"Quality Through Innovation"
TE Employment Form
TO BE FILLED OUT BY THE APPLICANT:
The information you provide on this form is initially required to determine your suitability for the position that you are applying for. More information may be required at the interview. All information given is strictly confidential. Not completing the sections marked (optional) will not prejudice your application.


Position applied for (*)
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PERSONAL DETAILS

Last name (*)
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Given Names (*)
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Date of Birth dd/mm/yyyy (optional)
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Current Residential Address (*)
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Primary Contact Number (*)
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Secondary Contact Number
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Email Address (*)
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Are you currently employed? (*)
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DRIVERS LICENCE DETAILS

State
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Number
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Class(es)
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Expiry
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Trade Qualification (*)
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Education - Highest Level Achieved (*)
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Certificates of Competency attained (e.g. Trade, Machinery Competency, First Aid) NB: Copies of Certificates must be attached

Certificate/Competency Name (1)
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Cert / Comp No (1)
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Year Completed (1)
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Expiry Date (1)
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Certificate / Competency Name (2)
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Cert / Comp No (2)
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Year Completed (2)
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Expiry Date (2)
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Employment History - give details of last three jobs or any job held for 3 years or more.

Employer (1)
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Supervisor/Manager (1)
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Position (1)
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Reason for leaving (1)
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From date (dd/mm/yyyy) (1)
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To date (dd/mm/yyyy) (1)
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Employer (2)
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Supervisor/Manager (2)
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Position (2)
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Reason for leaving (2)
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From date (dd/mm/yyyy) (2)
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To date (dd/mm/yyyy) (2)
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Employer (3)
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Supervisor/Manager (3)
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Position (3)
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Reason for leaving (3)
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From date (dd/mm/yyyy) (3)
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To date (dd/mm/yyyy) (3)
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Last salary/wage
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References - three people (not relatives) you have worked for.

Name (1) (*)
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Phone (1) (*)
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Name (2) (*)
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Phone (2) (*)
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Name (3) (*)
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Phone (3) (*)
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Have you ever claimed worker’s compensation for injury or disease? (*)
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If yes, please give details
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Do you have any physical disability or medical condition that would affect your ability to do the job? (*)
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If yes, please give details
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Are you prepared to work overtime, shiftwork or be transferred as applicable? (*)
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When are you able to commence work? (*)
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*I accept declaration below & declare the information supplied to be true (*)
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Dated and submitted dd/mm/yyyy (*)
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If you have a resume, please attach it here (note: must be in Word Document or PDF format and no larger than 2MB)
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Please enter the letters you see (*) Please enter the letters you see (*)
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