JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Blueberry Fields employment form
Please complete this form if you are interested in picking or packing work at Blueberry Fields.
If you are interested in working for us, please do not move to the area until you have been offered a role and have undergone our COVID-19 screening process.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Are you applying for a picking/packing job OR the Farmers' Market Stall Operators job?
*
Picking/packing
Farmers' Market Stall Operator
First name
*
Your answer
Surname / last name
*
Your answer
Email address
*
Your answer
Phone number
*
Your answer
Date of birth
*
MM
/
DD
/
YYYY
Have you worked at Blueberry Fields before?
*
Yes
No
Required
Where are you currently living?
*
Your answer
Are you an Australian citizen or resident?
*
Yes
No
Required
What is your nationality? as per your passport/birth certificate
*
Your answer
If you are a Visa holder, please select your visa type:
1st year – Working Holiday Visa
2nd year – Working Holiday Visa
3rd year – Working Holiday Visa
Student Visa (with ability to work)
Bridging Visa
Other:
Clear selection
What is your visa expiry date?
MM
/
DD
/
YYYY
How many hours per week would you like to work?
*
0-10 hours/week
11-38 hours/week
40 hours +/week
As required
Required
When are you willing to work?
Weekdays – Monday to Friday
Weekends – Saturdays and Sundays
Afternoon shifts – e.g. 3pm - 8pm
All of the above
None of the above
How long would you like to work with us for?
*
Less than 1 month
1 - 3 months
3 - 6 months
Long Term
Have you supervised employees before?
Yes – 0 - 10 people
Yes – 10 - 50 people
No
Have you worked on a farm, in a packing shed, or in a plant nursery before?
*
Yes – picking
Yes – packing shed
Yes – farm or nursery work
No to all
Required
If you answered yes to picking, packing, farm or nursery work, please tell us the type of fruit or vegetable, where, and how long you worked.
Your answer
What other type of work have you done – either in Australia or overseas?
Your answer
Have you worked outdoors in a sub-tropical climate? (Please specify activity, how long you worked there and average number of hours worked each day)
Your answer
Do you have experience with computing? Please specify software, equipment, how long for and level of expertise.
Your answer
Do you hold a current driver’s licence, valid in Australia?
Yes
No
Clear selection
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:
Clear selection
What is your first language?
*
Your answer
Please describe your level of English language skills
*
Poor
Good
Fluent
Please list the last two employers/businesses you worked for?
Your answer
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 foodborne illness or allergies? For example, hepatitis, allergy to bees.
*
Yes
No
If yes, please list.
Your answer
Smoking is not allowed on any outdoor or indoor part of the farm at Blueberry Fields. Do you smoke cigarettes or similar?
*
Yes
No
If yes, do you think you can attend work for a whole day without smoking on the property?
Yes
No
Clear selection
Where did you hear about Blueberry Fields?
Word of mouth
Internet search
Facebook / Instagram
Other:
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms