Employment Application Form

Personal Information

Name: *

First Name Last Name

Birth Date *

DD/MM/YYYY

Phone Number *

E-mail Address: *

Address: *

Street Address

Street Address Line 2

City State

Post Code

Are you of Aboriginal and/or Torres Straight Islanders origin? *

Yes No

How were you referred to us? E.g. Employee's name, employment agency, Word of mouth - who? *

What date are you available to start work? *

Wolfcon requires a police check prior to start of employment . Are you willing to obtain one prior to employment? *

Yes Yes, I have one already No

In the past 5 years of employment have you been disciplined or discharged for any of the following reasons: If yes, attach a full explanation underneath regarding this question. *

Absenteeism, being late, failure to give notice when absent, or any attendance related reasons. Refusal to obey orders, rudeness, or inappropriate behaviour towards customers or co-workers. Safety violations of any kind, fighting, assault, or related offences. Theft, fraud, unauthorized use or removal of company property, or related offenses. No

Explanation for have you been disciplined or discharged *

In the past 3 years have you been convicted of or plead guilty to (by paying a fine) misdemeanours? If yes, attach a full explanation underneath regarding this question. *

Any moving traffic violations Any speeding tickets Any criminal driving No

Explanation for have you been convicted of or plead guilty to (by paying a fine) misdemeanours *

Do you have any current or past injuries? If yes, please ask for a diagram and attach a full explanation under the heading Explanations regarding this question. *

Explanation for any current or past injuries *

Have you ever had a work related injury/incident where you lost time? If yes, attach a full explanation under the heading Explanations regarding this question. *

Yes No

Explanation for a work related injury/incident where you lost time *

Do you have any medical issues or require medication on a regular basis? If yes, please attach a full explanation under the heading Explanations regarding this question. *

Yes No

Explanation for any medical issues or require medication on a regular basis *

When was your last hearing test? *

When was your last medical? Are you willing to undertake a Pre-Employment Medical? *

Anything we should know about your working style? Do you require time off on a regular basis? *

Are you available weekends? *

Are you available to travel away? if so how often? E.g. 2 days a week, 3 days a week, 5 days a week, every second weekend etc. *

As a guideline, how many hours a week would you like to work? *

20 hours - 30 hours 30 hours - 40 hours 40 hours to 50+ hours

As a guideline, how much money would you like to make per year? *

Less than $30,000 $30,000 - $40,000 $40,000 - $50,000 $50,000 - $60,000 $60,000 +

Driving Abilities

What Driver's Licence do you currently hold? *

L LR P1 MR P2 HR C HC or MC

How long have you been driving for? *

Can you drive a manual vehicle? *

Yes No

What level of experience would you have reversing a trailer? *

NIL Average Minimum Advanced

Are you willing to undertake a driving test prior to commencement of work? *

Yes No

Job Skills & Training

It is a requirement that all Wolfcon staff are to hold a White Card. Do you have a White Card? *

Yes No

If you answered no, you must be willing to obtain a White Card prior to commencement of employment. Do you agree?

Yes, I agree No

It is a requirement from RMS that all Wolfcon staff are to hold a current First Aid Certificate. Do you have a First Aid Certificate? *

Yes No

If you answered no, are you willing to obtain a First Aid Certificate prior to commencement of employment?

Yes No

What level of experience would you have using whipper snipper? *

NIL Average Minimum Advanced

What level of experience would you have using blower? *

NIL Average Minimum Advanced

What level of experience would you have using mower? *

NIL Average Minimum Advanced

What level of experience would you have using ride on mower? *

NIL Average Minimum Advanced

What level of experience would you have using powered and non powered tools? including but not limited to drills, sockets, screw drivers etc. *

NIL Average Minimum Advanced

What level of IT experience would you have? *

NIL Average Minimum Advanced

Describe your skills: *

Training or Certifications: *

Most Recent Work Experience

Previous Employer 1

Previous Employer 1: Company *

Previous Employer 1: Employer Name *

First Name Last Name

Previous Employer 1: Phone Number *

Position held *

Previous Employer 1: Dates of Employment *

Previous Employer 1: Brief description of job duties *

Previous Employer 1: Reason for leaving *

Previous Employer 2

Previous Employer 2: Company *

Previous Employer 2: Employer Name *

First Name Last Name

Previous Employer 2: Phone Number *

Previous Employer 2: Position held *

Previous Employer 2: Dates of Employment *

Brief description of job duties *

Previous Employer 2: Reason for leaving *

References

Please list two (2) references that are familiar with your work life.

Reference 1

Reference 1: Name: *

First Name Last Name

Reference 1: Phone Number *

Reference 1: What is your relationship with this Reference? e.g Manager *

Reference 2

Reference 2: Name: *

First Name Last Name

Reference 2: Phone Number *

Reference 2: What is your relationship with this Reference? e.g Manager *

Attach Cover Letter

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Attach Resume

Browse Files

APPLICANT’S STATEMENT:

I certify that all answers and statements given herein are true and complete to the best of my knowledge.
I authorise investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision including, but not limited to, background checks and release all parties providing such information from any liability for any loss or damage whatsoever resulting from providing such information.
I understand this application is not intended to be a contract of employment and that, if hired, I will be an “at-will” employee which means that either I or Wolfcon may terminate my employment at any time for any reason not prohibited by law.
I understand that false or misleading information given in my application or interview(s) may result in no job offer or disciplinary action up to and including termination of employment if discovered after I am employed.
I understand, also, that I am required to abide by all the rules and regulations.
I understand that after I am hired, a third-party investigator may be used to investigate reported workplace wrongdoing.

Name *

First Name Last Name

Date *

Date

OFFICE USE: Comments