Fillable Printable Kmart Application Form
Fillable Printable Kmart Application Form
Kmart Application Form
Kmart Job Application Form
Kmart Job Application Form Page 1 of 2
Feb 2015
Section 1: about you
Full Name:
Date:
First Last
Address:
Street Address
Suburb / City State Postcode
Phone: E-mail:
Section 2: your availability & store preferences
Please tick (
) which days and times you are available to work so we can match this to our store needs.
Please note, the times listed below are approximate start and finish times. Please select the times closest to your
availability.
Morning
i.e. before 8am
Day
i.e. 8am – 6pm
Afternoon
i.e. 4pm onwards
Evening
i.e. 6pm onwards
Overnight
i.e.10pm – 6am
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Please tick (
) the type of work you are interested in: Please list the Kmart Store(s) you wish to work at:
Casual
1.
Part time
2.
Full time
3.
Section 3: work rights
Have you previously worked for Kmart?
No
Yes
If yes, when
and where?
Are you a citizen of Australia
/ NZ?
No
Yes
If yes, you will be required to provide a copy of your
Australian
/NZ birth certificate, Australian/NZ
passport or Australian/NZ Citizenship certificate and
photo ID during the recruitment process.
If no, are you authorised to work in
Australia
/ NZ?
No
Yes
If yes, you will be required to provide details and a
copy of your Visa & passport during the recruitment
process*
If
no
, unfortunately we will be unable to assist
you further.
*
Australia Only
: Kmart will collect personal information about you i.e. date of birth, passport details and visa status that
will
enable us to conduct a Visa Entitlement Verification Online (VEVO) inquiry. If you are not entitled to be in Australia,
the Commonwealth may use our VEVO account details to locate you. Kmart will gain your written consent to conduct a
VEVO enquiry if required.
Section 4:
childhood employment
If you are under the age of 15, please write your date of birth below as Kmart has different legal obligations in each State
and Territory when employing and supervising persons under 15.
Date of Birth (DD/MM/YY):
/ /
Kmart Job Application Form Page 2 of 2
Feb 2015
Section 5:
role requirements
Customer service, replenishment and work on registers involves “being on your feet” for most if not all of your shift and
team members are frequently required to assist customers with products of varying shapes and sizes.
The inherent requirements of the role involves the following functions:
•
Repetitive bending and stooping
•
Reaching and stretching
•
Repetitive kneeling
•
Repetitive gripping and handling
•
Frequent twisting
•
Standing / walking for extended periods
•
Regular lifting of weights up to 10kgs
•
Work above shoulder height
•
Irregular lifting of weights 10–17kg
•
Assisted lifting of weights greater than 17kgs
Please provide details below if you have any injuries, illnesses or disabilities of which you are aware and which you
believe may prevent you from performing any of the above tasks:
Please note that if you fail to disclose an existing condition, then any future aggravation of your condition arising out of
your employment may be disqualified from compensation under applicable Worker’s Compensation legislation.
Section 6: work history
If applicable, please attach a copy of your resume. If you don’t have a resume and have previous experience, please list
the employer, your job title and dates of employment below.
Employer
Dates
Position Title
Employer
Dates
Position Title
Employer
Dates
Position Title
Employer
Dates
Position Title
Please note, if you proceed to interview at Kmart, you need to bring details of your referees.
Section 7:
d
eclaration
and s
ignature
The information collected on this form, any notes taken at the interview and any further information collected about you
throughout other stages of the recruitment process will be used for the purposes of recruitment and selection within
Kmart Australia Limited (Kmart) and / or Kmart New Zealand Limited (Kmart NZ).
• The information collected through this process may be disclosed to and shared with referees, Kmart stores and
businesses, third party agents who are contracted to perform recruitment services for Kmart from time to time, other
organisations that have a vested interest in the recruitment process, and security or government organisations as
required.
• You have the right to access and update your personal information if it is inaccurate.
• Please be aware that if you choose not to consent to providing this information, Kmart may be unable to make a
conclusive decision regarding your prospective employment.
I acknowledge the above and provide my consent to Kmart to obtain, collect, use and disclose personal information in the
manner described above.
I hereby declare that all the information given on this form and attached resume, signed and dated by me, is true and
complete. I understand that providing any false or misleading information is an offence under Australian/New Zealand
law and may lead to my employment being reviewed and/or terminated.
Signature:
Date:
