People Resourcing

Employment Application Form

Candidate # __________________
INSTRUCTIONS
1. Please complete all appropriate questions.
2. Please type or mark all answers where possible.
3. Please ensure to attach your CV and copies of any relevant documentation to your application.

Name Title MR MRS MISS MS OTHER

Family Name

Given Names

Date of Birth / /

Home Address Number Street

Suburb or Town

Postcode State

Postal Address Number Street

(If different from above)

Suburb or Town

Postcode State

Work ( ) Home ( )
Contact Details
Please include Area Codes
Mobile

Email

Receive payslips by email? YES Receive end of financial year payment YES
summaries by email?
NO NO

Contact 1 Name & Phone

Emergency Contacts Relationship

Please provide two Name & Phone

Contact 2
emergency contacts Relationship

Citizenship If no, please state country of citizenship:

Are you an Australian Citizen? YES NO

Passport #:
Expiry:

Transport If no, please state how you would travel to work:

Do you have your own car? YES NO

Drivers License Number:

Licence Expiry Date:

Uniform Details Shirt Size: Pants Size: Shoe Size:

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Union Details If yes, please state which Union and amount per week:
NO YES
Do you require Union Membership fees
to be deducted from your pay?

Name on Account
Bank Details

BSB Number ( Must be 6 numbers )

Account Number ( Between 5 and 9 numbers )

Name of Bank

Name of Fund
Superannuation Details

Policy Number

Name of Account

Fund Telephone Number Fund ABN

If you do not have a superannuation fund, do you YES NO, my desired fund is:
wish for People Resourcing to pay your super into
our default fund 'Recruitment Super'?

Work History & Job 1

Referees* Company Name:

Please give details

of your three (3) Position/Job title: Dates worked: to
most current
employment Employment Type
histories and (casual, full time, etc)
nominate one Referee 1
supervisor who is Name
willing to provide
work references Job Title: Phone:
for you.

Job 2
Company Name:

*By providing Position/Job title: Dates worked: to

referee details,
you authorise Employment Type
People (casual, full time, etc)
Resourcing to
Referee 2
conduct reference
Name
checks.
Job Title: Phone:

Job 3
Company Name:

Position/Job title: Dates worked: to

Employment Type
(casual, full time, etc)
Referee 3
Name

Job Title: Phone:

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 Tickets and Licences
Please tick the tickets and licenses that you currently hold
LOADSHIFTING EQUIPMENT OPERATION CRANE or HOIST OPERATION OTHER LICENCES
LBG Bridge or Gantry Crane CT Tower Crane QLD Electrical Workers Licence

LZ Dozer CD Derrick Crane A.C.A. licence

LE Excavator >2L CP Portal Boom Crane Base Cabling Licence

LL Front-end Loader >2L CB Bridge or Gantry Crane Structured cabling

LB Front-end Loader/Backhoe >2L CV Vehicle Loading Crane > 10mT Optical fibre cabling

LG Operator of a Grader CN Non-slewing Mobile Crane >3T Coaxial Cabling

LR Road Roller >2L C2 Slewing Mobile Crane <20T Underground cabling

LS Skid Steer Loader >2L C6 Slewing Mobile Crane <60T Aerial cabling

LP Operator of a Scraper C1 Slewing Mobile Crane < 100T Gas Servicing licence

LF Operator of a Forklift C0 Slewing mobile Crane >100T Gas Installers licence

LO Order Picking Fork Lift Truck HM Materials Hoist Gas Suppliers licence
PRESSURE EQUIPMENT OPERATION
BB Basic Boiler Operator HP Materials or Personnel Hoist Gas Motor Fuel installers licence

BI Intermediate Boiler Operator WP Boom-Type Work Platform Hydrocarbon Refrigerant Gas

BA Advanced Boiler operator PB Mobile Truck Mounted Concrete Installers Licence

TO Turbine Operator Placing Boom Traffic Control ticket

TRUCK LICENCES
ES Reciprocating Steam Engine Op. C Drivers Licence Confined space ticket
RIGGER
DG Dogger HC (Heavy Combination) Truck Dangerous Goods licence

