Below is an application for employment form which you are requested to personally complete.

The application form is a source of information which will be used by the Company to assist us in considering your suitability for the position for which you are applying. If successful, such information shall form part of the Company’s personnel records. Failure to supply the information requested or falsifying the information would prejudice the Company’s ability to assess your suitability for the position.

Any offer of employment is made subject to your completing the Company’s pre- employment medical to its satisfaction. You are entitled to access information upon request to the H. R Manager.

Should the applicant be unsuccessful the Company shall retain this information on file for a period of 12 months and treat in accordance with the Privacy Act 1993.

The completion of this form does not indicate that there is any obligation on the Company to engage the applicant.

All questions must be completed by the applicant.

TO BE COMPLETED IN FULL. ALL QUESTIONS MUST BE ANSWERED

EMPLOYMENT

Present Employer (or most recent)

Previous Employer

DRUGS AND ALCOHOL

The employer promotes and operates a drug and alcohol free workplace. Do you consent to testing for prohibited substances, including drugs and alcohol in the following circumstances?

(a) Pre-employment which is deemed to include transfer from one position to another, whether or not that transfer is a promotion;
(b) Post-employment including post-incident testing
(c) Random testing

Note: In reliance on the above consent, the employer may require you to undergo testing for prohibited substances, including drugs and alcohol. A refusal to submit to those tests will entitle the employer to take certain steps, including appropriate disciplinary action.

MEDICAL HISTORY