Employment Application

Your Information

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What position are you applying for?

First Name:

Last Name:

Best Phone Number:

Email Address:

Residential Address:

Available Start Date

Available Hours

Depot Interested In:

Position Interested In:*

Position Interested In:

Type of Employment:

Full Time
Part Time
Casual

Please list a minimum of two (2) previous employers, including your current employer:

Company Name	Position Held	Start Date	Finish Date	Actions

There are no Employment.

Are you an Australian Citizen or Permanent Resident?

Yes
No

Do you hold an Australian Work Visa?

Yes
No

Do you have a physical, mental or learning disability which the company may need to accomodate or make reasonable adjustment to, for the position you are applying for?

Yes
No

Physical, mental or learning disability details

Do you have any criminal convictions or charges?

Yes
No

Criminal convictions or charges details

Do you have any current or previous work's compensation claims?

Yes
No

Work's compensation claims details

If required, do you agree to undergo pre-employment Drug and Alcohol Testing?

Yes
No

Licencing and Compliance

Please note; a 5 year traffic history and current medical will be required before your application can be progressed

Have you ever had your Driver's Licence cancelled or suspended?

Yes
No

Drivers licence cancelled or suspended details...

Type of Licence:

MC
HR
HC
Forklift

Do you hold a current TruckSafe or Queensland Transport medical?

Yes
No

Date Obtained:

Expiry Date:

List your driving / work experience starting with the most recent and working back:

Vehicle Type	Type of Work	How Many Years	Employer	Actions

There are no Driving Experience.

Resume

Please upload your resume

Max. file size: 2 MB.

Applicant Acknowledgement & Release*

I Agree

I certify that I have completed this application and that all information provided is true and complete to the best of my knowledge.

I authorise a representative of Blenners Transport to undertake investigations and inquiries regarding my employment history, medical history, and other relevant matters as required to determine my suitability for employment. I release all employers, healthcare providers and government authorities from any liability in providing such information.

In the event I am employed by Blenners Transport, I understand that any false or misleading information provided during the recruitment or employment process (including this application, interviews, medical assessments, or other steps) may result in termination of employment.