Employee Details Form Employee Induction Documents - Employee Details Form (#11)Applying for PERMANENT CASUALFirst NameLast NamePreferred nameGender MALE FEMALE AddressStreet number and nameCityStatePostcodeMobileHome PhoneEmailDate of birthLanguages spokenAboriginal EnglishAcehneseAcholiAdélie Land (France)AdnymathanhaAdnymathanhaAfrican LanguagesAfrican Languages, necAfrikaansAkanAlawaAlbanianAlngithAlyawarrAmerican LanguagesAmharicAmharicAmurdakAnindilyakwaAnmatyerr, necAntekerrepenhAntikarinyaAnuakArabanaArabicArandic, necArmenianAromunianArrernte, necAssameseAssyrian Neo-AramaicAuslanAustralian Indigenous LanguagesAzeriBaanbayBadimayaBalineseBalochiBandjalangBanyjimaBarababarabaBardiBariBasqueBassaBatjalaBelorussianBembaBengaliBidjaraBikolBilinarraBisayaBislamaBosnianBulgarianBunubaBurarraBurarran, necBurmanBurmeseBurmese and Related Languages, necCantoneseCape York Peninsula AboriginalCape York Peninsula Aboriginal, necCatalanCebuanoCelticCeltic, necCentral AboriginalCentral AnmatyerrChaldean Neo-AramaicChin HakaChineseChinese, necCroatianCzechCzechoslovakianDaatiwuyDadi DadiDalabonDan (Gio-Dan)DanishDariDhalwanguDhanggattiDhangu, necDharawalDhayyi, necDhivehiDhuwal, necDhuwala, necDhuwayaDinkaDiyariDjabugayDjabwurrungDjambarrpuynguDjanguDjapuDjarrwarkDjinang, necDjinbaDjinba, necDravidianDravidian, necDutchDyirbalEastern AboriginalEastern AnmatyerrEastern ArrernteEastern European LanguagesEnglishEweFijianFijian HindustaniFilipinoFinnishFinnish and Related Languages, necFrenchFrisianFulfuldeGaelicGalpuGamberaGamilaraayGanalbinguGarrwaGaruwaliGeorgianGermanGilberteseGirramayGithabulGolumalaGooniyandiGreekGudanjiGudjalGugu YalanjiGujaratiGumatjGumbaynggirGun-nartpaGundjeihmiGupapuynguGurindjiGurindji KriolGurr-goniGuugu YimidhirrGuyamirrililiHakkaHarariHausaHawaiian EnglishHazaraghiHebrewHindiHmongHmong-MienHmong-Mien, necHungarianIbanIberian RomanceIberian Romance, necIcelandicIgboIIokanoIlonggo (Hiligaynon)Indo-AryanIndo-Aryan, necIndonesianInvented LanguagesIranicIranic, necIrishItalianIwaidjaJaminjungJapaneseJaruJavaneseJawiJawoynJinguluKalaw Lagaw YaKanaiKannadaKarajarriKarenKariyarraKartujarraKashmiriKaurnaKayardildKaytetyeKeerray-WoorroongKhmerKijaKikuyuKimberley Area Languages, necKinyarwanda (Rwanda)Kirundi (Rundi)KiwaiKoko-BeraKonkaniKoreanKpelleKrahnKrioKriolKugu MuminhKukathaKukatjaKunbarlangKuneKuninjkuKunwinjkuKunwinjkuan, necKurdishKuuk ThayorreKuuku-YauKuwemaLadji LadjiLamalamaLaoLardilLarrakiyaLatinLatvianLetzeburgishLiberian (Liberian English)Light WarlpiriLithuanianLiyagalawumirrLiyagawumirrLoma (Lorma)LugandaLumun (Kuku Lumun)LuoLuritjaMacedonianMadarrpaMadiMakatonMalak MalakMalayMalayalamMalnginMalteseMandaean (Mandaic)MandarinMandinkaMangalaMangarrayiManggaliliMannManyjalpinguManyjilyjarraMaori (CI)Maori (NZ)MarathiMaringarrMarraMarramaninyshiMarranguMarridan (Maridan)MarrithiyelMartu WangkaMatngalaMaungMauritian CreoleMayaliMeryam MirMiddle Eastern and North African Languages, necMin NanMiriwoongMirningMonMon-KhmerMon-Khmer, necMongolianMoro (Nuba Moro)MorrobalamaMotuMudburraMurrinh-PathaMuruwariNa-karaNarunggaNauruanNdebeleNdjébbana (Gunavidji)NepaliNgaanyatjarraNgalakganNgaliwurruNgandiNgangkikurungurrNgardiNgarinyinNgarinymanNgarlumaNgarrindjeriNgatjumayaNhanguNhangu, necNiueNon VerbalNorthern AboriginalNorthern Aboriginal, necNorthern Desert Fringe Area Languages, necNorwegianNuerNungaliNunggubuyuNyamalNyangumartaNyanja (Chichewa)NyikinaNyungarOceanian Pidgins and Creoles, necOceanic Austronesian Languages, necOceanic Pidgins and CreolesOriyaOromoOther Australian Indigenous Languages, necOther Eastern Asian Languages, necOther Eastern European Languages, necOther Southeast Asian