Thank You!

To complete your application please fill in the form below.

    Contact Details

    MaleFemale

    Background Information


    NoYes

    Qualification

    Year Finalised

    Name of School or training provider

    Location

    Secondary (High School)

    Tertiary (Uni) or Tafe

    Trade Studies

    Other Courses

    (Please complete most recent employment first)

    Skills, Qualifications and Experience

    From the list below please identify all skills, qualifications and experience that you have obtained during your work history. Where you indicate you hold a licence, industrial ticket or qualification, a copy will need to be provided prior to commencement of employment.

    Licences, Tickets and Certificates

    State

    Number

    Expiry Date
    YYYY-MM-DD

    Basic workplace 1st Aid

    Senior 1st Aid

    1st Aid

    Other:

    DTEC

    Four wheel Drive tkt

    Inductions

    Number

    Date
    YYYY-MM-DD

    Induction – BHP

    Induction – BHP

    Induction – BHP Rail (lev 2)

    Induction – BHP Rail (lev 4)

    Induction – Dampier Salt

    Induction – Port Authority

    Induction – Team 45

    Induction

    Other:

    Mine Health Worker

    Application for Employment

    Skills, Experience, Qualifications

    Mths (M) or Yrs (Y) Exp
    YYYY-MM-DD

    Accounts- Payable

    Accounts – Receivable

    Accounts – MYOB

    Accounts – MYOB Plus

    Accounts

    Other:

    Accounts – Quickbooks

    Accounts – Quickbooks Plus

    Banking

    Budgeting

    Cash Handling

    Computer Networking

    Credit Control

    Customer Service

    Data Bases

    Other:

    Data Processing

    Document Control – Electronic

    Document Control – Manual

    Events Coordinator

    Faxes , Photocopiers Scanners

    Keyboard skill

    WPM:

    Skills, Experience, Qualifications

    Mths (M) or Yrs (Y) Exp
    YYYY-MM-DD

    Legal Documents

    Mail

    Medical Reports

    Meetings and minute Taking

    MS office – Access

    MS office - Excel

    MS office – Outlook

    MS office – Power Point

    MS office - Project

    MS office – Publisher

    MS office – Word

    Payroll

    Petty Cash

    Reception

    SAP/GSAP

    Stock Control

    Supervision + 51 pp

    Supervision – 11 to 50 pp

    Supervision – Less than 10 pp

    Switchboard

    Travel Bookings

    WordPerfect Office

    Industrial

    Skills, Experience, Qualifications

    Mths (M) or Yrs (Y) Exp
    YYYY-MM-DD

    Boilermaker/Welder

    Boilermaking- Steam EO

    Boilermaking – Turbine TO

    Confined Space (tkt)

    Crane – Derrick – CD

    Crane – Gantry – CB

    Crane – Hiab <10t – CV

    Crane – Non slewing – CN

    Crane – Tower – CT

    Crane - <=20t – C2

    Crane - <= 60t – C6

    Crane - <= 100t – C1

    Crane- > 100t – C0

    Dangerous Goods

    Dogman – DG

    Electrical – A Grade

    Electrical – C Grade

    Electrical – Restricted

    Electrical - Instrumentation

    Fitting - CNC

    Fitting – Fixed Plant

    Fitting – Gas Plant

    FittiFitting - Locomotive

    Fitting – Machining

    Fitting – Materials Handling

    Fitting – Mobile plant - heavy

    Fitting – Water Treatment

    Fitting – Welder

    Forklift – LF

    Forklift – Order Picking LO

    Forklift - IT

    Skills, Experience, Qualifications

    Mths (M) or Yrs (Y) Exp
    YYYY-MM-DD

    Labouring – Construction

    Labouring – Concrete

    Labouring – Electrical

    Labouring – Formwork

    Labouring – General

    Labouring – Landscaping

    Labouring – Mining

    Labouring – Rail

    Labouring – Steel Fixing

    Labouring – Trades Assistant

    Motor Mechanic

    Operator – Backhoe

    Operator - Dozer

    Operator – Dump Truck

    Operator – Excavator - +100t

    Operator – Excavator – Less 100t

    Operator – FE & Backhoe

    Operator – FE Loader

    Operator – Grader

    Operator – Grader – Final Trim

    Operator – Roller

    Operator – Scraper

    Operator – Skid Steer

    Operator – Water Cart

    Operator

    Other:

