Employment Application Employment Application Form Please fill in your details to apply for a position with BOOM Logistics Step 1 of 5 20% Application will be sent to PERSONAL DETAILSName* First Last Email* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Home PhoneMobile*Position applied for*First location preference for which you are seeking BOOM employment*- Select state -VICSAWAQLDNSWTASSelect BOOM location in Victoria (1st preference)*- First preference -RowvilleMorwellNational Office (Southbank)Select BOOM location in South Australia (1st preference)*- First preference -AdelaideOlympic DamSelect BOOM location in Western Australia (1st preference)*- First preference -Naval BasePerth - WelshpoolSelect BOOM location in Queensland (1st preference)*- First preference -BrisbaneBlackwaterMackayTownsville (EWP)Select BOOM location in New South Wales (1st preference)*- First preference -NewcastleSingletonSydneyWollongongSelect BOOM location in Tasmania (1st preference)- First preference -Hobart (EWP)Second location preference for which you are seeking BOOM employment- Select state -VICSAWAQLDNSWTASSelect BOOM location in Victoria (2nd preference)- Second preference -RowvilleMorwellNational Office (Southbank)Select BOOM location in South Australia (2nd preference)- Second preference -AdelaideOlympic DamSelect BOOM location in Western Australia (2nd preference)- Second preference -Perth - WelshpoolNaval BaseSelect BOOM location in Queensland (2nd preference)- Second preference -BrisbaneBlackwaterMackayTownsville (EWP)Select BOOM location in New South Wales (2nd preference)- Second preference -NewcastleSingletonSydneyWollongongSelect BOOM location in Tasmania (2nd preference)- Second preference -Hobart (EWP)Are you legally permitted to work in Australia?*- Please Select -YesNoAre you a permanent resident or citizen of Australia?*- Please Select -YesNoIf No, please give Visa details* QUALIFICATIONS TICKETS & LICENCESSecondary SchoolLevel Completed Year CompletedTertiary (if applicable)Course Completed Year CompletedTrade CertificateCourse Completed Year CompletedEWP TicketLevel Years HeldForklift LicenceLicence Number Years HeldCrane Operator TicketsTickets held Years HeldRigging TicketTickets held Years HeldDogging TicketTickets held Years HeldCurrent Drivers Licence (Car)?- Please Select -YesNoLicence NumberExpiry Date DD slash MM slash YYYY (dd/mm/yyyy)Current Drivers Licence (Truck)?- Please Select -YesNoLicence 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?- Please Select -YesNoIf yes, detail reasons for disqualification / refusalHave you worked for BOOM in the past?*- Please Select -YesNoIf 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- Please Select -YesNoAre you interested in casual shut down work?-Please Select-YesNoWhen are you available to commence employment with BOOM?- Please Select -Immediately1 Week2 Weeks4 WeeksOtherPlease specify when you are available to commence employment with BOOM EMPLOYMENT HISTORY & REFEREES(Two most recent positions held)Employer 1 Name*Position Held*Years / Months Employed*Reason for Leaving*Cranes Operated (if applicable)Employer 2 Name*Position Held*Years / Months Employed*Reason for Leaving*Cranes Operated (if applicable)RefereesFirst Referee’s Name*First Referee’s Phone*Referee’s Employer*Referee’s Position*Second Referee’s Name*Second Referee’s Phone*Referee’s Employer*Referee’s Position* COMPANY MEDICALEmployment 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?- Please Select -YesNoIf yes, please provide details DECLARATIONI 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 - certificatesMax. file size: 80 MB. Supporting documents - licencesMax. file size: 80 MB. Supporting documents - ticketsMax. file size: 80 MB. CAPTCHA Δ