Mcdonald'S Crew Employment Application Form - 2016

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2016 McDONALD’S CREW EMPLOYMENT APPLICATION FORM
PAYROLL USE ONLY
Unit No: ______ Employee No: ___________
Store Name: _
PERSONAL DETAILS
First Name: ________________ Middle Name: ________________ Surname: ______________
(as it appears on your birth cert)
Home Address: ________________________
Date of Birth: ___/___/____ Telephone: (H)______________________ Mobile No(s):
Email address :
AVAILABILITY.
Number of days you would like to work per week: ______Total Number of hours you would like to work per week: ________
Please indicate days and times available to work:
DAY
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
SUNDAY
FROM
TO
Do you have transportation to and from work? Yes: ______ No ____ Are you eligible for employment in Fiji: Yes ___ No____
PREVIOUS EMPLOYMENT DETAILS AND REFERENCES
Have you ever worked for McDonald’s before?
No:_______ Yes:_____ No: ______ Store : _________________ From : _________________ To: ______________________
Reason for leaving ___________________________________________
Current or Most Recent Employer: _____________________________________ Address: _________________________
Position/Job: _____________________ From: ___________________ To: ________________________________________
Contact Person/Referee & Position Held: __________________________________ Telephone: ________________________
Next Most Recent Employer: ______________________________ Address: _______________________________________
Position/Job: _________________________ From: _________________________ To: _______________________________
Contact Person/Referee &Position Held: _______________________________Telephone: ____________________________
PERSONAL REFERENCE AND EDUCATION DETAILS
Person (excluding former employer or relative) known for at least one year.
Name: ________________________ Occupation: ______________________ Telephone: _____________________________
Currently attending School/University etc? No ___ Yes_____: Year/Level: _____ If not currently attending: Level __________
Achieved: ____ Year Left School: ______
Name of current School/University etc, or last attended: ____________________ Location: _________________________
Referee/ Teacher if available: ____________________________ Telephone: _____________________________________
GENERAL
Do you have any serious illness or medical condition? No: ______ Yes: _______; Nature of same: _____________________
Have you ever made a claim for worker’s compensation? No: _____ Yes: ______; Nature of illness, injury: ______________
Have you ever convicted of a crime other than a minor traffic offence?
No: ______ Yes: ______; please specify: ____________________________________________________________________
Please detail any further skills, qualifications or experience in support of this application: ______________________________
______________________________________________________________________________________________________
____________________________________________________________________________________________________
PERSONAL *
Male: _______ Female: _______ Dependants; Spouse: No _____ Yes _____ Number of Children: _____________________
In case of emergency please notify:
Name: _______________________; Relationship: _____________________; Telephone (Home) ___________________
Address: _______________________________________________________ Telephone (Mobile) _________________
Fiji National Provident Fund / TIN #
Please provide your FNPF #
& TIN #
(Please note that these are necessary for employment in Fiji)
MANAGER’S USE ONLY
Basis of Employment: Crew ___________ Maintenance:________ Clock No: ______________
Full-Time : _______________; Part-Time: _______________; Casual: ____________________
Part-Time: Number of Hours: ______________ per week;
Start Date: ________________________________ Uniform: _________________________________
AUTHORISATION AND DECLARATION
As a condition of my application, I authorize investigation of all statements contained herein and I understand that
misrepresentation or omission of facts called for is just caused for dismissal. I agree to follow the rules and regulations of
Government authorities and such rules and regulations that McDonald’s Fiji Limited may prescribe.
Applicant’s Signature: _____________________ Date: ____________ Manager’s Signature: ______________ Date:
Receiving Manager:
Date:
Acknowledged: (Y/N)

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