Employment Application Form (Canopy Mangement) 2021

All fields in this form are requried to be completed unless indicated. Required fields are marked (*)  Please ensure you have read all of the Essential Reading files and have your Passport files ready to upload where indicated.

Page 1

Personal Details

Please type your First name.

Please type your Middle name.

Please type your Family name.

Please type your preferred name.

Please type your phone number

Invalid email address.

Please provide full details of your residential address

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Postal Address - please complete the following fields if different from residential address. (Please skip if not required.)

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Please type your date of birth.

Please type your current age

Please type your country of birth

Please type your current nationality

Page 2

Emergency contact details (if you have an accident, we need to contact your family)

Please type your emergency contact Name

Please type your emergency phone number

Please type your emergency email

Please type emergency contact's relationship to you

Page 3

Documentation for 'Right to Work in Australia'

Please type your desired employment duration

Please tick yes or no

Please tick yes or no

Please tick yes or no

For all persons on a working visa & Australian Citizens

Please provide your passport number.  For Australian Citizens, please provide either passport or drivers licence information.

Please type your passport number

Please type your passport country of issue

Please type your passport expiry date

Please type your working visa expiry date

For Visa workers, you will need to upload the 2 items described below to accompany this Application for Employment;  for Australian citizens, please instead upload a photo of your drivers licence.

  1. A copy of  your passport page that has the photo of you and all the passport information (passport number, expiry date etc.)
  2. A copy of your visa grant notice

These can be .jpg file format, you can take a photo of these with your phone, this will be the right format for us.  The images must be clear and easy to read.

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Page 4

Information needed for payment of wages

Tax File Number - Failure to supply a Tax File Number after 04 weeks work requires us to tax you at 50% of your pay until you supply one.  If you have a Tax File Number, please type it into the filed below, if you don't have one, please tell us if you are in the process of acquiring one, or if you don't have one.

Please type your tax file number

Your Bank Account

Please supply your bank account details.  Double check these are correct so that your wages go to the right account.  If you supply wrong banking details, Margaret River Viticultural Services will not be legally responsible should your pay to into a wrong account.

Please type your Bank name

Please type your bank branch

Please type your BSB

Please type your bank account number

Please tick yes or no

Please type your account name

Superannuation

We are required by law to pay an extra 10.00% of whatever you earn weekly into a retirement (Superannuation) fund.

As of 01 November 2021, the Australian Government has mandated that employees who possess a superannuation fund MUST now provide their employer the name and membership number of the fund.

If an employee has more than one fund, normally the most recently one is used.

The only way we can open a Superannuation fund for you is if you DO NOT already possess one.

Please type your Superannuation Fund name

Please type your superannuation member number

If you don't have an Australian Superannuation account, do you give permission for Margaret River Viticultural Services to open one for you?

Please tick yes or no

Page 5

Your Medical History (private and confidential)

Please tick yes or no

Please type in any medical conditions

Please tick yes or no

Doctor's contact details

Please type in Doctor's name

Please type in Doctor's address

Please type in Doctor's phone

Have you ever SUBMITTED AN INSURANCE CLAIM for an injury in a workplace whilst employed?

Please tick yes or no

If Yes, please explain what happened and how your injury was managed.

Please provide details of your workplace injury

Page 6

Employee Questionnaire

If you are late for work, do you feel that you should be given a warning?

Please tick yes or no

Are you responsible to bring your own sufficient amount water and food to work?

Please tick yes or no

Are you a hard-working person who ALWAYS does their best at work?

Please tick yes or no

Do you follow the instructions that your supervisor gives  you and do your best?

Please tick yes or no

Should lazy and inefficient workers be allowed to stay on our team?

Please tick yes or no

Are you capable of working in ALL weather conditions - for example: rain/heat etc?

Please tick yes or no

Are you responsible to wear clothing suitable for the weather? For example, if it is raining, do you have your rain clothes and boots in the car to change into?

Please tick yes or no

If you are incompetent and aren't able to do a good job, should you be fired?

Please tick yes or no

Do you complain a lot about having to do hard/uncomfortable jobs?

Please tick yes or no

Do you believe that everyone in the team must get along and work together?

Please tick yes or no

Are you aware that vineyard work is difficult and working outdoors in all types of weather is NOT suitable for all types of people?

Please tick yes or no

If you cannot work or you are running late, will you call to let your supervisor know?

Please tick yes or no

Do you believe that working unsafe is okay and no problem?

Please tick yes or no

If you believe that something is unsafe, will you inform your supervisor immediately?

Please tick yes or no

Do you have a duty to yourself and your team mates to work safely?

Please tick yes or no

In the heat of the warmer months, should you wear sun protection (such as a broad hat, sunscreen, long sleeves, long pants) and bring more water/food to work?

Please tick yes or no

In the cooler months, should you bring more warm clothes and some spare clothes in case it is very cold or heavy rain?

Please tick yes or no

If you see a team member working unsafely, will you stop them and inform your supervisor immediately?

Please tick yes or no

Will you refuse to do a task that you feel is unsafe?

Please tick yes or no

Is harassment (sexual/verbal/physical) permitted at work by anyone?

Please tick yes or no

Is harassment grounds for immediate dismissal?

Please tick yes or no

Do you have a duty to tell your supervisor if you witnessed what you believe to be harassment in any type for form?

Please tick yes or no

Page 7

Margaret River Viticultural Services - Fit for Work

Please read the statements and points below.  By submitting this Application for Employment form (Harvest Season), it is deemed that you agree and accept these terms and conditions.

  1. By submitting this form, I certify that when I show up for my shift on any given day, I am fit to carry out my work duties.
  2. Fit for work means:
    1. I am without ANY injury
    2. I am not feeling sick (medical or other)
    3. I am prepared to work for the normal 8.00-hour day and am prepared physically and mentally.
    4. I fully understand the physical nature of my duties and fully understand that should I not be fit for work; I would be unable to carry out my duties.
  3. Unfit for work means:
    1. I am with injury
    2. I am feeling sick (medically, mentally, depression, personal and other causes)
  4. I have a full understanding of what is required at work and I am fit to carry out my duties.
  5. I will NOT turn up for work on any given day if I am feeling that I am NOT fit for work.
  6. I will NOT continue working on a day should I become unfit for work during the course of my shift and I will stop working immediately and inform my supervisor of the reason I am identifying that I am unfit to continue the rest of my shift.
  7. I understand that Garshey’s may terminate my employment on the grounds that I am unable to continue working on a day to day basis due to my being unfit for my duties.
  8. I agree to these terms and conditions in this Application for Employment form without coercion or under duress.
  9. My supervisor has explained to me that it is unlawful to put my name to and sign on any document that I haven’t read, understood or not truthful.

I HAVE READ and accept the terms and conditions contained within these documents:

  1. Canopy Management Notes
  2. Employment Information
  3. JSA Canopy Management
  4. Sulfur spraying in canopy management
  5. Work issued Safety Vest Agreement

 

Please tick YES if you agree and accept all terms and conditions

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