Candidate Application Form Nsw

People Resourcing Employment Application Form Candidate # __________________ INSTRUCTIONS 1. Please complete all appropriate questions. 2. Please type or mark all answers where possible. 3. Please ensure to attach your CV and copies of any relevant documentation to your application. MR

Title

Name

MRS

MISS

MS

OTHER

Family Name Given Names

/

Date of Birth

Number

Home Address

/ Street

Suburb or Town State

Postcode

Number

Postal Address (If different from above)

Street

Suburb or Town State

Postcode Work

(

Home

)

(

)

Contact Details Please include Area Codes

Mobile Email

Receive payslips by email?

YES

Receive end of financial year payment summaries by email?

NO

Contact 1

Emergency Contacts Please provide two emergency contacts

Contact 2

NO

Name & Relationship

Phone

Name & Relationship

Phone

Citizenship Are you an Australian Citizen?

If no, please state country of citizenship: YES

NO Passport #:

Transport Do you have your own car?

Expiry:

If no, please state how you would travel to work: YES

NO

Drivers License Number:

Uniform Details

YES

Shirt Size:

Licence Expiry Date:

Pants Size:

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Shoe Size:

Union Details

If yes, please state which Union and amount per week:

Do you require Union Membership fees to be deducted from your pay?

NO

YES

Name on Account

Bank Details

( Must be 6 numbers )

BSB Number

( Between 5 and 9 numbers )

Account Number Name of Bank

Superannuation Details

Name of Fund Policy Number Name of Account Fund ABN

Fund Telephone Number If you do not have a superannuation fund, do you wish for People Resourcing to pay your super into our default fund 'Recruitment Super'?

Work History & Referees* Please give details of your three (3) most current employment histories and nominate one supervisor who is willing to provide work references for you.

YES

NO, my desired fund is:

Job 1 Company Name: Position/Job title:

Dates worked:

to

Employment Type (casual, full time, etc)

Referee 1 Name

Job Title:

Phone:

Job 2 Company Name:

*By providing referee details, you authorise People Resourcing to conduct reference checks.

Position/Job title:

Dates worked:

to

Employment Type (casual, full time, etc)

Referee 2 Name Job Title:

Phone:

Job 3 Company Name: Position/Job title:

Dates worked:

Employment Type (casual, full time, etc)

Referee 3 Name

Job Title:

Phone:

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to

Tickets and Licences Please tick the tickets and licenses that you currently hold LOADSHIFTING EQUIPMENT OPERATION

CRANE or HOIST OPERATION

OTHER LICENCES

LBG Bridge or Gantry Crane

CT Tower Crane

QLD Electrical Workers Licence

LZ Dozer

CD Derrick Crane

A.C.A. licence

LE Excavator >2L

CP Portal Boom Crane

Base Cabling Licence

LL Front-end Loader >2L

CB Bridge or Gantry Crane

Structured cabling

LB Front-end Loader/Backhoe >2L

CV Vehicle Loading Crane > 10mT

Optical fibre cabling

LG Operator of a Grader

CN Non-slewing Mobile Crane >3T

Coaxial Cabling

LR Road Roller >2L

C2 Slewing Mobile Crane <20T

Underground cabling

LS Skid Steer Loader >2L

C6 Slewing Mobile Crane <60T

Aerial cabling

LP Operator of a Scraper

C1 Slewing Mobile Crane < 100T

Gas Servicing licence

LF Operator of a Forklift

C0 Slewing mobile Crane >100T

Gas Installers licence

LO Order Picking Fork Lift Truck

HM Materials Hoist

Gas Suppliers licence

PRESSURE EQUIPMENT OPERATION BB Basic Boiler Operator

HP Materials or Personnel Hoist

Gas Motor Fuel installers licence

BI Intermediate Boiler Operator

WP Boom-Type Work Platform

Hydrocarbon Refrigerant Gas

BA Advanced Boiler operator

PB Mobile Truck Mounted Concrete

Installers Licence

TO Turbine Operator

Placing Boom TRUCK LICENCES C Drivers Licence

Traffic Control ticket

HC (Heavy Combination) Truck

Dangerous Goods licence

RB Basic Rigger

HR (Heavy Rigid) Truck & Bus

Workplace Health & Safety Officer

RI Intermed. Rigger

LR (Light Rigid) Truck & Bus

Rehabilitation Coordinator

RA Advanced Rigger

MR (Medium Rigid) Truck & Bus

First Aid Certificate

SCAFFOLDER SB Basic Scaffolder

MC (Multi Combination) Truck & Bus

Resuscitation

Tractor licence DEMOLITION WORK DM1 Demolisher (unrestricted)

