SA Mushrooms' recruitment applications are hosted by external service providers who also recognise the importance of privacy. By proceeding with your application, you acknowledge that your personal information will be hosted by these external service providers until such time as you elect not to have your information stored on these external hosted sites.

1. Yes I agree to the privacy statement*

1. Title* Mr Mrs Ms Miss Dr Other
2. First name*
3. Last name*

1. E-mail*
2. Phone*

   Digits only or add + for international numbers

1. Street*
2. Street Cont.
3. City, Town or Suburb*
4. Postcode or Zipcode*
5. Country*Please choose... AFGHANISTAN ALBANIA ALGERIA AMERICAN SAMOA ANDORRA ANGOLA ANGUILLA ANTIGUA AND BARBUDA ARGENTINA ARMENIA ARUBA AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BOSNIA AND HERZEGOVINA BOTSWANA BRAZIL BRUNEI DARUSSALAM BULGARIA BURKINA FASO BURUNDI CAMBODIA CAMEROON CANADA CAPE VERDE CAYMAN ISLANDS CENTRAL AFRICAN REPUBLIC CHAD CHILE CHINA COLOMBIA COMOROS CONGO CONGO, THE DEMOCRATIC REPUBLIC OF THE COOK ISLANDS COSTA RICA COTE D'IVOIRE CROATIA CUBA CYPRUS CZECH REPUBLIC DENMARK DJIBOUTI DOMINICA DOMINICAN REPUBLIC ECUADOR EGYPT EL SALVADOR EQUATORIAL GUINEA ERITREA ESTONIA ETHIOPIA FALKLAND ISLANDS (MALVINAS) FAROE ISLANDS FIJI FINLAND FRANCE FRENCH GUIANA FRENCH POLYNESIA GABON GAMBIA GEORGIA GERMANY GHANA GIBRALTAR GREECE GREENLAND GRENADA GUADELOUPE GUAM GUATEMALA GUINEA GUINEA-BISSAU GUYANA HAITI HOLY SEE (VATICAN CITY STATE) HONDURAS HONG KONG HUNGARY ICELAND INDIA INDONESIA IRAN, ISLAMIC REPUBLIC OF IRAQ IRELAND ISRAEL ITALY JAMAICA JAPAN JORDAN KAZAKHSTAN KENYA KIRIBATI KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF KOREA, REPUBLIC OF KUWAIT KYRGYZSTAN LAO PEOPLE'S DEMOCRATIC REPUBLIC LATVIA LEBANON LESOTHO LIBERIA LIBYAN ARAB JAMAHIRIYA LIECHTENSTEIN LITHUANIA LUXEMBOURG MACAO MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF MADAGASCAR MALAWI MALAYSIA MALDIVES MALI MALTA MARSHALL ISLANDS MARTINIQUE MAURITANIA MAURITIUS MEXICO MICRONESIA, FEDERATED STATES OF MOLDOVA, REPUBLIC OF MONACO MONGOLIA MONTSERRAT MOROCCO MOZAMBIQUE MYANMAR NAMIBIA NAURU NEPAL NETHERLANDS NETHERLANDS ANTILLES NEW CALEDONIA NEW ZEALAND NICARAGUA NIGER NIGERIA NIUE NORFOLK ISLAND NORTHERN MARIANA ISLANDS NORWAY OMAN PAKISTAN PALAU PANAMA PAPUA NEW GUINEA PARAGUAY PERU PHILIPPINES PITCAIRN POLAND PORTUGAL PUERTO RICO QATAR REUNION ROMANIA RUSSIAN FEDERATION RWANDA SAINT HELENA SAINT KITTS AND NEVIS SAINT LUCIA SAINT PIERRE AND MIQUELON SAINT VINCENT AND THE GRENADINES SAMOA SAN MARINO SAO TOME AND PRINCIPE SAUDI ARABIA SENEGAL SEYCHELLES SIERRA LEONE SINGAPORE SLOVAKIA SLOVENIA SOLOMON ISLANDS SOMALIA SOUTH AFRICA SPAIN SRI LANKA SUDAN SURINAME SVALBARD AND JAN MAYEN SWAZILAND SWEDEN SWITZERLAND SYRIAN ARAB REPUBLIC TAIWAN, PROVINCE OF CHINA TAJIKISTAN TANZANIA, UNITED REPUBLIC OF THAILAND TOGO TOKELAU TONGA TRINIDAD AND TOBAGO TUNISIA TURKEY TURKMENISTAN TURKS AND CAICOS ISLANDS TUVALU UGANDA UKRAINE UNITED ARAB EMIRATES UNITED KINGDOM UNITED STATES URUGUAY UZBEKISTAN VANUATU VENEZUELA VIET NAM VIRGIN ISLANDS, BRITISH VIRGIN ISLANDS, U.S. WALLIS AND FUTUNA WESTERN SAHARA YEMEN ZAMBIA ZIMBABWE INTERNATIONAL OTHER Unknown
6. State, Region or Province*Please choose...

