APPLICATION FORM Personal Details Title* First Name* Surname* Address* Suburb* City* State* Home Phone: Mobile Phone: Email Address* DOB: Health Do you have any health or medical condition that you are aware of that may effect your ability to carry out your duties of the role that you have applied for? If yes, please provide details. Eligibility Status: Working Holiday VisaTemporary VisaPermanent ResidentAustralian Citizen Recent Work Experience Employer* Position held* Time Employed* Referee* Phone* Employer Position held Time Employed Referee Phone Work Experience Please tick the following areas that you are deemed to be competent and able to perform. Trades: PlumberElectricianCarpenterBoilermaker/WelderMechanicInstrument Technician Construction: ConcreterSteel FixerBuildingCivilFormworkScaffolding Operator: ExcavatorForkliftCraneRiggerDoggerLoaderBobcatDozerBackhoeBridgeRollerScraper Administration: Front DeskOffice ManagementAccounts PayableAccounts ReceivedBookkeeperGeneral Administration General: LabourerConfined SpaceGardener/Landscaper Other: Transport Current Licenses: Transport: CarMotorbikeTruckUteBicyclePublic Transport My Application Position Applied For: Location: Files to upload: Please upload your CV, covering letter etc. here Name Declaration* I state that the information supplied by me in this application form and my resume is true and correct. Date: Δ