Illawarra Metallurgical Coal - Contractor Validation (White Collar)

White-Collar Contractor Application

A white-collar worker is a person who performs professional, managerial or administrative work.
Sender
Reply To
HR Email
Applicant Name *

First Name Last Name
Date of Birth *

Month Day Year
Who Is The South32 Engagement Initiator? *
Site / Function Selection *
Appin Work Area *
Dendrobium Work Area *
Role *
AUD Day Rate: *
Local or Non-Local *
Start Date *

Day Month Year
Date
Finish Date *

Day Month Year
Date
Length of Contract
Company *
Company Contact Email *
example@example.com
Does the contract company have a valid contract with Illawarra Metallurgical Coal? *

Yes No
Has the applicant had any claims to Coal Mines Insurance? *

Yes No
Please list each claim with details of both the date and injury as a separate line item. You must click 'Save & Enter' to add the claim. *
Has the applicant worked in the coal industry before? *

Yes No
What is the total number of years that the applicant has worked in the coal industry? *
Has the applicant been an employee of Illawarra Metallurgical Coal previously? *

Yes No
If so specify location, last position held and period of employment *
Is the applicant currently working at another Illawarra Metallurgical Coal site? *

Yes No
If yes, which site and who is the employer? *
Is the applicant banned from any Illawarra Metallurgical Coal site? *

Yes No
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): *

Internal Use Only
Responsible Manager Approval Not Needed
Responsible Manager Password
Responsible Manager *

First Name Last Name
Responsible Manager Approval *

Approved Rejected
Responsible Manager Additional Comments (Optional)
Please provide any additional information that may assist with the approval process.
ILT Password
ILT Member *

First Name Last Name
ILT Approval *

Approved Rejected
ILT - Additional Comments (Optional)
Please provide any additional information that may assist with the approval process.
Is VP Approval Needed
VPO Password
VPO Approval *

Approved Rejected
HR Password
HR Approval *

Approved Rejected
Rejection Reason *
Approved Date *

Day Month Year
Date
Cordeaux & Responsible Manager
DND/Directional Studies OLD
ResponsibleManagerEmail
example@example.com
ILTEmail
example@example.com
Blank
example@example.com
DND/Directional Studies RM
Should be Empty:

White-Collar Contractor Application