Employment Application Form

Position Applied For*

Date of application*

Personal details

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Mobile telephone no.

Home telephone no.

Email address*

Are you legally permitted to work in Australia?*

Yes
No

Do you hold a current driver's license?*

Yes
No

Availability

Standard working hours are between 6 am and 4:30pm pm each day. Some shift work may be required.

When will you be able to commence work?*

Are you available Monday to Friday between 6am and 4.30pm?*

Yes
No

If no, when are you available?

Are you able to work shift work if required?*

Yes
No

Core Functions / Key Requirements

Would you have difficulties performing any of the below core functions/ Key requirements?*

Yes
No

Working in confined spaces
Walking up Stairs
Lifting or bending regularly
Working in cramped conditions
Climbing a ladder
Repetitive Crouching
Working at Heights
Using hand tools
Repetitive Kneeling
Working long hours/ overtime
Operating power tools
Working with or near people welding
Working at sea
Operating fixed machinery
Working with or near insulation materials
Standing for 2 or more hours
Physically lifting items up to 20kg
Working with or near chemicals
Perform work activities conducted on uneven surfaces
Repetitive movements of the hands or arms
Working in extreme weather conditions
Fully able and prepared to wear /use all required safety equipment

Do you have any pre-existing conditions (including any ongoing medication) that you are aware of that could impact on your ability to successfully and safely perform the core functions of the role? This may include any medical conditions or restrictions arising from a previous workers compensation claim.*

Yes
No

Failure to provide such information may jeopardise your right to worker’s compensation if a pre-existing disability is aggravated at work. (Section 79 of the workers compensation and injury management act)

If yes please explain

Note: as part of the recruitment process you MAY be required to undergo a medical examination

Education (Secondary & Tertiary) & Trade

School, Tertiary / TAFE / Business College*

Level achieved*

Subjects or Course Completed*

Registered Trade(s)

Work references (please provide the names, addresses and telephone numbers of two people as work related references from whom confidential reports may be obtained)

Reference 1

Name address and telephone number

Reference 2

Name address and telephone number

Have you at any time been employed by Evolution Commercial?

Yes
No

If yes, give dates and department

Attachments

Please attach cover letter, resume or cv, academic results or other relevant qualifications if it is approriate for your application.

File attachment*

Drop files here or

Terms and Conditions

TERMS AND CONDITIONS

* I agree to my previous employers being contacted for a confidential report on my service to assist in determining my suitability for employment WITH EVOLUTION COMMERCIAL. I also understand that business references will be contacted.

* I understand that any offer of employment is based on the accuracy of statements made by me in this application and declare to the best of my knowledge and belief all information to be true and complete. I understand that any false statement is sufficient reason for rejection or termination and that no reason need be given.

You must accept the terms and conditions*

I have read, understood and accept the terms and conditions