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
Are you applying for a picking/packing job OR the Farmers' Market Stall Operators job? *
First name *
Surname / last name *
Email address *
Phone number *
Date of birth *
MM
/
DD
/
YYYY
Have you worked at Blueberry Fields before? *
Required
Where are you currently living? *
Are you an Australian citizen or resident? *
Required
What is your nationality?  as per your passport/birth certificate *
If you are a Visa holder, please select your visa type:
Clear selection
What is your visa expiry date?
MM
/
DD
/
YYYY
How many hours per week would you like to work? *
Required
When are you willing to work?
How long would you like to work with us for? *
Have you supervised employees before?
Have you worked on a farm, in a packing shed, or in a plant nursery before? *
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.
What other type of work have you done – either in Australia or overseas?
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)
Do you have experience with computing? Please specify software, equipment, how long for and level of expertise.
Do you hold a current driver’s licence, valid in Australia?
Clear selection
How will you get to work each day?
Clear selection
What is your first language? *
Please describe your level of English language skills *
Please list the last two employers/businesses you worked for?
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? *
In yes, please list.
Have you ever had or do you suffer from any foodborne illness or allergies? For example, hepatitis, allergy to bees. *
If yes, please list.
Smoking is not allowed on any outdoor or indoor part of the farm at Blueberry Fields. Do you smoke cigarettes or similar? *
If yes, do you think you can attend work for a whole day without smoking on the property?
Clear selection
Where did you hear about Blueberry Fields?
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