Employment Application

Applicant Details:

First Name (required)

Last Name (required)

Current Queensland Drivers Licence?
YesNo

Drivers Licence Class
NilRE - MotorcycleR - MotorcycleC - CarLR - Light RigidMR - Medium RigidHR - Heavy RigidMC - Multi-Combination

Contact Details:

Your Email (required)

Your Phone Number

Your Mobile Number

Your Address

Preferred Contact Method
EmailPhoneMobile

Resume (max file size 10MB)

Employment Details

Current or most recent employer details
(include name of employer, dates and duration of employment, position/s held, reasons for leaving employment):

Previous employer details
(include name of employer, dates and duration of employment, position/s held, reasons for leaving employment):

Trade Qualifications:

Forklift Licence?
YesNo

Welding Qualification?
YesNo

Confined Space Certified?
YesNo

CCYPCG Blue Card Holder?
YesNo

Higher Education Qualifications:

Secondary School Graduation:
Year 9Year 10Year 11Year 12Other

Personal Information
Due to the nature and scope of tasks to be performed in this position, Rockpress requires details of any medical conditions which may restrict your ability to carry out your duties.

Do you have any ongoing medical or physical conditions?
YesNo

If Yes, please provide details:

Would you undertake a medical examination if offered the position?
YesNo

Would you undertake a drug test if offered the position?
YesNo

Would you undertake a police check if offered the position?
YesNo

References
Please provide name, company and title, address and contact details of two referees. Any person listed on this form may be contacted by Rockpress in reference to this application.

Reference 1:

Reference 2:

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