Employment Application Form

Applicant Details

Job Position *

First Name *

Last Name *

Address *

State *

Postcode *

Country *

Date of Birth *

Tel No. *

Alt No. *

E.g. roommate, family member, etc.

Email *

Confirm Email *

Please list any relevant certificates and licences. E.g. Working With Children's Check, Security Licence, etc.

Identification Details

(You submit the following uploaded documents as evidence of your identity) All images must be clearly visible, and driver's licenses and other cards must have back and front uploaded. All IDs must be current and within their expiry date. This is to confirm that the identification details provided are not from a fraudulent card.

Driver's Licence Or Proof Of Age Card - Front *

Click or drag a file to this area to upload.

Driver's Licence Or Proof Of Age Card - Back *

Click or drag a file to this area to upload.

Vehicle Details

Vehicle Make *

Vehicle Model

Vehicle Year

Registration No. *

Financial Details

Tax File Number *

Superannuation Fund

Member No.

Superannuation Membership Number

Institute *

i.e. banks, credit unions

BSB No. *

Account No. *

Next of Kin

A person's closest living relative that you would like us to contact in the event of an emergency.

Relationship *

First Name *

Last Name *

Address *

State *

Postcode *

Country *

Email *

Tel No. *

Alt No.

Employment History - 1

Company *

Position Held *

Tel No. *

Date - From *

Date - To *

Reason for Leaving *

Employment History - 2

Company *

Position Held *

Tel No. *

Date - From *

Date - To *

Reason for Leaving *

Employment History - 3

Company

Position Held

Tel No.

Date - From

Date - To

Reason for Leaving

Reference History - 1

Company *

Name *

Occupation *

Tel No. *

Reference History - 2

Company *

Name *

Occupation *

Tel No. *

Reference History - 3

Company

Name

Occupation

Tel No.

Health Details

Do you have any health issues that we should know about? *

Have you ever claimed work cover? *

Consent

Do you consent to applying for a Working With Children Check at your own cost? *

Do you consent to Halogen DJ Company performing an NPC (National Police Certificate)? *

Cover Letter

Click or drag a file to this area to upload.

Resume *

Click or drag a file to this area to upload.

I agree that all the above details are true and correct.

Employment Application Form

Applicant Details

Identification Details

Vehicle Details

Financial Details

Next of Kin

Employment History - 1

Employment History - 2

Employment History - 3

Reference History - 1

Reference History - 2

Reference History - 3

Health Details

Consent

PLEASE ALLOW UP TO 3 MINUTES FOR THIS FORM TO SUBMIT