KOINONIA ENTERPRISES

ABN: 90162808102
Postal Address: PO Box 3161
Rhodes NSW 2138
Email: Career@koinoniaenterprises.com.au
It’s All About Network
Website: www.Koinoniaenterprises.com.au

APPLICATION OF EMPLOYMENT
The information supplied in this document and in your application will be treated in the strictest of confidence

APPLICANT DETAILS
Title:

Surname: Given Name/s:

Date of Birth: / /

Home Address:

Suburb:

State: Postcode:

PERSONAL CONTACT DETAILS

Work Phone:

Mobile:

Home Phone:

Email:

EMERGENCY CONTACT DETAILS

Name:

Relation to applicant:

Mobile:

Address:

QUALIFICATIONS
KOINONIA ENTERPRISES
ABN: 90162808102
Postal Address: PO Box 3161
Rhodes NSW 2138
Email: Career@koinoniaenterprises.com.au
It’s All About Network
Website: www.Koinoniaenterprises.com.au

Local qualifications:

Overseas qualifications:

 Are you an Australian Citizen / Permanent Resident? Yes/No

 If no, do you have a working visa? Yes/No

 If yes, please provide the visa number or subclass: ………………………

 (Note: to be eligible for employment, applicants must have the appropriate work visa or have permanent
residency status

 Are you of Aboriginal or Torres Strait Islander descent? Yes/No

 Do you have the following Tickets/licenses?

Yes/No Grade
Australian Driving license HR MR
White Card License No:
First Aid
Working at heights
Tower Rescue
EWP
RF Awareness
Dogging
Rigging RB, RI or RA

Your expected hourly rate is (Casual) …………$/hr

Your expected hourly rate is (full time) …….…$/hr

EXPERIENCE:
KOINONIA ENTERPRISES
ABN: 90162808102
Postal Address: PO Box 3161
Rhodes NSW 2138
Email: Career@koinoniaenterprises.com.au
It’s All About Network
Website: www.Koinoniaenterprises.com.au

Overseas Experience:

Local Experience:

Are you ready to work under wet/sunny /cold condition? Yes / No

Are you ready to work in any area around Sydney inside NSW? Yes / No

Are you ready to work to other states? Yes / No

Are you ready to work for long hours per day? Yes / No

Are you ready to work on weekends? Yes / No

Are you planning to travel outside Sydney on the next 6 months? Yes / No

Do you currently do any studies in Australia? Yes / No

If yes, please provide details below

Do you smoke? Always/Socially /Never

Do you drink alcohol? Always/Socially /Never

HEALTH /MEDICAL CONDITION

KOINONIA ENTERPRISES
ABN: 90162808102
Postal Address: PO Box 3161
Rhodes NSW 2138
Email: Career@koinoniaenterprises.com.au
It’s All About Network
Website: www.Koinoniaenterprises.com.au

Are you physically fit to perform physical work? Yes / No

Are you currently on any regular medications? Yes / No

If yes, please specify below

Do you have any pre-existing injury or disease of which you are aware that you could reasonably be
expected to foresee, could be affected by the nature of the duties and responsibilities of the position for
which you are applying Yes / No

If yes, please provide a brief description (or a separate advice) below:

(Note: Failure to make such a disclosure or the making of a false or misleading disclosure forfeits you the
right to compensation under the Accident Compensation Act 1985)

Do you have any convictions, finding of guilt and/or pending police charges against you that are less than 10
years old? Yes/No

If yes, please provide brief details below:

EMPLOYMENT DETAILS
Are you currently employed? Yes/No
KOINONIA ENTERPRISES
ABN: 90162808102
Postal Address: PO Box 3161
Rhodes NSW 2138
Email: Career@koinoniaenterprises.com.au
It’s All About Network
Website: www.Koinoniaenterprises.com.au

Employment Type Permanent / Contract /Casual

Work Place

Position Title:

How long have you been with this employer?

REFEREE DETAILS
Name of Referee:

Position:
Contact No:

Name of Organization:

DECLARATION
I hereby declare that the above information is correct and complete to the best of my knowledge and belief. I
understand that, if I am employed, I will be liable to dismissal if any of the statements in my application are
found to be deliberately misleading.

Applicants Name (print):

Date:

/ /

Note: Completed application to be emailed to career@koinoniaenterprises.com.au