Join The Team Application for Employment Mandatory fields are marked by “*“ "*" indicates required fields Personal DetailsFull Name* First Name Last Name Home Address* Street Address City State Post Code Mailing Address (Uncheck the following if different to home address) Same As Home Address Street Address City State Post Code Your Email Address* Your Phone*Desired position(s)If you are applying for an advertised position, please advise the position: Transport Subcontractor Van Driver MR Licence Driver HR Licence Driver HC Licence Driver (Local) MC Licence Driver (Local) Interstate Linehaul Driver Pick – Packer Forklift Operator Operation Team Administration Management You are happy to be employed: Full Time Part Time Casually Working on boths weekends and weekdays If successful, when are you available to commence? DD slash MM slash YYYY Relevant Qualifications/LicencesPlease list licenses, tickets, authorisations e.g. forklift, dangerous goods etc. (press Save and Add Row to add more than one licence or qualification):*Type/ClassLicence numberState of IssueExpiry DateYears held Add RemoveDriving RecordPlease note: any employee may be charged with the responsibility of operating a company vehicle.Have you ever been denied a licence or permit to operate a motor vehicle?* No Yes Have you ever had any licence or permit suspended or revoked?* No Yes Have you ever had your driver/vehicle insurance cover cancelled/declined?* No Yes Have you ever been at fault in a road accident?* No Yes Have you ever been charged with drug or alcohol driving related offences?* No Yes If you answered 'Yes' to any of the above questions, please provide details here:Employment HistoryPlease upload your resume here*Upload your resume in .pdf, .doc or .docx formatAccepted file types: pdf, doc, docx, Max. file size: 25 MB.Referees(Please list 3 professional referees, preferably from your most recent jobs):*Referee's NameReferee's positionReferee's companyReferee's phone number Add RemoveHave you ever worked for a Cold Origin related entity previously?* No Yes If yes, then please provide details (dates, position, reason for leaving): Do you know anyone who currently works for a Cold Origin related entity?* No Yes If yes then please provide details (name, position, location): Applicant AcknowledgementApplicant Acknowledgement*I confirm that I do freely give this information. I confirm that I completed this application and warrant that all entries on it and information in it are true and complete to the best of my knowledge. I warrant all information provided during the process of applying for a position (including this application, interview, referee details, licenses, identity details, medical, or any other employment processes) as being true and correct and acknowledge that in the event of employment, any false or misleading information given during the process may result in termination of my employment. I authorise Cold Origin and its related entities to make such investigations and inquiries on my personal, employment, medical history and other related matters as may be necessary in arriving at an employment decision. I irrevocably consent to provide, as a condition of employment and on request, a copy of my current, valid Driver’s license (or other relevant licences/tickets/qualifications) and, where required by my position, a full and up-to-date copy of my driving record and license history as proved by the relevant State and Federal Licensing Authorities. I will provide this prior to commencing employment with Cold Origin and during employment, within 7 days of being requested. I acknowledge that if I am unable or unwilling to provide these, my employment with Cold Origin may not commence or may be terminated .In making this declaration, I direct that any medical practitioner or other person who has been or may be consulted by me, shall be and is hereby authorised and directed by me to divulge at any time to Cold Origin or associated entities or representatives (e.g. HR, payroll, management), any information concerning my health and medical history that he/she may have acquired in the course of any professional attendance by him/her on me, or any professional consultation I have had with him/her and I hereby expressly waive all professional confidence and provisions of laws to privilege forbidding disclosure of such information in my employment or this request. I agree to the above terms and conditions.Name* First Name Last Name Date* DD slash MM slash YYYY Signature*
