EMPLOYMENT APPLICATION Step 1 of 9 - Section 1 0% Section 1 - PositionApplication details:Position you are applying for:*I'm prepared to work (select all that apply):* Select All Full-time Part-time Shift work Casual Are you open to other opportunities at Incat, besides this position you're applying for:*YesNoHave you previously been employed by Incat?*YesNoWhat was your previous position at Incat?*Start date:* Date Format: MM slash DD slash YYYY Finish date:* Date Format: MM slash DD slash YYYY Section 2 - Personal informationPersonal details:Name* First Middle Last Contact details:Address* Street Address Suburb / City State Post code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Contact number:*Email:* Section 3 - Personal requirementsPersonal health:Are you willing to undergo a medical examination?*YesNoReason:Are you aware of any injury, illness or condition which may affect your ability to perform all the duties required by this position?*YesNoReason:Do you have any issues working in confined spaces?*YesNoReason:Do you have any issues working at heights?*YesNoReason:Are you prepared to wear protective clothing and equipment as required?*YesNoReason:Do you need a VISA to work in Australia?*YesNoWhat VISA type do you have: Section 4 - EducationPlease list all your current qualifications and certificates below:* Section 5 - Employment historyPlease provide details of your most recent employment: Have you been previously employed?*YesNo1 – Previous employment:Name of employer:*Contact person and their position:*Type of business?*Phone number:*Position held while at this job:*Duties / responsibilities:*Are you still employed at this job?*YesNoStart date:* Date Format: MM slash DD slash YYYY Finish date:* Date Format: MM slash DD slash YYYY Reason(s) for leaving:*Do you have more previous employment that you'd like to add? Yes 2 – Previous employment:Name of employer:*Contact person and their position:*Type of business?*Phone number:*Position held while at this job:*Duties / responsibilities:*Are you still employed at this job?*YesNoStart date:* Date Format: MM slash DD slash YYYY Finish date:* Date Format: MM slash DD slash YYYY Reason(s) for leaving:* Section 6 - Other qualifications & skillsLicences and Certificates:General skills Building Industry Trade Certificate First Aid Certificate Driver's Licence Truck Licence Power Tool License / Certificate Fork Lift License Elevated Work Platform License White Card Rigging License Scaffolding License Rigging licence type:Scaffolding licence type:Other skills:Computer skills (please specify):Any other not mentioned (please specify): Section 7 - RefereesPlease give us details of at least two people whom we may contact (not members of your family and preferably work related referees, copies to be attached)Referee 1Full name:*Occupation:*Phone:*Relationship to you:*Add another referee Yes No Referee 2Full name:*Occupation:*Phone:*Relationship to you:* Section 8 - AttachmentsDocuments Drop files here or Upload any relevant documents here (certificates, photos etc.). *NOTE: Completing this online application form means we do not require a cover letter or resume from you. Section 9 - Declaration of applicantDeclaration: I hereby authorise Incat Tasmania Pty Ltd or it's agent to obtain references and speak to referees to verify any information relevant to this application. I hereby certify that the information given in this application is, to the best of my knowledge and belief, true and complete and I am aware that any inaccurate statements or information withheld may render me liable to instant dismissal. I acknowledge that his document does not constitute an offer of employment. Should my application be successful, I agree to abide by all company rules and regulations and acknowledge that confirmation is subject to a three month probationary period.Declaration* I agree.*Signature*PhoneThis field is for validation purposes and should be left unchanged.
