Application Form
ABN: 32 121 743 271 Master Licence: 000 03 401
Date
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Name
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First Name
Middle Name
Last Name
Email
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example@example.com
Phone Number
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Please enter a valid phone number.
Address
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Street Address
Street Address Line 2
City
State
Post Code
Date of Birth
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Day
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Month
Year
Date
Next of Kin
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First Name
Last Name
Relation
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Phone Number
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Please enter a valid phone number.
Do you identify as Aboriginal or Torres Strait Islander?
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Yes
No
Rather not say
Working Rights
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I am an Australian Citizen
I am a working Visa Holder (Fill out below)
For Visa Holders
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Are you aware of any physical or mental conditions that are likely to affect your performance while on duty as an employee?
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No
Yes
If you selected "Yes", please let us know what may affect you.
Declaration
By signing this application, I agree to abide by and follow all SecurityWorx, its partners and client policies and procedures. I undertake to read and understand the copies supplied. I will seek clarification from management if there is something I do not understand. I also agree to attend all evaluation, induction and training sessions as required and advised. I understand it is a condition of employment that I must hold and maintain a current First Aid qualification. I certify that the above information is true, correct and in no way misleading. I am fully aware that any false or misleading information given by me in the course of this application, whether orally or in writing, may result in immediate termination of my employment.
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NON-DISCLOSUREAGREEMENT
This Agreement is between SecurityWorx and the applicant. IT IS AGREED that in consideration of the above company providing the Employee/Contractor with information specific to the operation of the above company for their scope of works at the designated sites. 1. The Employee/Contractor acknowledges that all information specific to the operation of the above company, including all advertising, marketing, costing details, processes, equipment specifications, design details and intellectual material, remain the property of the above company. 2. The Employee/Contractor shall not directly or indirectly disclose at any time, either whilst employed by the above company or thereafter, any advertising, marketing, costing details, processes, equipment specifications, design detail, intellectual material, trade secrets, financial business, confidential or other information belonging to or concerning the business operations or affairs of or otherwise relating to the above company without first obtaining the General Manager’s written consent. Information or knowledge that is considered to be in the public domain or obtained from a third party shall not be included within the scope of this agreement. However, formulas, specifications, processes, designs and intellectual material exclusive to the above company, although utilising information or knowledge within the public domain, shall be considered part of this agreement. 3. The Employee/Contractor shall not make use of any such information after employment/contract with the above company ceases. 4. The Employee/Contractor shall not make any copies of any information specific to the operations of the above company, in whole or in part, without the written authority of the General Manager of the above company and shall, upon the termination of employment/contract with the above company, return all documents and other materials embodying any such confidential information and all copies thereof to the above company. 5. These conditions shall survive the termination of the Employee’s employment/Contractor’s contract with the above company.
Please Sign
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Date
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Interview Questionnaire
Have you worked in the security industry previously?
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What area of the security industry are you looking to work in?
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Corporate Security
Static
Patrol
Events
Venues (Pub & Clubs)
Management
Are there any major holidays or public holidays you are unavailable for work?
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Available for all Public Holidays
Easter
Australia Day
ANZAC Day
Christmas
New Years
School Holidays
Select locations you are prepared to travel to?
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Central Coast
Lake Macquarie
Newcastle
Hunter Valley (Cessnock/ Maitland/ Pokolbin)
Sydney
Are you able to commence work immediately?
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Are there any day/nights you are unavailable for work?
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How many hours of work per week are you hoping for?
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Do you have a current driver's licence and a reliable vehicle?
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Do you have any ongoing personal commitments? Childcare, doctors appointments?
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Have you ever claimed workers compensation? If so, what & when was the injury?
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Company Induction Questionnaire
Who is responsible for safety in the workplace?
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Me
Employer
Everyone
Are staff allowed to post any work-related things on social media?
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Yes
No
What are the SecurityWorx office hours?
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What must you hold to be eligible to drive a company vehicle?
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Is the following statement correct? "I must wear a clean & ironed uniform with polished leather shoes to every shift."
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What is the 24-hour Duty Manager Phone Number?
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What is the permitted level of alcohol in your system to begin a shift?
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Management System Training Competency
Does SecurityWorx have an Integrated Management System (IMS)?
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Yes
No
List two key items you would expect to see in a Security Brief.
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When it comes to ‘acceptable’ risk in SecurityWorx – is it okay if you or your colleagues conduct work that is ‘likely’ to result in injury requiring a doctor or hospitalisation?
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Yes
No
Name one way you would be made aware of the client’s emergency procedures.
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Should an incident occur – who do you contact first, the client or the SecurityWorx supervisor?
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Integrated Management System
Drug and Alcohol Policy
Name
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First Name
Middle Name
Last Name
Signature
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Date
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Month
Year
Date
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Compliance Documents
Security License (Front & Back), First Aid, Drivers Licence (Front & Back), Certificate 2 in Security Operations, Etc.
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