Application For: Rig Manager Rig Crew MC Driver Engineer Welder Electrician Technician Mechanic Communication and I.T Health and Safety Administration Painter Other

Your Details

Full Name:

Birth Date:

Address:

Town/City:

Post Code:

Phone:

Email:

Fax:

Employment Details

Past Employment (3 Years).

Years / Time:

Past Employment 1:

Years / Time:

Past Employment 2:

Years / Time:

Past Employment 3:

Education / Qualifications

Please list the Education Provider, Course Attended, Timeframe for this course and Status.
List each with an * at the start of the details.
Example:
*USQ Toowoomba - Mechanical Engineering (Degree) - 2000 to 2005 - Completed.
*TAFE Toowoomba - Information Technology (CertIV) - 2003 to 2005 - Completed.

Education:

Please list the Qualification and year completed.
List each with an * at the start of the details.
Example:
*Boilermaker - 2000.
*Fitter Turner - 2004.

Trade Qualification:

Licences / Certificates

For multiple selection hold the CTRL key while selecting.

Licences Held:

Medical Information

Do you require on going medical treatment? No Yes

Do you have an existing illness that could be effected by heavy physical labour? No Yes

Will you work in confined spaces? Yes No

Will you work in high areas? Yes No

Extra Comments:

The information provided by you on this application will be treated confidentially.
Upon receiving this expression of interest for employment, it will be reviewed by EWS Human Resource Management.
You will be contacted by the department via email or mail to advise you of the status of your application.