B

u
i
l
d
i
n
g
C
,
1
6
T
a
l
a
v
e
r
a
R
o
a
d

APPLICATION / INTERVIEW FOR

EMPLOYMENT
BUSINESS
MANAGEMENT SYSTEM

Building C,16 Talavera Road

North Ryde
Sydney NSW 2113
Australia
+61285203771
http://spacefullenergy.com

APPLICATION FOR EMPLOYMENT

1. POSITION APPLIED FOR
Job Title:
Region (please tick as appropriate):

Australia

International

Both

Where did you hear about the position?

Have you previously worked for us / applied for work with us? (if yes, please provide details)

2. PERSONAL DETAILS
Title (please circle as appropriate):
Dr/Mr/Mrs/Miss/Ms/Other

First Name(s):

Surname:

Address (including postcode):

N
o
r
t
h
R
y
d
e
S
y
d
n
e
y
N
S
W

Evening Telephone No. (including STD code):

Daytime Telephone No. (including STD code):

Email Address:
National Insurance No:
International Passport No:

3. EMPLOYMENT HISTORY
Current / Most Recent Employer
Employer Name & Address:

Job Title:

2
1
1
3

Responsibilities:

A
u
s
t
r
a
l
i
a

Current Salary (or salary on leaving):

From:

To:

Notice Period (if applicable):

Reason for Leaving (if applicable):
Version: 25.02.2015

SF:HR 1.5

Integrated General Procedures Manual

B
u
i
l
d
i
n
g
C
,
1
6
T
a
l
a
v
e
r
a
R
o
a
d
N
o
r
t
h
R
y
d
e
S
y
d
n
e
y
N
S
W
2
1
1
3
A
u
s
t
r
a
l
i
a

APPLICATION / INTERVIEW FOR

EMPLOYMENT
BUSINESS
MANAGEMENT SYSTEM

Building C,16 Talavera Road

North Ryde
Sydney NSW 2113
Australia
+61285203771
http://spacefullenergy.com

Previous Employer 1
Employer Name & Address:

Job Title:

From:

To:

From:

To:

From:

To:

From:

To:

Responsibilities:

Reason for Leaving:

Previous Employer 2
Employer Name & Address:

Job Title:
Responsibilities:

Reason for Leaving:

Previous Employer 3
Employer Name & Address:

Job Title:
Responsibilities:

Reason for Leaving:

Previous Employer 4
Employer Name & Address:

Job Title:
Responsibilities:

Reason for Leaving:

Version: 25.02.2015

SF:HR 1.5

Integrated General Procedures Manual

B
u
i
l
d
i
n
g
C
,
1
6
T
a
l
a
v
e
r
a

APPLICATION / INTERVIEW FOR

EMPLOYMENT
BUSINESS
MANAGEMENT SYSTEM

4. EDUCATION & QUALIFICATIONS

School/College/University/Training Body

Subject

Building C,16 Talavera Road

North Ryde
Sydney NSW 2113
Australia
+61285203771
http://spacefullenergy.com

Qualification

Grade
Obtained

Date
Obtained

R
o
a
d
N
o
r
t
h
R
y
d
e

5. TRAINING
Please list any training you have received / courses which did not lead to a qualification but which you feel are
relevant to the post.

S
y
d
n
e
y
N
S
W

6. MEMBERSHIP OF PROFESSIONAL BODIES

Awarding Body
Grade of Membership

Date Obtained

2
1
1
3
A
u
s
t
r
a
l
i
a

Version: 25.02.2015

SF:HR 1.5

Integrated General Procedures Manual

B
u
i
l
d
i
n
g
C
,
1
6
T
a
l
a
v
e
r
a

APPLICATION / INTERVIEW FOR

EMPLOYMENT
BUSINESS
MANAGEMENT SYSTEM

Building C,16 Talavera Road

North Ryde
Sydney NSW 2113
Australia
+61285203771
http://spacefullenergy.com

7. PERSONAL STATEMENT YOUR SKILLS, KNOWLEDGE & EXPERIENCE

Please provide information in support of your application. Describe why you are suitable for the post highlighting
any relevant skills, knowledge and experience. Give specific examples where possible. Please continue on a
separate page if necessary.

R
o
a
d
N
o
r
t
h
R
y
d
e
S
y
d
n
e
y

Cont.

8. REFERENCES
All appointments are subject to the receipt of satisfactory references. Please provide details of two referees to
whom confidential enquiries may be made. One must be your present or most recent employer. References from
friends and relatives are not acceptable.
Referee 1 Name:
Referee 2 Name:
Job Title:

Job Title:

N
S
W

Company:

Company:

Address:

Address:

2
1
1
3

Telephone:

Telephone:

Email Address:

Email Address:

How does this person know you?

