GE HUGHES CONSTRUCTION CO. EMPLOYMENT APPLICATION FORM APPLICANT INFORMATIONName First Middle SurnameHome Address Street Suburb State Post CodeContact Numbers Home Phone Mobile PhoneDOB Email Position applied for Available to Start Are you a citizen of Australia? No YesIf no, are you authorised to work in Australia? No YesAre you suffering from any medical condition which may effect your ability to perform your duties? No YesIf Yes please explain. Have you ever suffered any injury or illness which may effect your ability to perform your duties? No YesIf Yes, give details including whether you made a Workcover claim. Do you agree to a pre-employment medical including drug screening? No Yes DECLARATIONI certify that my answers on this application are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in termination of my employment with GE Hughes Construction Co. If this application does not lead to immediate employment, I give permission for my details to be kept on file in the event that future employment opportunities may arise.Please choose Yes or No No Yes PREVIOUS EMPLOYMENTCompany Name ## Address ## Date of Employment ## From ToPosition ## Responsibilities ## Reason for leaving ## May we contact them for a reference? No YesClick the green + button to add another employment set if needed. (Max 3 sets) Company Name 1 Address 1 Date of Employment 1 From ToPosition 1 Responsibilities 1 Reason for leaving 1 May we contact them for a reference? No YesClick the green + button to add another employment set if needed. (Max 3 sets) SKILLS/COMPETENCIESList relevant skills, competencies, training, licenses and tickets currently held. REFERENCESPlease list 3 personal references.1 Full Name Relationship Company Phone Address2 Full Name Relationship Company Phone Address3 Full Name Relationship Company Phone AddressAttach copies of documents that may support your application, if required. To add more documents click the green + as needed (Max 5 files) Anti Spam Code Please enter the code in the image
