Online Job Application Form

Position details
Position Title (*)
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Personal details
Title (*)
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Last/Family Name (*)
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Given Name/s (*)
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Address (*)
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Postcode (*)
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Home Phone (*)
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Mobile Phone (*)
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Work Phone (*)
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Email (*)
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Education & Training

Secondary School Education
School Attended
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Year Completed
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Level of Achievement
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Tertiary Education
Institutions Attended
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Year Completed
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Level of Achievement
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Other Relevant Training / Development
Course / Seminar / Workshop
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Year Completed
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Level of Achievement
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Current Employment
Not currently employed
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Current / Most Recent Employer
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Position Held
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Employment Status
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Period of Service
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Summary of Employment History
Employer
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Position Title
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Dates of Employment
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Summary of Employment History
Employer
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Position Title
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Dates of Employment
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Referees

Current / Most Recent Manager / Supervisor
Employer
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Name of referee
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Position of Referee
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Contact Number/s
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Second Work Referee
Employer
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Name of referee
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Position of Referee
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Contact Number/s
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Regional Work
Are you interested in working away from CBD?
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Have you any prior experience working away? If yes…..
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Where?
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For whom?
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How long?
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Residential Status



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Where did you first see the Job Advertisement?


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Newspaper (Please specify)
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Other (Please specify)
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Supporting Application Documentation
Cover Letter
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Your Resume
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Other
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Other
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Do you have the following…?
Australian Business Number (please specifiy)
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Valid WA Driving Licence (specify Class of licenece)
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White Card (please specify)
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Elevated Work Platform Ticket (please specifiy)
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Note: All the above are compulsory requirements for all site based job applications.
JCR can assist with guidance to gain the above certificates if required

Conditions of Application for Employment
I agree to abide by the rules and procedures of JCR and to participate in all aspects of the selection process relevant to this position for which I am applying which may include a police check and may include a medical examination. I understand that any information given will be in the strictest of confidence and only provided to those who need to know for employment and selection purposes.
I understand that any deliberate misrepresentation of fact in my application for employment, either in writing or verbally, will mean that an offer of employment may not be made, or such offer may be withdrawn, or employment terminated
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