Application for Employment

APPLICATION FOR EMPLOYMENT

Please complete this form with as much information as possible to assist our assessment and improve your opportunity of appropriate appointment.
What position are you applying for?*
Where you recommended this job by a Strike Drilling employee?*

YesNo
If yes, whom?
What is your notice period with your current employer?
Please indicate the date on which you would be available to start work:*

MonthDayYear
Date

Personal Details
Name*

First NameLast Name
Birth Date*

DayMonthYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number
Do you identify as:*

AboriginalTorres Strait IslanderAboriginal & Torres Strait IslanderNeither Aboriginal or Torres Strait IslanderPrefer not to answer
Preferred work rights in Australia*
Visa Number
Visa Class
Visa Expiry

MonthDayYear
Visa expiry

Privacy Statement
Any personal or sensitive information contained in this application form will not be disclosed to other parties such as business clients and government agencies without your prior consent.

Information that you have provided to Strike Drilling, will be kept in a secure location and will only be released for its intended purpose. Failure to supply the required information to Strike Drilling may result in your application for employment not being accepted.

We may use and disclose your personal information for the purposes it was collected, or for a related or ancillary purpose such as providing you with one of our services (e.g. external training).

We may disclose your personal information to:
- Referees
- A worker’s compensation body;
- And, depending on the circumstances, relevant State and Federal Police Authorities (to verify whether you have a criminal record).
Declaration by Applicant
I (print full name) declare:
- that the answers to the above questions are, to the best of my knowledge, true and correct.
- That I will undergo any medical examination and drug test (at the expense of Strike Drilling) as may be requested by Strike Drilling either before or after commencement of employment
Signature

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If you are applying through our website, please attach a copy of your resume

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Should be Empty:

	Yes	No
Police Clearance (less than 12 months old)
First Aid Certificate
Drivers Licence

	Yes	No
In hot, dusty conditions
In cold, wet conditions
In isolated, remote conditions
At heights
12-hour shifts

APPLICATION FOR EMPLOYMENT