Employment Application

If you wish to fill out a printed form, please download the PDF here.

  • Position Applied For
  • Preferred Work Location
  • Are you prepared To Travel and work in other locations  Yes  No
  • Personal Details

  • Surname
  • First Names
  • Address 1
  • Address 2
  • Suburb
  • State
  • Post Code
  • Country
  • Phone(h)
  • Mobile
  • Email Address                 
  • References

  • Business References (Provide atleast 1)
  • Name
  • Company
  • Contact Phone
  • Spacer :)
  • Name
  • Company
  • Contact Phone
  • Spacer :)
  • Personal References (Not a relative)
  • Name
  • Company
  • Contact Phone
  • Previous Employment History

    (Start with the most recent position. This section must be complete unless you have attached a resume)

  • Company
  • Start Date
  • Finish Date
  • Employed: Full-time Part-time Casual
  • Position Held
  • Workers Comp Plaimed
  • Reason For Leaving
  • Company
  • Start Date
  • Finish Date
  • Employed: Full-time Part-time Casual
  • Position Held
  • Workers Comp Plaimed
  • Reason For Leaving
  • Qualifications/Training

  • Drivers License Type
  • Overhead Power 5099 Number
  • Pipelaying Certificate
  • OH&S Induction certificate number
  • First Aid Certificate Number
  • Other, Please State
  • Other, Please State
  • Other, Please State

    Upload your Resume

  • Upload a file(s)
     
  • Health

  • Are you dependant upon medication? Yes:  No: If yes, please explain:
  • Are there any medical or physical conditions (eg; disabilities, injuries etc) which may affect the efficient or safe performance of the position you are applying for?  Yes:  No: If yes, please explain:
  • Are you prepared to undergo a medical examination and hearing test by Eire Contractors Doctor? Yes: No:
  • Have you ever made a claim for workers compensation? Yes: No:
  • If Yes, how many times?
  • Has this matter been settled?  Yes: No:
  • APPLICANTS DECLARATION I confirm that there are no outstanding or continuing Workers Compensation claims in progress from any previous employer that Eire Contractors Pty Ltd has not been informed about in writing. I also declare that the information contained herein and completed by me (a specimen of my signature appears herewith) is factual, and I understand that failure to provide correct information may adversely affect my employment opportunities with Eire Contractors Pty Ltd. I am also aware that Eire Contractors Pty Ltd operates with strict safety guidelines and WH&S regulations. It is my choice to work in the civil construction industry and I have no injuries or other circumstances to prevent me from performing my duties. If my application for employment with Eire Contractors Pty Ltd is successful, I agree to abide by the directives of the company and their appointed representatives to carry out work diligently and in accordance with the contract.

    Further, I acknowledge that should I be employed by Eire Contractors Pty Ltd, it is an essential condition of my employment that I am competent to perform the work as directed. If I am unable to perform the work pursuant to this clause I acknowledge that my employment will be terminated.

  • Signed: Date: