Register

Please fill in the following registration form

 
Project you are applying for
 
HC or MC DRIVERS - CAIRNS
 
Personal Details
 
Surname*
Given names*
Title*
 
Residential Address
 
Street/Unit No.*
Suburb/Town*
State*
Postcode*
Best Contact Phone Number 1*
Best Contact Phone Number 2*
Email address*
Date of birth*
 
Medical / Health Assessment
 
Measurement of your waist* Note: Measure your waist in centimetres just above the belly button
Measurement of your hips* Note: Measure your hips in centimetres at the widest part of your buttocks
Weight* Note: Please specify in kilograms
Height* Note: Please specify in meters
For the purpose of drug testing, are you or have you in the past 2 weeks taken any medication either prescribed or over the counter drugs?*
If yes, please describe the drug
Are you being treated by a doctor for any illness?*
If yes, please provide details
Have you had any operations which could affect your ability to work?*
If yes, please provide details
Have you been immunized against tetanus?*
If yes, please provide the date of your last immunization
Do you or have you ever suffered from Wheezing, Bronchitis, Asthma*
Do you or have you ever suffered from Diabetes*
Do you or have you ever suffered from Stomach pain or Ulcers*
Do you or have you ever suffered from Excessive noise exposure / Loss of hearing*
Do you or have you ever suffered from Skin disorder, Dermatitis, Skin cancer*
Do you or have you ever suffered from Eyesight disorders, Color blindness*
Do you or have you ever suffered from Blood pressure or Heart disease*
Do you or have you ever suffered from Head injury or Concussion*
Do you or have you ever suffered from Chronic ear infection*
Do you need to wear prescription glasses or contact lenses*
If yes to any of the above please provide details
 
Alergies
 
Do you or have you previously had any allergies?*  Ie. Bee stings, Food
If yes, please provide details
 
General Ailments
 
Do you now have or have you ever suffered from, trouble with your Back / Neck*
Do you now have or have you ever suffered from, trouble with your Wrists / Elbows*
Do you now have or have you ever suffered from, trouble with your Feet / Hands*
Do you now have or have you ever suffered from, trouble with your Ankles / Knees*
If yes to any of the above, please provide details
 
Serious injuries at work
 
Have you ever seriously injured yourself at work or suffer from industrial disease?*
Did any workers compensation claims result?*
If Yes to either the above 2 questions, please give details including rehabilitation provided
 
General questions
 
Why are you best suited for this position and if given this opportunity will you complete the project? Give an example*
What motivates you in a work environment? Give example including the outcome*
How have you coped when your work has been constructively criticized? Give example including the outcome*
What gives you the greatest satisfaction at work? Give example including the outcome*
What was the most difficult work situation you have had to face and how you tackled it? Give example including the outcome*
What is your approach to working in dirty, hot, uncomfortable environment? Give example including the outcome*
What things frustrate you the most and how do you cope with them? Give example including the outcome*
Have you had to deal with conflicting deadlines? How did you decide which task is to be complete? Give example including the outcome*
What do you expect from Siteforce as the employing company?*
Tell us about yourself. Life focuses/goals?*
Tell us about your hobbies and interests*
 
Work History
 
 
Note: List your last 3 to 5 places of employment with contactable references
Your position titleCompanyDate started workDate ended workWork reference namePosition titleContact phone number
Once your registration is received, Siteforce understands you have given permission to contact your references
 
Qualifications
 
Trade Certificate Type  
 
Only check boxes if you have current and up to date licenses/tickets
Elevated work platform
Forklift
Dogger
Basic rigger
Intermediate Rigger
Advanced Rigger
CO crane ticket
C1 crane ticket
C2 crane ticket
C6 crane ticket
Basic Scaffolder
Intermediate Scaffolder
Advanced Scaffolder
MC
HC
HR
MR
LR
Car
Confined Space
First Aid
Working at Heights
   
Other  
 
Miscellaneous
 
How did you hear about us
 
Terms and Conditions & Privacy Statement
 
 
Note: Any existing or historical ailments or injuries will not automatically disqualify the applicant from employment consideration.
Ailments or injuries will be individually assessed to determine:
  • Applicants "fitness for purpose" and suitability for the type of work required
  • The aids and/or safety measures required to assist the employee to fulfill His or Her duties
The answers given are true and correct to the best of my knowledge.

I am aware that any false or misleading statements may threaten my appointment or continued employment.

I agree to the use of the information contained within the Medical / Health Assessment for determining the suitability for the position for which I am being considered for employment.

I am aware that I may be required to seek professional assessment of any conditions stated in the questions above, certificates and or statements from previous heath assessors may be submitted if required.

I understand that I will be required to undergo periodical drug screen and alcohol breath test as a part of Mine Site, Construction Site and Siteforce Australia Testing Programs and Policies.
Privacy Statement: The personal information you provide on this form is protected by the Privacy and Personal Information Protection Act 1998. Access to the information that you provide on this form is only available to yourself and those persons authorized to access this information in the course of their duties at Siteforce Australia.
I agree to the above terms and conditions?