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Mountain blue Blueberry Fields employment form
Please complete this form if you are interested in picking or packing work at Blueberry Fields.
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* Indicates required question
First name
*
Your answer
Surname / last name
*
Your answer
Phone number ( ex. 0422 1234 5678 )
*
Your answer
E-mail address
*
Your answer
Date of birth ( dd/mm/yyyy )
*
Your answer
Where are you currently living?
*
Your answer
What is your nationality? as per your passport/birth certificate
*
Your answer
Have you worked at Blueberry Fields before
*
yes
No
Required
If you are a Visa holder, please select your visa type (Only valid working visa holders can apply)
*
Working Holiday Visa
Student Visa (with ability to work)
COVID-19 Visa
Permanent Resident / Citizen
Bridging Visa
Other:
What is your visa expiry date? (dd/mm/yyyy)
*
Your answer
Please describe your level of English language skills
*
Poor
Good
Fluent
Desired position
*
Blueberry Picker
Blueberry Packer
Pork lift
How will you get to work each day?
*
I have my own car, van or similar
Transport with a friend who is also applying
Other:
Are you aware of any health concerns that may prevent you from performing the role of picker, packer or farm worker? For example, tasks involving lifting, bending, reaching, walking and standing for long periods of time?
*
Yes
No
In Yes, please list.
Your answer
Have you ever had or do you suffer from any food borne illness or allergies? For example, hepatitis, allergy to bees.
*
Yes
No
Required
In Yes, please list.
Your answer
Where did you hear about Mountain blue Blueberry?
*
Word of mouth
Internet search
Facebook / Instagram
Other:
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