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Quotation Request
Please either forward resume by e-mail including the position for which you are applying OR complete the following;
Position Applied For
Given Names
Surname
Home Address
Suburb*
Postcode*
State*
ACT
NSW
NT
QLD
SA
TAS
WA
VIC
Phone Number
Mobile
Email Address
Are you an Australian Citizen?
---
yes
no
If yes, can you produce evidence if required?
---
yes
no
If no, do you have the right of permanent residence?
---
yes
no
If no, do you have a work permit ?
(production of a passport if required for verification)
(You may be asked to provide a copy of these documents)
Education
Name of Highest Qualification
Other Education
Institution Attended
Do you speak any Language other than English?
Have you undertaken the 5 hour Industry Safety Induction Training?
---
yes
no
If yes, what is your WorkCover "C" number?
Do you have a First Aid Certificate?
---
yes
no
If yes, what is the expiry date?
Have you undertaken a Safety Committee Course?
---
yes
no
Employment History
Present/Recent Employer
from
to
Company
Position Held
Address
Main Duties
Reason for Leaving
Next most Recent Employer
from
to
Company
Position Held
Address
Main Duties
Reason for Leaving
Give details of any other job which may be relevant
Referees
(at least two referees, preferably from where you have worked)
Name
Position
Phone
Address
Name
Position
Phone
Address
Name
Position
Phone
Address
General
Do you have a current drivers licence?
---
yes
no
If yes, what class?
Drivers Licence number?
Medical / Health
Do you agree to undergo a medical examination if required?
---
yes
no
Please provide any other details you would like us to know