1. Gender Male Female Non-binary / Non-conforming Prefer not to say

1. LinkedIn URL

   (Please click on your profile and copy the URL from your profile page.)

1. Do you have a current Drivers Licence and a reliable vehicle?*

   1. Yes
   2. No
2. If you answered no, how will you get to and from work considering there is no public transport in the area?
3. Do you have the legal right to live and work in Australia? *

   1. Yes
   2. No
4. What is your residency status in Australia?*

   1. Citizen
   2. Permananent Resident
   3. Visa
5. If you have current work rights in Australia, do you have any restrictions? Please list what they are.
6. If you are on a Visa, what Visa type are you on? e.g, Student - 500.
7. What is your country of Birth?*
8. What is your first/native language?*
9. If English is your second language, what level would you class your speaking and comprehension at?

   1. Beginner
   2. Intermediate
   3. Advanced
10. How many years experience do you have in the same or similar role?* No Experience less than 1 year 1 year 2 or more years
11. Do you have all of the following Certifications or Licenses? • Bachelor in Agriculture • High Risk Forklift licence • Scissor lift • Front end loader licence • ChemCert Accreditation *

    1. Yes, I hold all of the above
    2. I hold some of them
    3. No, i do not hold any of these currently
12. If you do not hold all of the licenses/qualifications listed above, list what you do have
13. List your previous work experience, including the company name, what your role was, and how long you were with the company. *
14. What is the reason for leaving your last or current employment?*
15. List any interests, hobbies or volunteer work you are involved with.
16. As the work we do requires you to perform various physical tasks, do you have an illness or physical or functional limitation that may affect the work you do? If yes, please describe. *
17. Please select the body location of the injury or illness?

    1. Eyes
    2. Ears
    3. Head
    4. Neck
    5. Back
    6. Back - Lower
    7. Back - Upper
    8. Shoulder
    9. Elbow
    10. Hand
    11. Arm
    12. Hernia
    13. Abdomen
    14. Legs
    15. Hips
    16. Knees
    17. Ankles
    18. Feet
    19. Toes
    20. Breathing or Asthma
    21. Allergies
    22. Heart or blood pressure
18. Do you take any medication that may affect your ability to do your job? *

    1. Yes
    2. No
19. Vaccination Status – Consent to collect vaccination information is freely given and options to not share this information with SA Mushrooms are available to you. Have you received your Covid-19 vaccination and if you have what dose have you had?

    1. No
    2. Rather not say
    3. 1st dose
    4. 2nd dose
    5. Booster
20. Are you prepared to undergo random drug and alcohol testing? *

    1. Yes
    2. No
21. Are you prepared to undergo a fitness for work assessment? *

    1. Yes
    2. No
22. Have you ever had a work-related illness or injury? If you have, are you fully recovered from your illness or injury? *

    1. Yes
    2. No
    3. Recovered
    4. Not Recovered
23. If you have had a work-related illness or injury and you have not recovered fully, what was the illness or injury and what limitation do you have?
24. Due to production requirements Holiday Leave between the 1st December and 31st January is not available, do you agree to this? *

    1. Yes
    2. No