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Job Application Form

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Thank you for your interest in a position with the Clean and Gone. As part of the recruitment process, please fill out the following online form which will assist us in processing your application.

*Required

Position applied for :

Personal Details

Surname: *
First Name: *
Street Address:
Suburb:
Contact Phone: *
Email:
Preferred Method of Contact:: Phone
Email
No Preference

Do you hold a current driver's license?	Yes No
Do you hold a construction induction safety certificate (white card)?	Yes No
How many years experience do you have in the construction industry?
Do you have a heavy vehicle licence?	Yes No

Entitlement to Work

Are you an Australian or New Zealand Permanent Resident or Citizen?: Yes No

What is your Visa class?
What is the date of your Visa Expiry?
Upload a copy of your Visa Entitlement Document:

Have you been convicted of a criminal offence (excluding minor traffic infringements)?: Yes No
Do you give permission for Clean and Gone to conduct a Police Check on you?: Yes No

Qualifications & Training

Health & Safety

Do you suffer from any pre-existing illness or injury that may affect your work performance?: Yes No

Please provide details

Do you take any medication?: Yes No

Please provide details

Do you suffer from any allergies?: Yes No

Please provide details

Have you ever made a claim for Work Cover?: Yes No

Please provide details

General

How did you hear about this position?

Please specify:

Which Employment Agency?

Additional Comments

Attach Cover Letter:
Attach Resume:

I declare that, to the best of my knowledge, the information provided in this application is a true and correct record of my personal details, qualifications and experience. I accept that should my application be successful, the information provided, will form part of my Contract of Employment. I understand that providing false information is grounds for dismissal. I am prepared to submit to an examination by a medical officer nominated by Clean and Gone, if so required, at any time regarding any fitness for duty.

I Agree

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