Illawarra Metallurgical Coal - Contractor Validation (Blue Collar)

Blue-Collar Contractor Application
Status
Who's It Sitting With?
Applicant Name*

First NameLast Name
Who Is The GM³ Engagement Initiator?*
If you're unsure - who would be the best S32 employee to contact if further details are needed regarding this application?
Date of Birth*

MonthDayYear
Role*
Company*
Company Contact Email*
example@example.com
Does the contract company have a valid contract with GM³?*

YesNo
Has the applicant had any claims to Coal Mines Insurance?*

YesNo
Please list each claim with details of both the date and injury as a separate line item*
Has the applicant worked in the coal industry before?*

YesNo
What is the total number of years that the applicant has worked in the coal industry?*
Has the applicant been an employee of GM³ previously?*

YesNo
If so specify location, last position held and period of employment*
Is the applicant currently working at anotherGM³ site?*

YesNo
If yes, which site and who is the employer?*
Is the applicant banned from any GM³ site?*

YesNo
Number of years with current employer?*
If less than 2 years, state previous employer, time employed and role:*
Details of work experience (role, types of work/skills e.g. development, longwall):*
Site Selection*
Work Area
Appin Work Area Owner*
Appin Contract Work Area Owner Email List
Mine Services Work Area Owner*
Mine Services Work Area Owner Email List
WCCPP Work Area Owner*
WCCPP Work Area Owner Email List
Dendrobium Work Area Owner*
Dendrobium Work Area Owner Email List
DCPP Work Area Owner*
DCPP Work Area Owner Email List
Cordeaux Work Area Owner*
Cordeaux Work Area Owner Email List
Logistics Services
Logistics Services Email List

Internal Use Only
Work Area Owner Email
example@example.com
Work Area Owner Password
Work Area Owner Approval*

ApprovedRejected
HR Password
HR Approval*

ApprovedRejected
Rejection Reason*
Approved Date

DayMonthYear
Date
Sender
Sender Name
Blank
Should be Empty:

Blue-Collar Contractor Application