EMPLOYMENT APPLICATION FORM
FLETCHER
INTERNATIONAL
EXPORTS
OFFERS SUCCESSFUL APPLICANTS
 Job Security
 Permanent Employment
 Above Award Wages
 Set Hours (Shift work available)
 Training Provided
 No experience Necessary
Director’s Message
At
Fletcher International we are proud of
our
continual progression and expansion. We offer a vast range of
job opportunities including an indigenous employment program
and accredited training courses – providing practical, job –
related skills, as well as an understanding behind those skills.
There are secure positions and the chance for a career path
for people who meet our criteria. We welcome any enquires
from those interested in joining our team.
COMPANY HISTORY
Fletcher International Exports has developed as Australia’s s largest sheep meat processor
and exporter. The company is 100% privately owned and operated by Roger Fletcher and
his family. Currently two abattoirs are being operated, the Dubbo New south Wales plant,
which was commissioned in 1988 and the Albany, Western Australia plant which was
commissioned in 1998.
Roger Fletcher’s successful philosophy of using as much of the sheep as possible has
been employed in both plants. Currently Fletcher International employs over 1000 staff,
and the plants have a design capacity to process more than 85,000 sheep and lambs per
week, exporting meat and bi-products worldwide.
Roger has surrounded himself with a motivated sales and management staff who are
always willing to listen and investigate new ideas and methods, which will further benefit
the needs of the client.
DATE APPLICATION RECEIVED:
CONFIDENTIAL
DUBBO
Locked Bag 10
Dubbo NSW 2830
Phone: 02 68 013100
FAX: 02 68 842965
ALBANY
PO Box 680
Albany WA 6331
Phone: 08 98924000
FAX: 08 98924080
EMPLOYMENT SOUGHT
Full Time __
Part Time __
Casual __
(Please tick appropriate box)
SECTION A – PERSONAL HISTORY
1. Surname/Family Name (Mr/Mrs/Miss/Ms)
Given Names:
Sex:
Preferred Name:
Male / Female
Marital Status: _____________
2. Residential Address:
No. Children:________
Telephone Numbers:
Private
Business
Mobile
Post Code
________________________________
Email
3. Are you of Torres Strait Islander / Aboriginal decent? Yes __ No __
4.
5.
Date of birth __/__/__
Do you hold a current driver’s licence? Yes __ No __
This question is asked only in order to determine
applicable rates of pay.
Copy of driver’s to be attached to this form in the allocated position.
6.
Country of origin
How long have you lived in Australia __________
This question is asked for provision of information on Government reports required by legislation from time to time. You will be
required to provide a copy of your PASSPORT and VISA or an Australian birth certificate.
7. Do you speak / write in any other languages?
Written __
spoken __ (Please indicate which degree of fluency)
……………………………………………………………………………………………………….
_____________________________________________________________________________________________
8. Are you a member of a trade union?
Yes __
No __
If so, state name of union
______________________________
9. Are you a permanent resident of Australia?
Yes __
__
No __
If no. You will need to provide evidence confirming your eligibility
to work in Australia before any offer of employment is made to
you. This information Is necessary to meet government
requirements.
10. Person to contact in case of emergency:
Name
Relationship to you
Address
Telephone number : Home
Business
11. Name of treating doctor or doctors:
Address:
Phone numbers:
Office use only
REF  DB  PA 
EX Y/N
SECTION B – EDUCATIONAL RECORD AND QUALIFICATIONS
SCHOOLS, COLLEGES
& UNIVERSITIES
ATTENDED
DATE
FROM
DETAILS OF
COURSE
UNDERTAKEN
FULL OR
PART TIME
TO
Trade or professional qualifications:
(List full details of qualification & date attainment)
Other training completed within the last 5 years.
(include all courses undertaken both on and off the job)
Please circle your last completed year at school
The last year you attended school: 19…..
20…..
Yr 7
Yr8
Yr9
Yr10
Yr11
Yr12
PERSONAL
1. Have you ever received or are you currently receiving
Workers Compensation?
Yes __
No __
(This information will not influence the company’s decision whether to employ you, but is for insurance purpose only)
If YES, Name of Employer:
Name of Insurer:
Type of injury:
Occupational Health And Safety
In order to help the company fulfil its obligations under the Occupational Health & Safety and antidiscrimination laws, please answer the following questions.
Do you have any disabilities or medical conditions which may:
a) Interfere with your performance on this job OR
Yes __
b) Pose a risk to your health and safety. OR
the health and safety of your fellow employees, in the workplace Yes __
No __
No __
If YES, please provide details:
Are there any restrictions on your availability to do shiftwork?
Yes __
No __
Operational requirements can result in the need for shift changes to occur from time to time.
Are there any restrictions on you working overtime?
Yes __
No __
Have you ever applied for a position or worked with the
Fletcher group in the past?
If YES, where, when and what position
Yes __
No __
Have you had an criminal convictions in the past 10 years
Yes __
No __
Working reasonable overtime may be a requirement of any position
(apart from any convictions, which been quashed or pardoned)?
If YES, You are under no obligation to provide details but your choice to do so will be a sign of good faith
Do you agree to undergo a Medical check up by the company
Yes __
No __
Do you agree to undergo a urinary drug screen as part of the
Employment application?