Languages, necOther Southern Asian Languages, necOther Southern European Languages, necOther Southwest and Central Asian Languages, necOther Yolngu Matha, necPaakantyiPalyku/NyiyaparliPampanganPapua New Guinea Languages, necPashtoPintupiPitcairnesePitjantjatjaraPolishPortuguesePunjabiRéunionRembarrngaRirratjinguRitharrnguRohingyaRomanianRomanyRotumanRussianSamoanScandinavianScandinavian, necSerbianSerbo-Croatian/YugoslavianSeychelles CreoleShillukShonaSign LanguageSign Languages, necSindhiSinhaleseSlovakSloveneSolomon Islands PijinSomaliSouth SlavicSoutheast Asian Austronesian Languages, necSouthern Asian LanguagesSpanishSwahiliSwedishTagalogTaiTai, necTamilTatarTeluguTetumThaiThaynakwithThemneTibetanTigréTigrinyaTimoreseTiwiTjungundjiTjupanyTok PisinTokelauanTonganTorres Strait IslanderTswanaTuluTurkic, necTurkishTurkmenTuvaluanUkrainianUnknownUrduUygurUzbekVietnameseWaanyiWagilakWagimanWajarriWalmajarriWaluwarraWambayaWangkajungaWangkangurruWangkathaWangurriWanyjirraWardamanWargamayWarlmanpaWarlpiriWarnmanWarramiriWarumunguWelshWergaiaWest Coast AboriginalWest SlavicWestern ArrarntaWestern Desert Language, necWik NgathanWik-MungkanWiradjuriWorlaWorrorraWuWubulkarraWunambalWurlakiXhosaYakuy, necYan-NhanguYankunytjatjaraYanyuwaYapeseYawuruYiddishYidinyYindjibarndiYinhawangkaYorta YortaYorubaYulparijaYumplatok (Torres Strait Creole)YupangathiZuluNationality- Select -AfghanAlbanianAlgerianAmericanAndorranAngolanAntiguansArgentineanArmenianAustralianAustrianAzerbaijaniBahamianBahrainiBangladeshiBarbadianBarbudansBatswanaBelarusianBelgianBelizeanBenineseBhutaneseBolivianBosnianBrazilianBritishBruneianBulgarianBurkinabeBurmeseBurundianCambodianCameroonianCanadianCape VerdeanCentral AfricanChadianChileanChineseColombianComoranCongoleseCosta RicanCroatianCubanCypriotCzechDanishDjiboutiDominicanDutchEast TimoreseEcuadoreanEgyptianEmirianEquatorial GuineanEritreanEstonianEthiopianFijianFilipinoFinnishFrenchGaboneseGambianGeorgianGermanGhanaianGreekGrenadianGuatemalanGuinea-BissauanGuineanGuyaneseHaitianHerzegovinianHonduranHungarianI-KiribatiIcelanderIndianIndonesianIranianIraqiIrishIsraeliItalianIvorianJamaicanJapaneseJordanianKazakhstaniKenyanKittian and NevisianKuwaitiKyrgyzLaotianLatvianLebaneseLiberianLibyanLiechtensteinerLithuanianLuxembourgerMacedonianMalagasyMalawianMalaysianMaldivianMalianMalteseMarshalleseMauritanianMauritianMexicanMicronesianMoldovanMonacanMongolianMoroccanMosothoMotswanaMozambicanNamibianNauruanNepaleseNew ZealanderNi-VanuatuNicaraguanNigerianNigerienNorth KoreanNorthern IrishNorwegianOmaniPakistaniPalauanPanamanianPapua New GuineanParaguayanPeruvianPolishPortugueseQatariRomanianRussianRwandanSaint LucianSalvadoranSamoanSan MarineseSao TomeanSaudiScottishSenegaleseSerbianSeychelloisSierra LeoneanSingaporeanSlovakianSlovenianSolomon IslanderSomaliSouth AfricanSouth KoreanSpanishSri LankanSudaneseSurinamerSwaziSwedishSwissSyrianTaiwaneseTajikTanzanianThaiTogoleseTonganTrinidadian or TobagonianTunisianTurkishTuvaluanUgandanUkrainianUruguayanUzbekistaniVenezuelanVietnameseWelshYemeniteZambianZimbabweanWork visa numberExpiry DatePassport NumberExpiry DateKnown Allergies/DiseasesPre-existing medical conditionsMedicationsAvailability for workMondayTuesdayWednesdayThursdayFridaySaturdaySundayPlease indicate which suits you best AM PMI am available to work any time Yes NoI agree to allow any relevant background checks (including criminal records) to be conducted prior to & during my employment. As well as receiving via email relevant induction information for my reference. Marland Mushrooms is an equal opportunity employer offering a richly diverse workplace culture. Yes NoSignature Sign Here DateSubmit Form