Name * First Name Last Name Address * Email * Phone * (###) ### #### Are you an Australian for Taxation purposes? * Yes No Do you have full working rights to work in Australia? Yes No Visa Restrictions - list details Do you have a drivers license? Yes No Do you hold any other licenses? LF Forklift LO Order Picker Do you have your own reliable car? Yes No Other? Please Specify Availability Mon Tue Wed Thu Fri Sat Sun Shift Preference AM Shift PM Shift Night Shift Any Do you have steel capped boots? Yes No Do you have freezer gear? Yes No Do you have hi-viz attire? Yes No References / Please supply two work related references Referee 1 Referee 2 Which job are you applying for? High Reach / Forklift - Mickelham High Reach / Forklift - Truganina Labourer - Mickelham Labourer - Truganina Pick Packers - Truganina Labourer - Epping Thank you!