Thursday to Sunday 7am to 4pm
Tuesday 7am to 4pm

Employment Application

Personal Details
Name
Address
Emergency Contact
Please indicate the type of employment you are seeking
 Permanent  Temporary Are you currently employed?  Yes No
 Full Time  Part Time Notice period
Salary range sought? Date available to start
Resume or CV
Please attach a copy of your resume or CV with details of your past employment and education including dates.
Residency Status
Australian or NZ Citizen  if no,please indicate your Visa status and
attach documentation.
*
 Permanent Resident
Where did you hear about us?
Please specify source(e.g. newspaper, internet site, employment agency name)
Referred by a Invita Employee  Name of Invita Employee
Referees
Please enter details of employment referees who can be contacted (i.e. senior staff member you reported to).
Please enter here regardless of whether they are contained in your CV.
May We Contact?  Yes No May We Contact?  Yes No
We would appreciate you taking a few minutes to answer the following questions...
Do you have a disability or medical condition which may affect your capacity to adequately perform the role you have applied for?
if ‘yes’ please provide details*  Yes No
Are there any special services or facilities that Invita could provide to enable you to carry out these work duties?
if 'yes' please provide details*  Yes No
Are you currently receiving Workers Compensation payments or undertaking a return to work program?
if 'yes' please provide details*  Yes No
Have you had any criminal conviction for, or pleaded guilty to a crime.
if 'yes' please provide details*  Yes No
Have your services been terminated at the instigation of a previous employer in circumstances other than a bona fide redundancy?
if 'yes' please provide details*  Yes No
Have you applied to Invita previously?
if 'yes' please provide details*  Yes No
Have you ever worked for Invita previously (either as an employee or on a contract/temporary basis)?
if 'yes' please provide details*  Yes No
Please list any commitments that may require your absence from work or may prevent you being rostered at certain times? (eg. Army reserve,study commitments, holiday bookings, sporting commitments)
Are there any legal restrictions on your ability to work for Invita? (e.g. a restraint of tradeclause in any previous employment agreement?) If so,please detail below.
Declaration & Authorisation
1) I declare that the information supplied is given voluntarily and is to the best of my knowledge true, accurate and complete in all respects.

2) I understand that all information provided about me to you, including my resume, references and any tests will be held by Invita and used for thepurpose of evaluating my qualifications,experience and suitability for permanent or temporary Employment with Invita.

3) I understand that if I or any other person withhold relevant information or supply false or misleading information about me,my application may not be further considered.

4) I understand that if I knowingly give false information in this application or attached documentation, if employed by Invita I may be liable for dismissal.

5) I authorize Invita to approach the referees nominated by me to gain additional information, or to gain this information from my recruitment agent.

6) I have no objections to Invita verifying the statements I have made on this application form and attached documentation.

7) Invita is an Equal Opportunities employer and respects the collection, security and usage of your personal information in line with National Privacy Principles.
Signed By (Candidate Full Name)

(*) Indicates Required Field