General Application For Employment

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Queensland Performing Arts Centre
PO Box 3567, South Bank
Queensland Qld 4101
F: 07 3010 6200
General Application for Employment
.au
Date application submitted
/
/
Please complete relevant sections and attach a copy to your resume
Applicant details
Preferred Title
Mr
Mrs
Miss
Dr
Other (please specify):____________________________
First Name
Last Name
Address
Suburb
State
Post code
Mobile Number
Work Number
Home Number
Email Address
Eligibility to work in Australia
Citizenship
YES
NO
If NO, please complete the next section
Permanent
YES
Type of Visa
Residency
Visa Number
Expiry Date
Type of work
Please indicate your preferred employment status and the position you are seeking.
Employment
Full-time
Part-time
Casual
Status
Position Type
Administration
Backstage
(Number in order
Front of House / Usher
Box office / qtix
of preference 1 -
5)
Food and Beverage
Other (please specify)
*Have you accepted a voluntary early retirement (VER) or severance payment from a Queensland Government
YES
NO
entity within the past 12 months?
YES
NO
Have you accepted a Voluntary Separation Payment (VSP) within the last three (3) years?
If Yes, please indicate the date of receipt: _________________
Applicant Availability
Please indicate your preferred weekly availability in the table below by ticking the shifts you would generally be available to work.
Shift hours
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Morning
Able to
commence by:
Lunch
Able to
commence by:
Evening
Able to
commence by:
Applicant’s signature
I declare that to the best of my knowledge and belief, all of the information provided in support of my application is true and correct. I
agree that QPAC may contact referees nominated by myself for job-related reference checking purposes. I am prepared to provide
documentary proof of citizenship for legal entitlement to work in Australia, if required.
Signature
/
/
Date
Privacy Disclaimer
Queensland Performing Arts Centre collects the personal information on this form so that you may express an interest in an advertised
position with QPAC. Authorised QPAC officers have access to this information and will not disclose your personal information to any
third party without your consent or unless required by law. Applications of unsuccessful applicants are kept on file for a period of 12
months and then destroyed.
Equal employment opportunity (EEO)
Responding to this section is voluntary. If you choose to provide the following information, QPAC will treat it as confidential. It will have no bearing on the
selection outcome. QPAC uses this information for statistical purposes to monitor the effectiveness of our recruitment and selection strategies and to
understand the diversity of people applying for jobs with QPAC. You may wish to identify with more than one group or you may decide to tick the “Prefer not
to respond” box.
Date of Birth
Male
Female
Aboriginal People
Torres Strait Islander People
Prefer not to respond
/
/
Person with a disability
Person for a non-English speaking background

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