APPLICATION FOR EMPLOYMENT

INTRODUCTION TO THE RECRUITMENT PROCESS

FOR THE INFORMATION OF APPLICANTS

1. All applicants are required to fill out an application form

2. If a detailed resume is attached, some sections of the form may be omitted. However details
not contained in the resume must be completed.

3. Please read the application form carefully, provide accurate information on each item and sign
each page.
4. A Karras company representative may interview applicants.

5. The company may make reference checks on the information provided, regarding previous
employment history and personal character references.

Heavy Vehicle Drivers

6. Short listed candidates are required to:
a. Undergo a road test with a Company representative and satisfy all company driving
standards
b. Undergo a medical examination by a company nominated Doctor, prior to joining the
company.
7. If chosen for the position
a. You will commence an induction and training program
b. You will be subject to a 3 month probation period
c. Any false statements made in this application may be cause for dismissal

Page 1 of 10

Please complete this form using CAPITAL LETTERS

Position applied for .
APPLICANT DETAILS
Surname ..
Preferred Title (Mr/Mrs/Ms)
Given Names...
Preferred Name.
Date of Birth.
Address.
Phone No. (Mobile). (Home).

EDUCATIONAL BACKGROUND

QUALIFICATION

YEAR

School.
College.
University..
Other..
Other skills or Training
.

Drivers License No.Type/ClassYear..

Dangerous Goods License No.
Will you be driving a Karras vehicle?

Yes

No

(If yes, please attach a photocopy of your drivers license)

SIGNATURE. DATE
EMPLOYMENT HISTORY FOR PAST TEN YEARS (start with the most recent)
Page 2 of 10

1.

Employers Name

Address

Phone No

Managers Name

Position Held (Title) .

2.

Position held from

./../ to ../../

Reason for Leaving

Employers Name

Address

Phone No

Managers Name

Position Held (Title) .

3.

Position held from

./../ to ../../

Reason for Leaving

Employers Name

Address

Phone No

Managers Name

Position Held (Title) .

Position held from

./../ to ../../

Reason for Leaving

SIGNATURE. DATE

Page 3 of 10

REFERENCES (Previous employers and personal)

1.

2.

3.

Name

Company

Address

Phone No

Name

Company

Address

Phone No

Name

Company

Address

Phone No

If selected, how much notice do you need before commencing? days/weeks

SIGNATURE DATE .

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OCCUPATIONAL HEALTH AND SAFETY INFORMATION

1.

Do you have any physical or mental disability, which could affect your ability to perform the
duties for the position for which you have applied?
Yes
No

If yes, describe disability .

..

2.
Have you been absent from work because of job related injury or physical disability in the
last 3 years ?
Yes
No

If yes please provide details in the table below:

Injury or other disability

Days absent from

work

Year 1
Year 2
Year 3

3.

Do you have any current or pending claims in respect of workers compensation?

Yes

No

If yes, please provide details

..
4.

To fulfil our obligations under the OH&S Act, you are required to fill out the companys
Health Assessment form and undergo a medical examination. Will you agree to a medical
examination by a company nominated doctor, which will include a drug test?
Yes
No

5.

Have you ever been convicted of a criminal offence?

Yes

No

If yes, give details of each offence

...

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APPLICANTS FOR HEAVY VEHICLE DRIVER POSITION ONLY

Drivers License No.. Type/Category . State Issued

Are there any conditions applying to your license (eg. wearing glasses)
...
Expiry date.Demerit points on license at present
Forklift drivers license no .. Expiry date
Dangerous goods license no .. State Issued ..

Number of years that you have driven a heavy vehicle

Type/s of vehicles (eg. Rigid, Articulated, B-Doubles) .
...
Load Type/s (eg Bulk, Refrigerated goods, Fuel) .

License cancellation details, if any:

From (date) . To . Reason .
From (date) . To . Reason .

The applicant is required to obtain a Certified copy of his/her listing of traffic offences,
summons and demerit points, from the appropriate authority and attach it to this application.
If selected for the position, it is a condition of your employment that you obtain and make
available to the company a certified copy of your driving record on an annual basis, or more
frequently if requested.

Page 6 of 10

ACCIDENTS RECORD
(over past three years)

YEAR 1

YEAR 2

YEAR 3

Place of accident
Date of accident
Type of Truck involved
Who caused the accident?
Was any police action
taken against you ?

SIGNATURE ..

DATE

Page 7 of 10

THE COMPLETION OF THE REQUIREMENTS IN THIS APPLICATION DOES NOT MEAN

OR IMPLY THAN AN OFFER OF EMPLOYMENT HAS BEEN MADE.
TERMS AND CONDITIONS OF EMPLOYMENT.
1.

I understand that any appointment is conditional upon a Medical Practitioner certifying me

physically fit to perform the tasks associated with my employment with this company.

2.

I agree to submit my birth certificate if requested to do so (required for employment

checks)

3.

I agree to abide by all safety and work regulations and instructions.

4.

I am prepared to wear any clothing, footwear or safety equipment that may be supplied by
the company.

5.

Company policy is that alcohol is not to be consumed during work hours including lunch
breaks.

6.

If, for any reason my drivers license is suspended or cancelled whilst employed, I agree to
inform the Company within 24 hours. I understand that failure to do so is a dismissable
offence. Employment may be terminated for loss of license; leave must be taken if your
license is suspended.

7.

I agree to allow a company representative to search my personal locker, vehicle, parcel or

any receptacle in my possession or power whilst I am on Company property or on the
property of a customer. The company representative shall be accompanied by a witness.

8.

I understand that I am to be employed initially as a . On a (Casual /

Permanent / Fixed Term / Part Time) basis with the first 3 months of employment being on
a probationary basis. If transferred to another position within the company, I understand
that my pay rate may be altered.

9.

I understand that any offer of employment is based upon the accuracy of information
contained in this application.

10.

I agree to abide by all Company Rules and Policies, as published and addressed.

11.

The company reserves the right to dismiss without notice for the following: Alcohol,
Fighting, Drugs, Theft, Loss of Licence and disregard of the Karras customer policy.

12.

ABANDONMENT OF EMPLOYMENT; If you fail to attend work without notifying the

Company of the reasons for your absence 2 hours prior to the commencement of that days
work, and fail to notify the company of an expected duration of the absence. Then the
Company may treat your absence as a resignation and has the right to terminate your
employment without notice.

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DECLARATION

I have read and understood the above conditions of employment. I will endeavour to adhere to all
Company Policies and Standards and am aware of the consequences for failure to do so.

DATE: ..

APPLICANTS SIGNATURE: ..

WITNESSED: ... NAME & POSITION: ...

Page 9 of 10

PREVIOUS EMPLOYMENT CHECK

The following details are required to be obtained when checking an applicant references.
APPLICANT NAME

POSITION

COMPANY NAME

CONTACT NAME

POSITION

SEVERANCE DATE

ITEM
JOB KNOWLEDGE

POOR

FAIR

GOOD

EXCEL

REMARKS

PRODUCTIVITY
QUALITY OF WORK
RELIABILITY
ATTENDANCE
COOPERATION
SUITABILITY FOR JOB
DISCIPLINE
PERSONAL APPEARANCE

OVERALL RATING

GENERAL COMMENTS:

YES

NO

REASON

YES

NO

REASON

Would they employ

this person again?

Continue to interview
stage?
MANAGER / SUPERVISOR SIGNATURE ____________________DATE________________

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