Valley Fresh Cherries & Stonefruits
4179 Olympic Highway South, Young NSW
Valley Fresh Cherries & Stonefruits
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Valonuma Pty Ltd
Employment Application Form
Fields marked with a
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must be completed or you can not submit your application!
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Name
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First
Last
Address
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Line 1
Line 2
City
State
Zip Code
Country
Email
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Country of Origin
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Phone Number
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Date of Birth
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Driver's Licence
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Visa Status: (Please provide PASSPORT number)
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Australian Tax File Number
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Gender
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Male
Female
Do you speak English fluently
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Yes
No
Do you have your own Transportation?
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Yes
No
Are you available to work weekends?
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Yes
NO
Emergency Contact Information
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First
Last
Relationship (Mother/Father, Travel Partner)
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Phone Number
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Are you travelling with other people, please provide details, (eg. Name(s), will they also be applying for a position with Valley Fresh, if so they too must complete an application form)?.
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Type of Employment applying for: PICKING & PACKING POSITIONS AVAILABLE
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Packing Position
Picking Position
Employment History (Please provide details of most recent employment)
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First
Last
Job Description
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Date of Employment:
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Company / Business Name
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Reason for Leaving
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Have you worked within Horticulture/fruit industry previously? If so Please provide details:-
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Qualifications, Skills & Abilities (Please provide any qualifications, skills or abilites that you may bring to the positions - for example: forklift licence, safe food handling certificate, first aid)
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Health: (Do you have any health or medical conditions that may affect your safety or duties during employment? For example, Heart problems, blood pressure, back pain, asthmas, muscles problems other) If so please provide a description of the condition and how it can be managed during your employment
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Accommodation Details: Do you require on farm accommodation arrangements?
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Yes
No
If Yes, Type of Accommodations required
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.
Camping Site (Suitable to Tent, Campervan etc)
DECLARATION
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By ticking this box, I declare the information I have provided in this application is true and correct and I understand by providing misleading particulars may affect my employment status.
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Privacy Declaration: All information provided is for the purpose of employment with Valonuma Pty Ltd. And will not be used for any other purpose.