Employment Application Form
Personal Information
Name
*
First Name
Last Name
Email
*
Phone Number
*
Format: 0000 000 000.
Work Experience
Please select applicable choice/s:
*
Construction
Maintenance
Mining
Commissioning
Hazardous Areas
Leading Hand / Supervisor
Domestic
Commercial
Other
If you selected 'Other' above, please add additional information here:
Licences and Qualifications
Please select applicable choice/s:
*
A Grade Electrical Licence - WA
A Grade Electrical Licence - Other State/s
Instrumentation
HV Switching
EEHA (Hazardous Areas)
Trade - Boilermaking/Welding
Trade - Mechanical Fitting
Other
If you selected 'Other' above, please add additional information here:
Availability and Roster Preferences
Are you currently employed?
Yes
No
Notice period at current workplace:
*
Date available to commence work
*
/
Day
/
Month
Year
Date
What is your preferred roster/s?
8/6
2/1
2/2
Shutdowns / Ad-hoc
As much work as possible
Other Applicable Information:
Upload resume here:
Browse Files
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Are you ok to complete a pre-employment medical and drug and alcohol screen?
*
Yes
No
Are you ok to obtain a National Police Clearance?
*
Yes
No
Signature
*
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