Work Application Form

1. PERSONAL DETAILS
Full Name*
Phone*
Address*
Street Address Address Line 2 Suburb State Postcode Country
Upload your resume*
Position Applied for*
Applying for
Why are you interested in this position?
Do you have cleaning experience?*
- Yes
- No
Do you have laundry experience?*
- Yes
- No
Cleaning/Laundry experience history
2. POLICE CHECKS
Do you have a current police check (less than 3 years old)?*
- Yes
- No
Upload a copy of your Police Certificate here
Please go to this link to obtain a police check ASAP if you would like a job with us.
Click here for link...

We look forward to seeing your application
Majestic Services Group Pty Ltd (Majestic) must view the original copy of your police certificate. Failure to provide will disqualify your application with our organization.
Have you had any convictions?*
- Yes
- No
Please state the conviction/s:
Please note: In accordance with the Aged Care Act 1997, there are disclosable records which will exclude you from being considered for employment. Any other disclosable record will be assessed, and may or may not result in exclusion from employment.
3. STATUTORY DECLARATION – SUITABILITY ASSESSMENT
As part of this application you must sign the attached statutory declaration as a requirement of the Aged Care Act 1997.

Every person who works in aged care must provide a valid Statutory Declaration under the Aged Care Act 1997 and the Police Certificate Guidelines for Aged Care Providers.
From the age of 16 years, have you been a citizen or permanent resident of a country or countries other than Australia?*
- Yes
- No
Have you been convicted of murder or sexual assault or been convicted of and sentenced to imprisonment for any other form of assault?*
- Yes
- No
Download stat dec template
Click here...
Upload your statutory declaration*
The Statutory Declaration under the Statutory Declaration Act 1959 must be made before an authorised representative i.e. police officer, pharmacist, nurse, etc.

Please open the attachment for a list of authorised personnel.
4. CITIZENSHIP/VISA STATUS
a. Are you an Australian Citizen?*
- Yes
- No
b. Are you a permanent resident?*
- Yes
- No
c. Are you legally allowed to work in Australia?*
- Yes
- No
d. Do you have restricted hours?*
- Yes
- No
Maximum weekly hours
5. BIRTH CERTIFICATE OR PASSPORT

All successful applicants must provide a copy of their passport or birth certificate as part of their employment.

If you were born overseas, a copy of your passport must also be provided.
Upload your birth certificate
Upload your passport
6. LONG SERVICE LEAVE
Are you on long service leave from your current employer?*
- Yes
- No
Please list details of your employer:
Company Name*
Person*
Phone Number*
Please provide details of the days and shifts that you are employed at your other job.*
Please Note: It is a criminal offence to work while on long service leave or to employ someone who is on long service leave unless you work different hours and days from which you are on long service leave from.
7. QUALIFICATIONS (only detail if information is not on your resume)
Experience/recent employment history*
Are you currently completing a course?*
- Yes
- No
Course*
8. PRE-EXISTING INJURY DECLARATION FORM

Majestic provides a safe work environment for its employees.

You are required to disclose to Majestic any pre-existing illness, disease, injury, aliment or condition that you have suffered or continue to suffer of which you are aware and could reasonably be expected to foresee and could be affected by the nature of the proposed employment.

You must complete the attached Pre-existing Injury or Disease Declaration as part of this work application form.
Download pre-existing injury declaration form
Click here...
Upload your form*
9. REFERENCES (if not provided on your resume)

Please provide two (2) professional referees, one from a current employer, if possible, who will be contacted in relation to your experience and performance.
Name
Position
Organization
Contact Number
Name
Position
Organization
Contact Number
DECLARATION OF PRIVACY

Majestic acknowledges and respects the privacy of individuals. This information is being collected for the purposes of potential employment. The provision of this information is voluntary, but if this information is not provided, Majestic may not be able to assess your application for employment adequately. In signing this document, you are providing your consent for Majestic to contact your nominated referees. The information collected will be held by Majestic and Majestic will take reasonable steps to protect any personal information it holds form misuse, modification, loss or unauthorized access until it is no longer required. At such time that the information is no longer required, Majestic will take reasonable steps to destroy or permanently de-identify the information.
10. CONDITIONS OF EMPLOYMENT

All Majestic employees are bound by the following conditions. As an employee:
- I agree to notify the Managing Director or delegate if I am taking prescription drugs which may impair my judgment in carrying out allocated duties.
- I agree and understand that I cannot consume any intoxicating substance while on duty and that I must not attend for duty affected by the consumption of any substance.
- If required to have driving responsibilities, I understand and agree that I must hold a current driver’s license in the state that I reside. If I have an interstate license at the time of employment I agree that I must produce a license to the Managing Director or delegate within three months of commencing employment for the state that I reside in.
- I will inform the Managing Director or delegate immediately if my driver’s license is suspended or cancelled and understand that this may lead to termination of employment.
- I will not use my employment with the organisation to make any personal gain at the expense or potential loss of the organization.
- If I sustain an injury or illness directly outside of the course of my employment I will promptly advise the Managing Director or delegate.
- If I sustain an injury during the course of my employment I will promptly advise the Managing Director or delegate and complete a Staff Incident Report. The completed form must be given to the Managing Director or delegate as soon as reasonably practicable.
11. AGREEMENT
I
*
declare this Work Application Form to contain true and correct information and consent to any reference checks which may be necessary to support this application.
If my application is successful, I agree to be bound to the conditions of employment and the policy and procedures of Majestic Services Group. Should it be proven that any answers given by me as part of this application are incorrect or I have breached the Conditions of Employment I will accept Majestic’s right to immediately terminate my employment.

I understand that should my application be unsuccessful, all information regarding my application including referee checks will be destroyed.

Enquire Now

1300 273 774

Australian Owned and Operated

Australian Owned and Operated Majestic Aged Care Services is a 100% Australian owned and operated cleaning and laundry company that specialises in aged care cleaning and laundry programs. We are dedicated to making a difference to the lives of the elderly and to uphold the highest level of infection control standards.