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The Village Baxter
8 Robinsons Road,
FRANKSTON SOUTH
Victoria, 3199

PH. (03) 5971 1349
FX. (03) 5971 1317
ABN.96 006 640 544


 

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Careers

Employment Application

 

Contact Details
 
Title     
Surname
Christian Names

 

DOB
Age                                                 

 

Address
Suburb
Postcode                                                 

 

Telephone
Mobile
Business (if applicable)

 

 

 

Qualifications

Position(s) Sought       
                                         

 
What shifts are you available to work?
(Morning, Afternoon/Evening, Night, Weekends) Morning               Afternoon/Evening
Night                    Weekends            

 
Qualifications

 

 

 

Nursing Applications Only
 
Registration No.
Annual Practicing No.

 

 

Have you undertaken any in-service training programs?
 
                             
If Yes, How many hours?

 

 

Employment History
 
Have you worked for the Village previously? If so, what year?                                      

 
Present Employer
Telephone
Address
Suburb
Postcode                                                 

 
Position Held
Reason for leaving
Actual Duties

 
Supervisor's Name
May we contact this person?                               

 

Previous Employer
Telephone
Address
Suburb
Postcode                                                 


Position Held
Reason for leaving
Actual Duties

 
Supervisor's Name
May we contact this person?                               

 

Previous Employer
Telephone
Address
Suburb
Postcode                                                 

 
Position Held
Reason for leaving
Actual Duties

 
Supervisor's Name
May we contact this person?                               

 

 

Referees
Please list name, address and telephone no. of three referees whom we may contact if required.
 
Name
Address
Telephone

 
Name
Address
Telephone

 
Name
Address
Telephone