W.A. TREEWORKS JOB APPLICATION FORM – IN CONFIDENCE PERSONAL DETAILS: Surname: Given Name: Address: Telephone: Mobile: Email: Date of Birth: Driving Licence Number & Class: Position Applied For: CURRENT QUALIFICATIONS/CERTIFICATES QUALIFICATION/CERT INSTITUTION/TRAINING PROVIDER YEAR COMPLETED White/Blue Card Y/N Please attach additional sheet if required: PREVIOUS EMPLOYMENT: (MOST RECENT FIRST PLEASE) EMPLOYER: DATES TO/FROM POSITION: REASON FOR LEAVING REFERENCES NAME COMPANY POSITION CONTACT NUMBER SELECTION CRITERIA W.A. TREEWORKS – JOB APPLICATION FORM V1 – APPROVED BY:DBARKER 1/5/2014 847 CANNING MILLS RD, MARTIN WA6110 TEL: 08 9496 0306 EMAIL: office@watreeworks.com.au W.A. TREEWORKS 1.Please outline why you are interested and consider yourself suitable for this position: 2.Please outline your experience that is relevant to this role: 3.Please outline your skills relevant to this role: 4.Please detail what you could bring to this position and how this may benefit the company: 5. Please provide any other information that you identify as being pertinent to this application (for example medical condition) DECLARATION I declare that to the best of my knowledge the information given is true and correct. I understand that inaccurate, misleading or untrue statements or knowingly withheld information may result in termination of employment with this organisation. I understand that this application does not constitute an offer of employment. I understand that references will be followed up and police clearance may be required if so, I will be notified if and/when this applies to this application. Signed: Date: *This information is confidential and for office use only OFFICE USE ONLY: ACTION TAKEN Name ACTION References Checked: Y/N – Would re-employ Y/N Comments: Certificate/Qualification Check: Y/N Police Clearance Supplied: Y/N Interview arranged for / / Comments: Offer of employment / / Start Date / / W.A. TREEWORKS – JOB APPLICATION FORM V1 – APPROVED BY:DBARKER 1/5/2014 847 CANNING MILLS RD, MARTIN WA6110 TEL: 08 9496 0306 EMAIL: office@watreeworks.com.au Date: