Fillable Printable Kmart Australia Job Application Form
Fillable Printable Kmart Australia Job Application Form
                        Kmart Australia Job 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: 
            
    
