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. Country of Birth*
2. Native/first language*
3. If English is your second language, what would you class your speaking and comprehension of English as?

   1. Basic
   2. Intermediate
   3. Advanced
4. Do you have a current driver's licence and a reliable vehicle? *

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

   1. Yes
   2. No
7. What is your residency status? *

   1. Australian Citizen
   2. Permanant Resident
   3. Visa
8. If you are on a Visa, what type of visa are you on?
9. What is your Visa expiry date?
10. If you are on a Visa, do you have any work restrictions? These restrictions can be found in your Visa Letter, please list these restrictions if you have any.
11. Are you looking for part-time or full-time work? *

    1. Full-time
    2. Part-time
12. How many hours a week do you want to work?*
13. Are you able to work on weekends? Please select which days. *

    1. Saturday
    2. Sunday
    3. No Weekend Work
14. Do you have any of the following current certifications or licences? Do not select if they have expired.

    1. Forklift (LF)
    2. First Aid
    3. Scissor Lift (SL)
    4. Verticle Lift (VL)
    5. Front End Loader (LL)
    6. HR Truck Licence
    7. MR Truck Licence
    8. Emergency Warden
    9. Fire Equipment Training
15. Do you have any other certifications or qualifications?
16. List your previous work experience including, Company Name, What your Role was, and When and how long you worked for the Company? *
17. List at least one work Referee we can contact and their contact details. *
18. List any hobbies, interests or volunteer work you do?
19. Have you ever had a work-related illness or injury? If you have, are you fully recovered from your illness or injury? *

    1. No work related illness or injury
    2. Yes recovered
    3. Still recovering
20. As the work we do requires you to perform physical work, do you have an illness or physical or functional limitation that may affect the work you do?*

    1. Yes
    2. No
21. If yes, please describe the illness or injury.
22. Please select the body location of the illness or injury.

    1. Eyes
    2. Ears
    3. Neck
    4. Back
    5. Upper Back
    6. Lower Back
    7. Head
    8. Shoulder
    9. Elbow
    10. Hand or fingers
    11. Arm
    12. Hernia
    13. Abdomen
    14. Leg
    15. Hip
    16. Knee
    17. Ankle
    18. Feet or toes
    19. Breathing or Asthma
    20. Allergies
    21. Heart or Blood Pressure
23. Do you take any medication that may affect your ability to work? *

    1. Yes
    2. No
24. 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 a Therapeutic Goods Administration (TGA) approved COVID-19 vaccination? If yes, what dose have you had? *

    1. Rather not say
    2. No
    3. 1st Dose
    4. 2nd Dose
    5. Booster
25. Are you left or right handed?

    1. Left
    2. Right
26. Are you prepared to undertake random drug and alcohol testing? *

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

    1. Yes
    2. No
28. SA Mushrooms operates 365 days a year, are you prepared to work Saturdays, Sundays and Public Holidays when required to do so? *

    1. Yes
    2. No
29. Holiday leave between 1st December and 31st January is unable to be approved due to operational requirements during this time, do you agree to this? *

    1. Yes
    2. No
30. Why do you think you would be a good fit for our organisation?
31. Is there anything else you would like to tell us about yourself?