Yes __
No __
MISCELLANEOUS
Do you have experience in the use of a knife?
Yes __
No __
Are you currently registered as unemployed?
Yes __
No __
Have you worked In a Abattoir before?
Yes __
No __
If YES, where?
…………………………………………………………………………………………………………………
When: ………………………………………jobs performed…………………………………………….
1. What is the general state of your health?
Good __
Average __
Poor __
3. (a) Are you receiving any medical treatment at present, or have you received medical
treatment in the last five years?
Yes __
No __
(b) If YES, give details (such as loss of a finger, strain injuries, fractures, scars)
………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
3
(a) Have you ever had any serious illness, operations, injuries? Yes __ No__
(b) If YES, which ailments, and which year did they occur?
………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
4. Have you suffered any work related injuries, etc?
Yes __
No __
Year ……………. Injury ……………………………………….. Employer ……………………………
Year ……………. Injury ……………………………………….. Employer ……………………………..
Year ……………. Injury ……………………………………….. Employer ……………………………..
4. Please tick if your ever had the following conditions :
Details
date last affected
Black outs __ Fits __ Migraines __ …………………………………………………………………..
High Blood pressure __ Stroke __ Heart trouble __ ……………………………………………….
Asthma __ Hayfever __ TB __ ………………………………………………………………………..
Stomach Ulcer __ Hepatitis __ …………………………………………………………………….……
Rheumatism __ Arthritis __ Other joint problems __………………………………………………..
Hernia __ shoulder __ Or wrist trouble __……………………………………………………………
Back injury __ Slipped disc __ Sciatica __…………………………………………………………...
Skin rashes __ Eczema __ Dermatitis __ Psoriasis __ …………………………………………..
Allergy to chemicals __ or medications __……………………………………………………………..
Diabetic __ Kidney __ Or thyroid trouble __ ……………………………………………………….
Nervous illness __ Breakdown __ Mental disorder __ ……………………………………………..
Varicose veins __ Clots __ Or blocked arteries __ ………………………………………………. ..
Further explanation if needed ……………………………………………………………………………..
EMPLOYERS HISTORY
LAST OR PRESENT POSITION
Employers Name: ……………………………………………Employers Phone No.………………….
Address: …………………………………………………………………………………………………….
Position Held: ……………………………………………………..From / / To
/ /
Key duties and Responsibilities …………..……………………………………………………………..
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Reason Left: ………………………………………………………………………………………………..
Employers Name: ……………………………………………Employers Phone No.………………….
Address: …………………………………………………………………………………………………….
Position Held: ……………………………………………………..From / / To
/ /
Key duties and Responsibilities …………..……………………………………………………………..
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Reason Left: ………………………………………………………………………………………………..
Employers Name: ……………………………………………Employers Phone No.………………….
Address: …………………………………………………………………………………………………….
Position Held: ……………………………………………………..From / / To
/ /
Key duties and Responsibilities …………..……………………………………………………………..
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Reason Left: ………………………………………………………………………………………………..
You may include an attachment of other employment information.
ARE THERE ANY OTHER DETAILS YOU CONSIDER RELEVANT TO THE POSITION FOR
WHICH YOU ARE APPLYING?
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How soon would you be able to start work? (Approximately) ………………………
6
(a)
(b)
(c)
Is you hearing normal ?
Have you ever worked in a noisy environment ?
Has your hearing ever been affected by your work ?
Height ………………………….
Yes __
Yes __
Yes __
No __
No __
No __
Weight ……………………………….
7
(a) What is your intake of alcohol?
Daily ……Weekends ……… Occasional ……..
(b) What is your daily intake of cigarettes? Daily ……Weekends ……… Occasional ……..
8
(a) Do you partake in any sports on a regular basis?
Yes __
No __
Please state …………………………………………………………………………………………..
(b) Do you have any hobbies and / or interests?
Yes __
No __
Pease state …………………………………………………………………………………………….
9.
Have you ever been refused life insurance, a job or military
Service because of poor health?
10. Do you wear glasses?
Yes __
No __
Full time / Part time / Not at all
DUE TO HEALTH REGULATIONS, WE PROMOTE A SMOKE FREE ENVIRONMENT!
DECLARATION
I ………………………………………………. (Please print Full name) hereby authorise Fletcher
International Exports Pty Ltd the right to contact any of my previous employers with any and all
information regarding my medical and/or factual history. In the event of being offered a position,
information regarding your employment with Fletcher International Exports may also be provided
to any prospective employers following the cessation of your employment with Fletcher
International Exports. A photocopy of this authority shall be as valid as the original and I declare
that, to the best of my knowledge, the answers to the questions in this application are correct. I
understand that if ANY false or misleading information has been given and I am employed I may
be dismissed without notice.
All applicants will be required to provide the company with proof of age and eligibility to work in
Australia.
All successful applicants are employed on probationary or trial period for up to three months.
Signature of Applicant: …………………………………………………… Date: …………………
Justice of the peace / or ….………………………………………………….. Date: …………………
Commissioner for Declaration.
Thank You.
YOU
WILL BE ADVISED IF YOU ARE REQUIRED FOR AN INTERVIEW
DRIVER’S LICENCE PHOTO
COPY TO BE ATTACHED