New Customer Registration Form

Dawes Agriculture - Harvest 2025 Casual Expression of Interest Selction Criteria

Please answer the following honestly and thoroughly to help us assess your suitability and help you decide if this is the right role for you.

Full Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Format: (000) 000-0000.

E-mail

example@example.com

Date of Birth

Date

Are you available from early - mid November to mid-late December? (please note that the season sometimes vary and you may be required outside of these times)

If no, please provide details of your availability:

Do you have a current Driver's License?

What class is your driver's license? (eg. automatic, manual, Heavy Rigid, etc.)

What type of farm machinery have you operated confidently in the past? (tick ALL that apply)

Which machines are you confident to set up, upkeep or troubleshoot without supervision? (tick ALL that apply)

Do you have experience using GPS?

Please describe any experience relevant to this role.

Why would you like to work with Dawes Agriculture this harvest?

Do you have any physical limitations we should be aware of? (eg. lifting, long hours, medical conditions, etc.?)

If yes, please provide details.

Are you currently employed?

If yes, where? Briefly describe your role.

Are you legally permitted to work in Australia?

Would you require accommodation facilities?

Do you smoke/vape?

Anything you would like to add? You could tell us more about yourself and your background if you'd like.

Please provide the contact details for two referees:

Rows	Full Name	Address	Contact Number
1
2

You may upload any files you would like to add (your resume or visa details for example).