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 voluntarily submit your WorkCover claims history? YesNo
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:
