Form General Application Form 2014 appForm Page 1 of 8: Eligibility Are you a current or previous employee of Jupiters Townsville, or any of our properties?* Yes, I am a current Employee No, I have never been employed at Jupiters Townsville I am a previous employee What is your current visa status?* Select Some roles at Jupiters require checks prior to joining for regulatory, security or safety purposes, are you willing to participate in any required clearances and checks?* Yes No If you are currently employed, what is the length of your notice period?* Select Have you ever been excluded or self excluded from Jupiters Townsville?* Yes No Are you over 18 years of age?* Yes No Do you have full availability across a 24/7 Select Preview roster?* profileAvailability Availability -1 -1 Commencement Select Work preference Select Work hours -1 True I am available to work 24 × 7 OR I am available to work the following hours Day Start Finish Monday: Select Select Tuesday: Select Select Wednesday: Select Select Thursday: Select Select Friday: Select Select Saturday: Select Select Sunday: Select Select Minimum hours per week Maximum hours per week I will be on holiday for some time during the next 6 months Page 3 of 8: Preferences and Information True True Please detail the languages you have a proficiency in Language Language 1 Select Language 2 Select Language 3 Select 3 3 profileLanguages Page 4 of 8: RSA Do you have a valid Statement of Attainment for your RSA (Responsible Service of Alcohol)?* Please attach a copy of your RSA Statement of Attainment Page 5 of 8: Salary Please outline your yearly salary/hourly rate expectations (including superannuation contributions)* Page 6 of 8: Health & Safety Do you currently suffer from, or have you ever suffered from any disability, illness or medical condition, which would (or could have the potential to) affect your ability to perform the job Select you are applying for?* Yes No If yes, please provide details about the condition, including how it may affect your ability to perform the job you are applying for and any accommodations that could be made which would allow you to perform the work. If additional space is required, please upload separate letter in the next question.* If you require more space please upload separate letter here. Do you agree to submit to a medical examination with a medical practitioner chosen by Jupiters Townsville for the purpose of Jupiters Townsville assessing your ability to perform the job you are applying for? If yes, you consent to Jupiters Townsville keeping information about your health supplied by a medical practitioner for as long as Jupiters Townsville considers necessary.* Yes No Page 7 of 8: Criminal & Financial History Have you been charged or convicted of any criminal offence?* Yes No Please provide detail on these offenses and/or charges including what they were and when they occured* Are any of these convictions spent?* Yes No Please provide details of these offenses and/or charges including what they were and when they occured* Have you ever become bankrupt or taken advantage of the laws relating to bankruptcy or insolvency?* Yes No Have you ever been either terminated from employment or resigned your employment because your performance at work or conduct was unsatisfactory or you had adverse findings made against you (whether or not you agree with this assessment)?* Yes No If yes, please provide details.* Have you ever had a cancelled or suspended driver’s licence?* Yes No Page 8 of 8: Declaration Note: If you are successful in obtaining a position in a licensed department of Jupiters Townsville (eg Electronic Gaming, Table Games, Security, Finance, IT and others) you will be required to apply to the Queensland regulators for a relevant licence. This will be organised by Jupiters Townsville at the time you are offered a position. The offers of employment of all such positions are conditional on the granting by the regulator(s) of your license. Some positions will also require probity or criminal record checking. Such checks will be carried out to assess whether any results are relevant to the inherent requirements of the position you are applying for in accordance with privacy, discrimination with spent conviction laws. If required, you agree to sign any necessary consent forms to enable Jupiters Townsville to perform these checks.* Yes No Declaration: I declare that the information I have provided on this online form and any supporting documentation for this position is true, correct and complete. I understand that any false/dishonest information or omissions of information provided by me in this form could lead to the immediate termination of my employment with Jupiters Townsville (or any related entity). I acknowledge that I have truly and accurately represented my prior employment history/qualifications in this form. I provide Jupiters Townsville consent to make enquiries to ensure the accuracy of my prior employment history or my qualifications. I also understand and agree that i may be requested by Jupiters Townsville to attend a medical examination (either during the recruitment process or during my employment) if Jupiters Townsville considers that workplace health & safety risks may arise as a result of me performing work or if I am suffering from illness or injury of any type which may prevent me from performing the inherent requirements of the position I'm applying for. I further give my consent and authority to release any relevant medical information to Jupiters Townsville concerning any illness or injury which may impact on my ability to perform my duties in the role I have applied for. I understand that this information is required in order that Jupiters Townsville may access and consider whether I have the ability to perform duties without placing either myself, co-workers or others at risk of my illness or injury, as required under workplace health & safety laws. I agree that my personal information and sensitive information will be collected, used and possibly disclosed by Jupiters Townsville as part of the selection and recruitment process. The personal information gathered as part of the recruitment and application process may be used for the purpose of assessing the suitability of my appointment to the position I have applied for. I consent to the above collection uses and disclosure taking place at any stage of the application/recruitment process. I have read and agree to the declaration above: Yes No
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