RB Basic Rigger HR (Heavy Rigid) Truck & Bus Workplace Health & Safety Officer

RI Intermed. Rigger LR (Light Rigid) Truck & Bus Rehabilitation Coordinator

RA Advanced Rigger MR (Medium Rigid) Truck & Bus First Aid Certificate

SCAFFOLDER MC (Multi Combination) Truck & Bus Resuscitation

SB Basic Scaffolder
Tractor licence Safe Work at Heights
SI Intermed. Scaffolder DEMOLITION WORK
DM1 Demolisher (unrestricted) ASBESTOS REMOVAL WORK
SA Advanced Scaffolder ARB Asbestos Removalist
DM2 Demolisher (restricted)

OTHER
Any Other Tickets & Licences

GENCON SAFETY INDUCTIONS POWER STATION SITES GLADSTONE SITES

QLD General Safety (Construction Bayswater Vales Point GPA BSL
Industry) Blue Card
NSW General Safety Induction Liddell Swanbank QAL NRG
(Construction Industry) Green Card
Eraring Stanwell SPP QCL
MINE INDUCTIONS
Generic Coal Mine - Surface Cockburn Pelican Point

Generic Coal Mine - Underground

Site Specfic

Trade or Tertiary
1 3
Qualifications
Please give details of
any trade certificates you 2 4
have.

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How did you hear about Someone who is also registered at People Resourcing
People Resourcing? Their Name:
Saw a job ad on seek.com.au

Saw a job ad in the newspaper

Saw a job ad on the People Resourcing website

Another company

Other (please state):

Employee Terms and Conditions

I understand that I must submit to People Resourcing by no later than 12 midday Monday, a timesheet detailing
hours worked for the previous week. Timesheets must be approved and signed by the appropriate client
supervisor/manager before they will be accepted by People Resourcing. It is my responsibility to submit timesheets
1 to People Resourcing on time and follow up with the client if necessary. I understand that timesheets submitted after
12 midday on Monday cannot be processed and will carry over to the following pay period. People Resourcing
guarantees that all correctly submitted timesheets received by the payroll deadline will be processed and paid on
Thursday each week.

In the event that any excess payment is made to me, I authorise People Resourcing to make the appropriate
2 deductions from my following pay subsequent to the discovery of the error. Alternatively, People Resourcing may
agree to a different repayment schedule.
If the client has additional work requirements, I will contact a People Resourcing consultant immediately or at the
3
earliest possible time.
I agree to use the required protective clothing and work equipment as instructed by People Resourcing or the client.
4 I agree to comply with supervisors' instructions regarding workplace health & safety and not wilfully place at risk
myself or any person at the workplace.

I agree that in the event that I sustain an injury/illness during (or as a result of) a work assignment, I shall advise
5
People Resourcing immediately or at the earliest possible time.
If I am unable to attend work or have problems with my assignment obligations, I understand I must contact People
6
Resourcing immediately.
I consent to People Resourcing disclosing personal information provided by me and my referees, to People
7
Resourcing clients as potential employers.

Declaration:
I declare that the information contained within this application is true and correct. I also
understand and agree to all terms and conditions presented on this form.

SIGNATURE

DATE

OFFICE USE ONLY

PRIMARY OCCUPATION:

INTERVIEWED BY: DATE:

ENTERED: Fast Track Initial

Diary Entered 2nd Check

Reference Checked
M:/ALL DOCUMENT/DOCUMENT SUITE/FORMS & LETTERS/CANDIDATES/CANDIDATE APPLICATION FORM NSW
Controlled Revision 1 Approved SD 17/6/08

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 People Resourcing
Banking Authorisation Form
Candidate # __________________

People Resourcing operates under the Westpac Bank Wages System to streamline the payment of wages to our
Employees. This means that instead of collecting cash your pay will be lodged directly into your nominated bank
account.

Under this system you will have access to your pay on Thursday. The pay week is Monday to Sunday.

Your timesheets are to be SIGNED BY YOUR SUPERVISOR and returned to this office no later than 12.00PM
(MIDDAY) MONDAY.

Please fax this form back to us on: (02) 4967 3244 or mail it to: Ironworkers Centre, Ground Floor
161 Maitland Road, MAYFIELD NSW 2304

Name on Account
Bank Details

BSB Number ( Must be 6 numbers )

Account Number ( Between 5 and 9 numbers )

Name of Bank

DECLARATION

I, of
NAME ADDRESS

do hereby verify that these details are true and correct.

SIGNATURE

DATE / /
OFFICE USE ONLY

ENTERED BY:

DATE: / /

M:/ALL DOCUMENT/DOCUMENT SUITE/FORMS & LETTERS/CANDIDATES/CANDIDATE APPLICATION FORM NSW

Controlled Revision 1. Approved SD 17/6/08

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