Synergy Vision as confirmation of your acceptance of the offer and the conditions set out therein. I agree, if appointed, at all times to abide by Synergy Vision Pty Ltd's policies and procedures. I understand that I may be presented with opportunity to work in any geographical area under the jurisdiction of Synergy Vision Pty Ltd. I acknowledge and agree to keep all private information concerning Synergy Vision Pty Ltd, and information regarding the host organisations/clients and service users, private and confidential. Private information includes all information regarding financial, operations, medical and health, family and other matters considered personal to Synergy Vision Pty Ltd and host organisations/clients, their respective staff and service users. *

I agree
I do not Agree

Email

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HAVE ANY QUESTIONS?

Email us at hello@synergyvision.com.au
or call 1300 938 965

VISIT OUR OFFICE

5/19, Level 1, 1 Gregory Hills Drive, Gledswood Hills NSW 2557

40 Frank Street, Labrador QLD 421

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