admin – N.F. McDonnell & Sons

Name *

First

Last

Phone *

Email *

Position applying for *

Date you can start *

Have you ever applied to this company before? *

Yes
No

Have you ever been employed by this company before? *

Yes
No

Cover letter

Click or drag a file to this area to upload.

Please upload a cover letter in either PDF or Word format.

Resume *

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Please upload your resume in either PDF or Word format.

Are you a permanent resident of Australia? *

Yes
No

If no, what type of visa do you hold?

Is English your first language? *

Yes
No

If no, what language do you usually speak?

How well do you speak English? *

Very well
Well
No well
Not at all

How good are your literacy & numeracy skills? *

Very good
Good
Not very good

Do you need any additional support? *

Yes
No

If yes, please give details

Highest Level of Education Achieved *

Other Skills / Licences / Qualifications *

Other (please specify)

Medical History

Please note: This information will remain private and confidential. An illness, disability or injury is NOT a barrier to the consideration of an application for employment.

Do you suffer from any medical condition, physical or mental disability? *

Yes
No

If yes, please indicate:

Other conditions

Have you been immunised against: *

Other immunisations

Have you had any injuries to / problems with your: *

Have you had any operations? *

Yes
No

If yes, please specify what operations

Have you had any broken bones? *

Yes
No

If yes, please specify what breaks

Are you undertaking any medical treatment? *

Yes
No

If yes, specify which treatments

Are you taking any medication? *

Yes
No

If yes, specify which medications

Have you had any injury or disease related to work? *

Yes
No

If yes, specify what injury/disease

Have you ever claimed workers compensation? *

Yes
No

If yes, specify claim(s)

Please note that if your application is successful you may be requested to undergo a pre-employment medical and drug & alcohol screening test. Do you consent to this occurring? *

Yes
No

Acknowledgment

I understand that any false or misleading information given in this application may render my contract of employment, if I am appointed, liable to termination.

I declare that the information provided by me in this application is true and correct in every particular and authorise the release of the results of this medical examination to my prospective employer.

Name *

First

Last

I acknowledge the above *

Yes

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Employment Expression of Interest

Employment Expression of Interest

Medical History

Acknowledgment