Employment Enquiry

Applicant Details

Full Name*

Date of Birth*

Address

Street Address Address Line 2 Suburb State Postcode Country

Email*

Phone*

Vehicle Licence Type (select all that apply)

Open
Provisional
Learner

Position Details

Proposed Position

Type of Employment (select all that apply)

Full-Time
Part-Time
Casual

Proposed / available start date

Tell us about your skills, interests, and experience (select all that apply)*

TRUCK DRIVER

Truck Driving Experience

Yes
No

Current National Driver Work Diary (Logbook)

Yes
No

Truck Licence Type (select all that apply)

HR
HC

Period Licence Held For

History / Other

MACHINERY / PLANT OPERATOR

Do you hold ANY machinery or plant operator licences?

Yes
No

Licences Held

Experience Summary

CONCRETE PUMP / LINE HAND

Qualifications

Yes
No

Experience

MECHANIC

Area of Expertise (select all that apply)

Diesel
General
Brakes & Transmission
Auto Body

Qualifications

Yes
No

Experience Description

CONCRETE / PRODUCTION / FINISHING

Batching

Yes
No

Form Work

Yes
No

Concreting / Finishing

Yes
No

Experience

CONSTRUCTION / SHED / BUILDING

Experience in Construction

Yes
No

White Card

Yes
No

Licences

Yes
No

Experience Summary

GENERAL LABOURER / OTHER SKILLS

Skills (please list any other skills or knowledge that may benefit a role at GCC workplace)

Experience Summary

Work Ethic

Are you reliable and punctual?*

Yes
No

Are you suitable for early morning starting times?*

Yes
No

Are you willing to learn?*

Yes
No

Are you able to work independently?*

Yes
No

Do you work well as part of a team?*

Yes
No

Do you consider yourself as having good communication skills?*

Yes
No

Optional

Do not be concerned if your answer is no

Qualifications in Safety

Yes
No

First Aid Certificate

Yes
No

First Aid Certificate - Up to Date

Yes
No

Safety Details

I am familiar with Workplace Inductions

Yes
No

Computer Skills

Yes
No

Computer Skills Details

Administration / Office Skills

Yes
No

Administration / Office Skills - Experience Summary

Other Optional Information

Hourly rate ($)

Reason for Leaving Previous position

Do you intend to stay in Roma long term?

Yes
No

Are there any Medical Conditions we should be made aware of?

(Can be discussed at a later time)

Referees

Comments

Please ring Mob 0418982930 if you require assistance in completing this form.

Grulke

Ready-Mix concrete

Pumping, Finishing

& Sheds

Applicant Details

Position Details

TRUCK DRIVER

MACHINERY / PLANT OPERATOR

CONCRETE PUMP / LINE HAND

MECHANIC

CONCRETE / PRODUCTION / FINISHING

CONSTRUCTION / SHED / BUILDING

GENERAL LABOURER / OTHER SKILLS

Work Ethic

Optional

Other Optional Information

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