Employment Application | Ausec Security SA

Personal Particulars - Step 1 of 5

Surname *

First Name(s) *

Have you ever been known by another name?

YesNo

Address *

Address Line 1

State / Province / Region

City

Postal Code

Phone Number(Home)

(Work)

(Mobile) *

Fax Number

Email *

Declaration

Drivers License No. *

Expiry Date *

Classification *

How long held? *

Security License No. *

Expiry Date/ Issued (State) *

How long held? *

Endorsements

Firearms License No.

Expiry Date

Classification

How long held?

Other Licenses

Have you ever been refused motor vehicle insurance? *

YesNo

If Employed, how soon are you able to start? *

If required can you work in remote locations for up to two weeks at a time?

YesNo

Employment History

Security Experience

Other Relevant Experience

Have you been vaccinated for COVID-19? *

YesNo

Have you been vaccinated for Hepatitis A and B? *

YesNo

Is there any medical conditions that could limit your performance in the nature of the work you are applying for? *

YesNo

If Yes, please give details

Do you suffer from any ailment or disability or you are required to take any medication which may:

* Affect your work performance? *

YesNo

* Affect your attendance at work? *

YesNo

Have you ever made a workers compensation claim *

YesNo

If Yes, please give details

Do you suffer from any physical disability or injury? *

YesNo

Do you suffer from any condition that requires the use of prescribed Medications? *

YesNo

Do you suffer from Fits of any kind? Eg. Epilepsy *

YesNo

Are you Diabetic *

YesNo

Are you Colour Blind? *

YesNo

Do you drink Alcohol? *

YesNo

Do you Smoke? *

YesNo

Do you use any Unauthorised Drugs? *

YesNo

Do you use Corrective Lenses? *

YesNo

If employed, do you agree to undergo Medical or Drug Testing if requested? *

YesNo

Do you have any Civil or Criminal convictions? (Including traffic offences) *

YesNo

Do you have a current Police Clearance Certificate? *

YesNo

If not, are you willing to get one? *

YesNo

Explanation for any of the above

Do you have a WWC Working with Children Certificate? *

YesNo

If not, are you willing to get one? *

YesNo

Have you ever been convicted of a criminal offence in Australia or Overseas *

YesNo

If yes please give details

Have you ever declared or been forced into bankruptcy *

YesNo

If yes please give details

Reference

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Previous Employment Declaration - Step 3 of 5

Previous Employment Declaration

Remote/Mining

Have you ever previously worked in the Security or Mining Industry?

YesNo

If yes please give details

Company's name

Date From:

Date To:

Reason for leaving

Have you ever previously worked in remote locations?

YesNo

If yes please give details:

Company's name / location

Date From

Date To:

Reason for leaving

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Recruitment Policy - Step 4 of 5

Recruitment Policy

Recruitment Policy: The company's policy is to employ the best qualified personnel and provide equal opportunity for the advancement of employees including promotion and training and not to discriminate against anyperson in accordance with the relevant legislation.

Statement

I understand that:

This application does not constitute a contract of emplyment.
Any offer of employment will be based on the information recorded on these forms and given during the interview. If information supplied by me is false, this application will not be considered, and or any subsequent employment may be subject to termination as a consequence.
Appointment to any position will require compliance with the company conditions of employment.
I am prepared to comply with the requirementsfor the company to undertake security clearance checks.
I shall present myself for a medical examination if so requested by the company and any offer of employment will be conditional upon my being certified as medically fit for the job.
If so requested by the company I will undertake to complete a confidentiality agreement in the form presented by the company.
I authorize the company to obtain references to support my application and release the company and referees from any liability caused by giving such information.
Where it is required under Government Legislation, any offer of employment is conditional upon my being granted the appropriate license/s for the work to be undertaken.
I understand that completion of this application does no guarantee employment.

Applicant Signature (Print full name) *

Date *

Witnessed Signature

Date *

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Declaration - Step 5 of 5

I declare that the information I have given on this form is correct. I understand that itisanoffence to give false or misleading information and that it may result in the immediate termination of my emplyment.

Signature (Printfull name)

Date *

Confidential Employment Application

Previous Employment Declaration

Recruitment Policy

Statement

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