Cleveland Freightlines Pty Ltd - Online Application for Employment
Please complete this application answering all the applicable questions.
Personal Details -
PLEASE NOTE: HIGHLIGHTED AREAS ARE REQUIRED FIELDS
Surname:
Other Names:
Address:
Email Address:
Home Phone:
Mobile Phone:
Date of Birth:
Place of Birth:
Marital Status:
Single
Married
Defacto
Divorced
Widdowed
Wife or NOK Full Name:
Emergency Contact No:
No. of Children (if applicable)
Ages
Hobbies & Interests
How were you referred
to our company
Are any of our current
drivers known to you
Yes
No
If yes, please give details
General Health
What is your present
and general state of
health
Do you now or have
you ever suffered any
bodily injuries,including
to your back or neck
Select
No
Yes
If yes, please give
details
Have you ever received
Workers Compensation
for aninjury or disease
Select
No
Yes
If yes, please supply the following information
Date of injury/disease
Name of employer
Period of Disablement
Was a lump sum
payment made
Yes
No
Nature of injury or disease
Licence Details
Licence No.
Class
State
South Aust
West Aust
Queensland
New Sth Wales
Victoria
Northern Terr
ACT
Tasmania
Expiry Date
Has your licence ever been
suspended or cancelled
Select
No
Yes
If yes, please give details
No. of years driving experience
Driving record
Types of vehicles driven
Please list any previous
vehicle accidents
General Details
Are you a current financial
member of the TWU
Select
No
Yes
If yes, please state your membership number
Expiry Date
Employment History -
Please list all previous employment over the last 5 years stating your current or last position first.
Employers Name
Address
Position
From
To
Reference
Telephone
Reason for leaving
Employers Name
Address
Position
From
To
Reference
Telephone
Reason for leaving
Employers Name
Address
Position
From
To
Reference
Telephone
Reason for leaving
Declaration:
The information given by me in this application for employment has been relied upon by Cleveland Freightlines Pty Ltd in deciding whether or not to employ me and if it is subsequently found that there is any false information or omission of material facts, then I will be liable to have my employment terminated.
By answering yes here,
Select
Yes
No
you have accepted the above declaration and have read and understood the Privacy Policy and Terms and Conditions of Cleveland Freightlines Pty Ltd