Employment Application

Application will be sent to
PERSONAL DETAILS
Name*
First Last
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Home Phone
Mobile*
Position applied for*
First location preference for which you are seeking BOOM employment*
Select BOOM location in Victoria (1st preference)*
Select BOOM location in South Australia (1st preference)*
Select BOOM location in Western Australia (1st preference)*
Select BOOM location in Queensland (1st preference)*
Select BOOM location in New South Wales (1st preference)*
Select BOOM location in Tasmania (1st preference)
Second location preference for which you are seeking BOOM employment
Select BOOM location in Victoria (2nd preference)
Select BOOM location in South Australia (2nd preference)
Select BOOM location in Western Australia (2nd preference)
Select BOOM location in Queensland (2nd preference)
Select BOOM location in New South Wales (2nd preference)
Select BOOM location in Tasmania (2nd preference)
Are you legally permitted to work in Australia?*
Are you a permanent resident or citizen of Australia?*
If No, please give Visa details*

QUALIFICATIONS TICKETS & LICENCES
Secondary School
Level Completed
Year Completed
Tertiary (if applicable)
Course Completed
Year Completed
Trade Certificate
Course Completed
Year Completed
EWP Ticket
Level
Years Held
Forklift Licence
Licence Number
Years Held
Crane Operator Tickets
Tickets held
Years Held
Rigging Ticket
Tickets held
Years Held
Dogging Ticket
Tickets held
Years Held
Current Drivers Licence (Car)?
Licence Number
Expiry Date
DD slash MM slash YYYY

(dd/mm/yyyy)
Current Drivers Licence (Truck)?
Licence Number*
Expiry Date*
DD slash MM slash YYYY

(dd/mm/yyyy)
Classification (select at least one)*
- MC
- HC
- HR
Have you been disqualified or refused from holding a drivers licence in the past 10 years?
If yes, detail reasons for disqualification / refusal
Have you worked for BOOM in the past?*
If yes, please provide details of your previous employment with BOOM.*
Are you able to carry out overtime, weekend shift work and / or travel to work locations
Are you interested in casual shut down work?
When are you available to commence employment with BOOM?
Please specify when you are available to commence employment with BOOM

COMPANY MEDICAL
Employment is conditional on meeting certain medical requirements relevant to the position. You will be required to have a medical examination prior to your employment. ** (Please note: in some States of Australia, providing false or misleading information by any applicant whom knowingly is aware of any pre-existing injury or medical condition, may preclude them from any entitlement to compensation or to seek damages for any incident or event that aggravates the pre-exiting injury or medical condition.)
Are there any medical conditions or pre-existing injuries that you are aware of that could prevent you from, or be aggravated by, performing the physical duties of the role and/or the environmental conditions where the role is performed?
If yes, please provide details

DECLARATION
I declare the above information is true and correct. I understand I may be dismissed if any of the information I have provided in this application is false or misleading. I authorise the Company to undertake reference checks and confirm my qualifications. I authorise the Company to provide this application to Major Customers where I am assigned to work. If employed, I agree to comply with Occupational Health and Safety Legislation; all Company Policies and Procedures; Policies & Procedures of customers; site inductions; competency testing and instructions as they are given. I hereby acknowledge that I have read and agree to the above statement.
By checking this box I hereby acknowledge that I have read and agree to the above statement.*
- I agree
Please attach your CV*
Max. file size: 80 MB.
Supporting documents - certificates
Max. file size: 80 MB.
Supporting documents - licences
Max. file size: 80 MB.
Supporting documents - tickets
Max. file size: 80 MB.
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PERSONAL DETAILS