    Rail – ballast Regulators

    Rail – Boutet Welding

    Rail – Coverage (tkt)

    Rail – Flashbutt Welding

    Rail – Pettibone Operator

    Application for Employment

    Skills, Experience, Qualifications

    Mths (M) or Yrs (Y) Exp
    YYYY-MM-DD

    Rail – Pony Operator

    Rail – Rerailing

    Rail – Resleepering

    Rail – Shunting (tkt)

    Rail – Signals

    Rail – Tamper

    Rail – Thermit Welding

    Rigging – Basic - RB

    Rigging Intermediate - RI

    Rigging – Advanced – RA

    Scaffold Basic – SB

    Scaffold intermediate –SI

    Scaffold Advanced - SA

    Supply/logistics/Contracts

    Supervising less than 10 pp

    Supervising – 11 – 50 pp

    Supervising - +51 pp

    Skills, Experience, Qualifications

    Mths (M) or Yrs (Y) Exp
    YYYY-MM-DD

    Traffic Control ( Tkt)

    Warehouse – Store Person

    Warehouse – Officer

    Warehouse – Supervisor

    Welding – Metal Arc

    Welding – Aluminium

    Welding – lead soldering

    Welding – MIG

    Welding – Oxy

    Welding – Pipe

    Welding – Plasma Arc/Cutting

    Welding – Spot

    Welding – Stainless Steel

    Welding – TIG

    Welding

    Certificate:

    Work Platform

    Do any of the following apply to you?

    No

    Yes

    If Yes, please provide details:

    Physical disability that impacts on your ability to perform the work you are looking for

    No

    Yes

    Loss of hearing or hearing aids

    No

    Yes

    Loss of long or short vision, or corrective lenses

    No

    Yes

    Allergies that result in physical symptoms

    No

    Yes

    Problem working at heights

    No

    Yes

    Requirement to take prescribed medication

    No

    Yes

    .

    Do any of the following apply to you?

    No

    Yes

    If Yes, please provide details:

    Occasional or on going back or neck pain

    No

    Yes

    Bone fractures or dislocations

    No

    Yes

    Occasional or ongoing knee or ankle pain

    No

    Yes

    Occasional or ongoing shoulder, elbow or wrist pain

    No

    Yes

    Arthritis or rheumatism

    No

    Yes

    Severe injuries or operations

    No

    Yes

    Angina or heart problems

    No

    Yes

    High blood pressure

    No

    Yes

    Asthma, tuberculosis or pleurisy

    No

    Yes

    Asthma, tuberculosis or pleurisy

    No

    Yes

    Hernia

    No

    Yes

    Kidney or bladder problems

    No

    Yes

    Cancer or tumour, including skin cancer

    No

    Yes

    Depression or anxiety

    No

    Yes

    Epilepsy, fainting or fitting

    No

    Yes

    Persistent headaches

    No

    Yes

    Medical examination in the last 12 months

    No

    Yes

    If yes can you provide a copy?

    Workers compensation claim

    No

    Yes

    c) Are you suffering from any other injury, physical or mental condition that has not been stated above that may impact on your ability to perform the duties you are looking for?

    No

    Yes

    Emergency Contact Details

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    • To any organisation to which IMMS currently or may in the future provide employment services,

    • To Contracted service providers which IMMS may use to perform services on its behalf (such as banks, IT service providers, etc)

    • Where we are under a legal duty to do so, including circumstances where we are under a lawful duty of care to disclose information.

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