Register With Us
SECTION 1 – PERSONAL DETAILS
First Name
*
Enter your First Name
Last Name
*
Enter your Last Name
Contact Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State
Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Email
*
example@example.com
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Male
Female
Undisclosed
Are you a permanent resident of Australia?
*
Yes
No
Are you of Aboriginal and/or Torres Strait Islander origin?
*
Yes
No
Are you vaccinated against COVID-19?
*
Yes
I have had one dose of a COVID-19 vaccine
No
If you are not already vaccinated, do you intend to get vaccinated by the 31 January deadline?
*
Yes
No
N/A - I am already vaccinated
If you do not intend to be vaccinated, do you have an approved medical exemption?
*
Yes
No
N/A - I am already vaccinated
Please select which industry applying for.
*
Please Select
Civil Construction
Building
Mining
Other
All
If other, kindly specify
Please select your preferred state and region for work.
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SECTION 2 - AVAILABILITY
Please select your availability for work.
*
Please Select
3-6 months
6-12 months
1-2 years
2-5 years
5+ years
Please select the days you are available to work.
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Are you prepared to work on weekends?
*
Yes
No
Are you prepared to work night shift?
*
Yes
No
Are you prepared to work away from home?
*
Yes
No
Are you prepared to work early mornings and 12 hour shifts?
*
Yes
No
When are you available to commence work?
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
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SECTION 3 - QUALIFICATIONS
Do you hold a current Western Australian manual driver’s licence?
*
Yes
No
What type of driver’s licence do you hold?
*
Please Select
C
LR
MR
MC
HR
HC
Other
Driver’s Licence Number
*
Driver’s Licence Expiry Date
*
-
Month
-
Day
Year
Please upload a photo of the FRONT & BACK of your driver’s licence.
*
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Do you currently hold a Main Roads WA traffic management accreditation?
*
Yes
No
Please select what Main Roads WA traffic management accreditations you currently hold.
Basic Worksite Traffic Management (BWTM)
Traffic Controller (TC)
Worksite Traffic Management (WTM)
Advanced Worksite Traffic Management (AWTM)
Operate Truck Mounted Attenuator (OTMA)
Event Traffic Controller (ETC)
Please upload a photo of the FRONT & BACK of your traffic management accreditations.
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Do you currently hold any other qualifications, accreditations or inductions?
*
Yes
No
Please select the qualifications, accreditations or inductions you currently hold
Prepare to Work Safely in the Construction Industry (White/Blue Card)
First Aid
National Police Clearance
Forklift
Working At Heights
Confined Space
Water Corporation Induction
Western Power Induction
Other (eg. Cert III, Cert IV, trade certificate, Diploma etc.)
If other, kindly specify
Please upload a photo of the FRONT & BACK of the qualifications, accreditations or inductions selected above.
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SECTION 4 – FITNESS FOR WORK
How would you rate your current level of fitness?
*
Very fit – I undertake regular exercise and engage in sporting activities. The work related tasks described present no issues for me
Moderately fit – I exercise occasionally and have no health relate issues. I can perform all work tasks comfortably
Fit – I can undertake all the associated tasks referred to – I have no physical fitness issues
Somewhat fit – I have had some issues relating to physical fitness and I do not generally exercise much outside of work requirements
Are you prepared to undergo and pass a drug and alcohol test and pre-employment medical? We have a zero tolerance policy.
*
Yes
No
Do you have any hearing impairments?
*
Yes
No
If yes, please provide details
Do you have visual or eye impairments?
*
Yes
No
If yes, please provide details
Do you have any allergies?
*
Yes
No
If yes, please provide details
Are you taking any prescribed medications which may impact your ability to work safely?
*
Yes
No
If yes, please provide details
Would you have any issues bending, lifting weight up to 10kg, walking on uneven ground or standing for up to 2 hours at a time?
*
Yes
No
If yes, please provide details
Are you aware of any physical or medical conditions that may restrict you performing work?
*
Yes
No
If yes, please provide details
Have you ever lodged a worker’s compensation claim?
*
Yes
No
If yes, please provide details
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SECTION 5 – WORK REFEREES
We do complete a thorough reference checking process. Would there be anything in your work history that would work against you?
*
Yes
No
Is there anyone from your work history that you would prefer we didn't contact? (eg. current employer)
*
Yes
No
If yes, please provide details
Work Referee 1 Name
First Name
Last Name
Work Referee 2 Name
First Name
Last Name
Work Referee Position
Work Referee 2 Position
Work Referee 1 Contact Number
Format: (000) 000-0000.
Work Referee 2 Contact Number
Format: (000) 000-0000.
Additional Work Referees (if applicable):
Please upload a copy of your resume.
*
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