Application Form

Position
Name:
Address:
Home Phone
Work Phone
Mobile
Email Address
Date of Birth
Sex
Are you an Australian Citizen / Permanent Resident?
Marital Status
No. of children
Current Work Status: Employed
Employed – Have given notice in current position
Unemployed
Date available to commence work
Licences: Car – Open
Car- Learners
Truck – MR
Truck – HR
Motorbike
Helicopter
Plane
Machinery Tickets Forklift
Tractor
Grader
Loader
Bulldozer
Have you been convicted of a crime (other than a traffic offence)? Conviction of a crime will not automatically disqualify you from consideration for employment with us.

Education

School Attended Period of attendence Highest level achieved

Further Education (Tertiary, Trade, Other)

Institution attended Course Period of Attendence Highest level achieved

Work History

Employer Name and Address Position Duties Period of employment

Skills Inventory

Stockperson – Including Head Stockman Nil Limited Competent Very Competent
Horse Riding
Horse Breaking
Horse Shoeing
Cattle Handling
Cattle Husbandry
Motorbike Riding (2 wheel)
Motorbike Riding (4 wheel)
Motorbike Servicing
Fencing - Repairs
Fencing – New
Yard Repairs & Maintenance
Welding
Watering Points Identify problems Fix problems Install new systems  
Head Stockperson - Only Nil Limited Competent Very Competent
Record Keeping
Training
Leadership
Communication
Butchering
Cooks/Domestic Nil Limited Competent Very Competent
Station Cooking
Catering Volume 8 People 10 People 15 people 20 People
Meal Preparation
Butchering
Store Maintenance
Cleaning
Washing
Ironing
Gardener Nil Limited Competent Very Competent
Mowing/ Whipper snippering
Watering/Fertilising
Pruning
Potting/Planting
Weed Management
Governess Nil Limited Competent Very Competent
Teaching Children
Number of Children 1 2 4 More
Year Levels Prep-1 2-3 4-5 6-7
Blue Card Yes No      
Machinery Operating Nil Limited Competent Very Competent
Tractor
Grader
Loader
Fork Lift
Light Truck
Heavy Truck
Bore Runner Nil Limited Competent Very Competent
Maintaining Watering Points
Constructing Watering Points
Bore pulling
Flush Pump Jacks
Mono Pumps
Submersibles
Windmills
Fencing
Trough Repairs
Feedlot General Hands – Feedmill Operator Nil Limited Competent Very Competent
Horse Riding
Cattle Handling
Cattle Husbandry
Motorbike Riding
Machinery Operating
Yard Repairs & Maintenance
Record Keeping
Computer Skills
Steam Flaking
Mechanic/ Handyman Nil Limited Competent Very Competent
Vehicle Maintenance
General Plant Maintenance
Welding

Referees

Please provide at least two Referees.
Name Phone Number Properety/Company Relationship Reference Type
Character
Work
Character
Work
Character
Work
Character
Work

General Information

Please list any additional information you feel could be relevant to your application?
Do you have your own transport?
If this is joint or group application, please list the names of the other applicants and your relationship with them i.e. (Applying with Bill Smith – School Friend).
How did you hear about M.D.H Pty Ltd