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*
E-mail*
example@example.com
Date of Birth*

MonthDayYear
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)*

YesNo
If no, please provide details of your availability:
Do you have a current Driver's License?*

YesNo
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)*

Tractor with Chaser BinHeaderAugerField BinLoaderTruckField BinSilo Bage StorageOther
Which machines are you confident to set up, upkeep or troubleshoot without supervision? (tick ALL that apply)*

Tractor with Chaser BinHeaderAugerField BinLoaderTruckField BinSilo Bage StorageNone without supervision
Do you have experience using GPS?*

YesNo
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.?)*

YesNo
If yes, please provide details.
Are you currently employed?*

YesNo
If yes, where? Briefly describe your role.
Are you legally permitted to work in Australia?*

YesNoNot sureWaiting on a visa
Would you require accommodation facilities?*

YesNo
Do you smoke/vape?*

YesNo
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:*

	Full Name	Address	Contact Number
1
2

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