Driver Application Form

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Driver Application Form

Driver Job Application Form

Contact Us

Position applied for:

Date:

Free Text

Personal Details

Given Name:

Family Name:

Preferred Name:

Address:

Telephone Daytime:

Mobile:

Email:

What type of work are you available for?

Full time

Part time

Casual

When will you be available for work?

Are you an Australian Citizen?

YES

NO

Are you willing to supply a Licensing Authority history print out initially and then every six months?

YES

NO

Do you have a Professional Heavy Truck Drivers License?

YES

NO

Points left to date:

State:

License Number:

Class:

Have you ever had your Driving License Cancelled?

YES

NO

Please indicate Details:

Free Text

Current qualifications (relevant to position i.e. Basic Fatigue Management)

Qualification title

Institution/ Training Provider

Year Completed

Qualification title

Institution/ Training Provider

Year Completed

Qualification title

Institution/ Training Provider

Year Completed

Are you currently undertaking study/training?

YES

NO

If yes, course/program name:

Type:

Full time

Part time

Casual

Others

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Applicant's Statement of Driving Experience: (Note - a Road/Job test is Mandatory!)

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Type/Class (Rigid)

List type of experience i.e. refrigerated, DG etc.

Years of Experience

Last course completed

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Type/Class (Single)

List type of experience i.e. refrigerated, DG etc.

Years of Experience

Last course completed

Free Text

Type/Class (B Double)

List type of experience i.e. refrigerated, DG etc.

Years of Experience

Last course completed

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Type/Class (Road Train)

List type of experience i.e. refrigerated, DG etc.

Years of Experience

Last course completed

Free Text

Type/Class (Dangerous Goods)

List type of experience i.e. refrigerated, DG etc.

Years of Experience

Last course completed

Free Text

Type/Class (Forklift)

List type of experience i.e. refrigerated, DG etc.

Years of Experience

Last course completed

Free Text

Type/Class (Other)

List type of experience i.e. refrigerated, DG etc.

Years of Experience

Last course completed

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Previous Employment History (most recent first)

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Employer 1

Employer name/establishment

Dates from/to

Position

Reason for leaving

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Employer 2

Employer name/establishment

Dates from/to

Position

Reason for leaving

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Employer 3

Employer name/establishment

Dates from/to

Position

Reason for leaving

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Please provide details of three people who can speak on your behalf regarding your work history.

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Person 1

Name:

Contact Number:

Position/ working relationship (e.g. supervisor)

Office use check initial/ date

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Person 2

Name:

Contact Number:

Position/ working relationship (e.g. supervisor)

Office use check initial/ date

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Person 3

Name:

Contact Number:

Position/ working relationship (e.g. supervisor)

Office use check initial/ date

Do you agree to have referees contacted in relation to this application?

YES

NO

Free Text

Reference checks will be conducted legally in an ethical manner and all information derived will remain confidential)

Free Text

Medical Information

Please provide any other information that you identify as being relevant to this application (e.g. medical conditions. disabilities that impact on your ability to undertake the inherent requirements of the position applied for). Please read the Declaration section below and supply relevant, true and correct information.

I agree to undertake a pre-employment medical at the businesses expense i.e. health and drug screening.

Y

NO

Have you ever been dismissed, charged or convicted of an offence?

YES

NO

Have you ever been dismissed due to, charged or convicted of an offence in connection with the care, control, management or use of a vehicle?

YES

NO

Free Text

Declaration

I declare that. to the best of my knowledge, the information given is true nad 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 understant that, in some cases, police and credit checks wil be required and I will be notified it this applies to this application.

I declare that. to the best of my knowledge, the information given is true nad 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 understant that, in some cases, police and credit checks wil be required and I will be notified it this applies to this application.

Date signed:

Thank you for contacting us.
We will get back to you as soon as possible.

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Contact Info

enquiries@pilons.au

Trading Hours

Mon-Fri 7:30am - 5:00pm

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