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Looking for employment?  Send us your resume !  We have a large variety of employment opportunities covering most fields.  All information is held in strictest confidence, so fill it in and send it to us !
Given Names

 

Surname

 

Residential Address

 

Postal Address                             (if different)

 

Contact Telephone No's

 

Date of Birth

 

Sex

 

Previous Employment
Currently Unemployed?

 

If unemployed, how long?

 

Employment History
Dates Employed.....     From
 
To...

 

Company, Position and Duties

 

Dates Employed.....     From

 

To...

 

Company, Position and Duties

 

Dates Employed.....     From

 

To...

 

Company, Position and Duties

 

References

Referee One

Name: 

Phone:

Referee Two

Name: 

Phone:

Referee Three

Name: 

Phone:

Do you authorise the company to contact these referees and prior employers?

 

Are you willing to provide a Police check if necessary?

 

Tickets / Licences

Please list any current Tickets / Licences and formal qualifications.

 

Please check the areas you are interested in working.
  Underground Mining
  Labourers (General)
  Processing Plant/Technician
  Forklift and Truck Driving
  Clerical (data entry and secretarial
  Stores

General Information

Are you able to work shift-work?

 

Are you able to work overtime if needed?

 

Are you prepared to work elsewhere in Australia?

 

Are you legally entitled to work in Australia?

 

Health   (Industrial)

Are you able to work in a respirator?

Are you able to work underground?

Are you able to work at heights?

Health   (General)

Are you willing to undergo a medical examination if requested?

 

Are you able to perform heavy physical work, including heavy lifting?

 

Do you have any physical disability, medical condition or other restriction which may affect your ability to do the job ? (ie; asthma)

 

Emergency Contacts

Contact 1

Name:

Address:

Telephone:

Contact 2

Name:

Address:

Telephone:

Declaration

1)

The information supplied on this electronic form is to the best of my knowledge true and accurate in every way.

2)

I understand that if my application for employment is successful, I will be bound by and will at all time observe the terms and conditions of my employment, and all policies and rules stipulated by my employer.

3)

I understand that false information provided by me in this application will result in termination of employment.

4)

I understand that my employment may be subject to a satisfactory medical report provided by a doctor of the employer's choice

5)

I understand that employment with Stevens Resources Pty. Ltd. is on a casual/temporary basis.

(Dated Electronically)
  By clicking 'Send', you are effectively signing this form electronically.
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