Safe Work at Heights

ES Reciprocating Steam Engine Op. RIGGER DG Dogger

SI Intermed. Scaffolder

Confined space ticket

ASBESTOS REMOVAL WORK ARB Asbestos Removalist

SA Advanced Scaffolder DM2 Demolisher (restricted) OTHER Any Other Tickets & Licences GENCON SAFETY INDUCTIONS

POWER STATION SITES

GLADSTONE SITES

QLD General Safety (Construction Industry) Blue Card

Bayswater

Vales Point

GPA

BSL

NSW General Safety Induction (Construction Industry) Green Card

Liddell

Swanbank

QAL

NRG

Eraring

Stanwell

SPP

QCL

Cockburn

Pelican Point

MINE INDUCTIONS Generic Coal Mine - Surface Generic Coal Mine - Underground Site Specfic

Trade or Tertiary Qualifications Please give details of any trade certificates you have.

1

3

2

4

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Someone who is also registered at People Resourcing

How did you hear about People Resourcing?

Their Name: Saw a job ad on seek.com.au Saw a job ad in the newspaper Saw a job ad on the People Resourcing website Another company Other (please state): Employee Terms and Conditions

I understand that I must submit to People Resourcing by no later than 12 midday Monday, a timesheet detailing hours worked for the previous week. Timesheets must be approved and signed by the appropriate client supervisor/manager before they will be accepted by People Resourcing. It is my responsibility to submit timesheets 1 to People Resourcing on time and follow up with the client if necessary. I understand that timesheets submitted after 12 midday on Monday cannot be processed and will carry over to the following pay period. People Resourcing guarantees that all correctly submitted timesheets received by the payroll deadline will be processed and paid on Thursday each week. In the event that any excess payment is made to me, I authorise People Resourcing to make the appropriate 2 deductions from my following pay subsequent to the discovery of the error. Alternatively, People Resourcing may agree to a different repayment schedule. 3

If the client has additional work requirements, I will contact a People Resourcing consultant immediately or at the earliest possible time.

I agree to use the required protective clothing and work equipment as instructed by People Resourcing or the client. 4 I agree to comply with supervisors' instructions regarding workplace health & safety and not wilfully place at risk myself or any person at the workplace. 5

I agree that in the event that I sustain an injury/illness during (or as a result of) a work assignment, I shall advise People Resourcing immediately or at the earliest possible time.

6

If I am unable to attend work or have problems with my assignment obligations, I understand I must contact People Resourcing immediately.

7

I consent to People Resourcing disclosing personal information provided by me and my referees, to People Resourcing clients as potential employers. Declaration:

I declare that the information contained within this application is true and correct. I also understand and agree to all terms and conditions presented on this form.

SIGNATURE

DATE OFFICE USE ONLY PRIMARY OCCUPATION:

INTERVIEWED BY: ENTERED:

DATE: Fast Track

Initial

Diary Entered

2nd Check

Reference Checked M:/ALL DOCUMENT/DOCUMENT SUITE/FORMS & LETTERS/CANDIDATES/CANDIDATE APPLICATION FORM NSW Controlled Revision 1 Approved SD 17/6/08

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People Resourcing Banking Authorisation Form Candidate # __________________ People Resourcing operates under the Westpac Bank Wages System to streamline the payment of wages to our Employees. This means that instead of collecting cash your pay will be lodged directly into your nominated bank account. Under this system you will have access to your pay on Thursday. The pay week is Monday to Sunday. Your timesheets are to be SIGNED BY YOUR SUPERVISOR and returned to this office no later than 12.00PM (MIDDAY) MONDAY. Please fax this form back to us on:

(02) 4967 3244

or mail it to: Ironworkers Centre, Ground Floor 161 Maitland Road, MAYFIELD NSW 2304

Name on Account

Bank Details ( Must be 6 numbers )

BSB Number

( Between 5 and 9 numbers )

Account Number

Name of Bank

DECLARATION

I,

of NAME

ADDRESS

do hereby verify that these details are true and correct.

SIGNATURE

DATE

/

/ OFFICE USE ONLY

ENTERED BY:

DATE:

/

/

M:/ALL DOCUMENT/DOCUMENT SUITE/FORMS & LETTERS/CANDIDATES/CANDIDATE APPLICATION FORM NSW Controlled Revision 1. Approved SD 17/6/08

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