How does this person know you?

When may we approach this person for a reference?

At any time
Only after offer of employment

When may we approach this person for a reference?

At any time
Only after offer of employment

A
u
s
t
r
a
l
i
a

Version: 25.02.2015

SF:HR 1.5

Integrated General Procedures Manual

B
u
i
l
d
i
n
g
C
,
1
6
T
a
l
a
v
e
r
a
R
o
a
d

APPLICATION / INTERVIEW FOR

EMPLOYMENT
BUSINESS
MANAGEMENT SYSTEM

9. CRIMINAL CONVICTIONS
Do you have any criminal convictions (please tick as appropriate)?

Yes

R
y
d
e
S
y
d
n
e
y

No

If yes, please provide details. (Please note, you are not required to provide details of convictions that are spent, as
defined by Rehabilitation of Offenders legislation)

10. OTHER
Are you currently eligible for employment in the Australia?

Yes

No

Do you hold a current, valid passport (for overseas vacanices only)

Yes

No

Do you currently hold a valid driving licence?

Yes

No

Yes

No

Yes

No

If yes, please specify type (Car, HGV)

Do you hold a CITB Training Record Card?

N
o
r
t
h

Building C,16 Talavera Road

North Ryde
Sydney NSW 2113
Australia
+61285203771
http://spacefullenergy.com

If yes, please provide CITB Card No.

Do you currently have any driving endorsements?
If yes, please provide details

11. DECLARATION
I declare that to the best of my knowledge and belief, all particulars I have given are complete and true. I
understand that any false declaration or misleading statement or any significant omission may disqualify me from
employment and render me liable to dismissal. I understand that any job offer is subject to satisfactory references,
a probationary period and, if the company believes it appropriate, a satisfactory medical report.
Signed:

Date:

N
S
W

Due to the large volume of applications we receive, it may not be possible for us to acknowledge your application
immediately. Your details will be held on file for a period of 48 hours, during which time you will be contacted if you
have been shortlisted for a suitable vacancy.

2
1
1
3

We would like to thank you for your interest in the Company and for taking the time to complete this application.

A
u
s
t
r
a
l
i
a

EQUAL OPPORTUNITIES MONITORING QUESTIONNAIRE

Spacefull Energy is committed to providing equality of opportunity in employment. In order for us to monitor the
effectiveness of our Equal Opportunities Policy, it would be helpful if you could provide the information outlined below.
This information is strictly confidential and will be used for statistical monitoring purposes only.
Age
16-19

20-29
Version: 25.02.2015

30-39

40-49
SF:HR 1.5

50-59

60-79

Prefer not to say

Integrated General Procedures Manual

B
u
i
l
d
i
n
g
C
,
1
6
T
a
l
a
v
e
r
a
R
o
a
d
N
o
r
t
h
R
y
d
e
S
y
d
n
e
y

APPLICATION / INTERVIEW FOR

EMPLOYMENT
BUSINESS
MANAGEMENT SYSTEM

Building C,16 Talavera Road

North Ryde
Sydney NSW 2113
Australia
+61285203771
http://spacefullenergy.com

Gender
Male

Female

Transgender

Prefer not to say

Sexual Orientation
Heterosexual/Straight

Lesbian

Gay

Bisexual

Prefer not to say

Marital Status
Single
Divorced

Married
Separated

Civil Partner
Widowed

Partner
Prefer not to say

Disability
Do you consider yourself to have a disability?
Yes

No

Prefer not to say

If yes, please indicate the nature of your disability

Hearing
Visual
Speech

Mobility
Physical
Learning

Mental Health
Severe disfigurement
Other

Ethnic Origin
Please tick one box in Section 1 (national identity) and one box in Section 2 (ethnic background)
Section 1
Australia
New Zealand
British or mixed British
English
Irish
Scottish
Welsh
Other
Prefer not to say

Section 2
Asian
Bangladeshi
Indian
Pakistani
Any other Asian background
Black
African
Caribbean
Any other black background
Chinese
Any Chinese background

Mixed Ethnic Background

Asian and white
Black African and white
Black Caribbean and white
Any other mixed ethnic
background
White
Any white background
Any other ethnic background
Any other ethnic background
Prefer not to say

N
S
W
2
1
1
3
A
u
s
t
r
a
l
i
a

Religion
No religion
Christian
Buddhist

Hindu
Jewish
Muslim

Version: 25.02.2015

Sikh
Other
Prefer not to say

SF:HR 1.5

Integrated General Procedures Manual