Employment Application Form – Rocky's Own Transport

Position Details

Yard Supervisor
Operations Supervisor
Boilermaker
Depot Manager
Long Distance or Local Driver
HR Driver
Heavy Vehicle Maintenance Technician

Applicant Details

Name *

DOB//

Current Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Is postal address same as above? *

Phone *

Email *

Emergency Contact Details

Emergency Contact - Name *

Emergency Contact - Relationship *

Emergency Contact - Is emergency contact address the same as your address? *

Emergency Contact - Phone *

Position Applicant is Applying for

Please tick one or more below

Employment History

List past 3 employers in order of most recent employment.
Only fill out if you don’t have an up-to-date resume.

Does your resume contain up-to-date employer references? *

Licences/Certificates

Do you have any of the following licenses, tickets or clearances?

Heavy Rigid Licence *

Heavy Combination Licence *

Multi Combination Licence *

Dangerous Goods Licence *

QLD/NSW/WA Security Licence *

QLD Exp Drivers Licence *

Forklift Licence *

Truck Safe or Dangerous Goods Medical *

Coal Board Medical *

S11 *

MISC or One Stop card *

History

Have you ever been convicted of a criminal offence? *

Health

Due to the varied and often physical work performed at Rocky’s Own Transport Co., including the operation of vehicles carrying High Explosive product, workers are required to be both medically and physically fit. To ensure the health and safety of all workers, and to assist Rocky’s Own Transport Co. in fulfilling its obligations arising under the Work Health and Safety Act 2011 (Qld) & Occupational Safety and Health Act 1984 (WA) and, or other relevant legislation prevailing at the time, we request that you answer the following questions:

Do you have any injuries, disability, or medical conditions (including diabetes, sleep apnea, heart related illnesses, epilepsy, allergies or work related injury) which you suspect, or ought to reasonably suspect may: *

Interfere with your performance related to the position you have applied for
Pose a risk to your or others health and safety in the workplace
Be aggravated by performing the duties listed in the position description
None of the above

Have you ever had a Workers Compensation Claim? *

Do you consent to pre-employment medical examination to ensure that you are able to fulfil the inherent requirements of the position (where applicable)? *

Literacy and Numeracy Statement

I warrant I am able to read and write and complete basic addition, subtraction, multiplication and division of tasks *

Other Requirements

As part of the employment process and upon commencement of employment are you prepared to:

Provide ROTC with relevant Federal & State security clearances as required *

Provide a medical clearance relevant to position applied for, or attend a company medical examination provided by a company appointed doctor *

Undertake a Drug & Alcohol test *

(if required)

An up to date 5-year Traffic History Report *

(where applicable)

Provide photocopies of all of your licenses and authorisations related to the position you are applying for *

(e.g. Drivers Licence, DG Licence, Forklift Licence etc.)

Due to the types of dangerous goods ROTC transport for some of our customers, there is a requirement for Truck Drivers to be clean shaven to ensure the face piece of the supplied respirator can be properly sealed in the event of an incident. There is an expectation our employees will abide by customer requirements.

I have read and understand this requirement

As part of our commitment to safety and excellent customer service, we operate various monitoring systems which include optical surveillance, front and rear facing cameras and GPS tracking systems. We also use CCTV cameras in our depots. Do you consent to our use of these systems and collection of data from these systems, in accordance with our policies as amended from time to time?

Cover Letter, Resume, References & Drivers Licence

Please upload any documents that we have requested or you wish to include here

Cover Letter

Resume

References

Drivers Licence

Privacy Collection Statement

Rocky’s Own Transport Co (ROTC) is committed to protecting the privacy of your personal information, including sensitive information. The collection, use and disclosure of personal information is regulated by the Privacy Act 1988 (Cth). You can access ROTC’s full privacy policy on its website at www.rockysown.com.au

By filling out this form, you are consenting to providing ROTC with personal information, including information that may be considered ‘sensitive information’ under the Privacy Act. This information is being collected to allow ROTC to determine your capacity and qualifications to perform the relevant position and, if relevant, to subsequently manage any employment relationship between you and ROTC.

Your personal information may be disclosed to medical practitioners carrying out testing at ROTC’s request.

If you are offered a position with ROTC, ROTC will manage any personal information that becomes part of your employee record as permitted by law, and ROTC’s privacy policy will not apply to those records.

You do not have to provide ROTC with the information sought in this form. However, if this information is not provided, ROTC may not be able to consider your application for employment.

If you wish to access or correct information which ROTC has collected, or make a complaint about a breach of the Privacy Act 1988 (Cth), please refer to ROTC’s privacy policy.

Applicant Agreement

It is Rocky’s Own Transport Co.’s policy to consider all qualified applicants for a position without regard to race, colour, religion, sex, national origin, age, marital status or non-job-related disability. In the event of employment, I understand that false or misleading information given in this form, interviews, medical or other employment processes may result in dismissal.

In signing this application, I understand if I am successful in gaining a position with Rocky’s Own Transport Co. I will be on a probationary period for 6 months from commencement of employment during which time my performance will be monitored. I also agree to abide by all company rules, policies and procedures.

I am aware that Rocky’s Own Transport Co. is a drug and alcohol-free work environment and random drug and alcohol testing will be conducted on a regular basis.

Specific roles within Rocky’s Own Transport Co. require a Federal or State Security Clearance. Part of that process requires you to have a criminal history check conducted, this also includes Domestic Violence Orders, any history may have a bearing on your clearance to be approved.

I authorise Rocky’s Own Transport Co. to make such investigations and inquiries regarding my personal, employment, medical history, contact my referees and any other related matters that may be necessary in arriving at an employment decision.

Applicant Agreement *

I have read and understood the above statement