Application Form

Please complete the below form or contact the office on (03) 9796 0700 for more information.

1. Applicant Details
Are you an Australian Citizen? *
2. Employment Information
Are you currently employed? *
Have you ever worked for, or applied for a position with Delplant in the past? *
3. Drivers License
Do you have a Drivers Licence? *
What type of Licence? *
What Type? (Select)
4. Health and Safety

Delplant has a commitment to a zero harm workplace. To do this Delplant has an obligation to ensure all workers are free from impairment from the effects of alcohol and illicit drugs.

Do you agree to undertake required pre-employment and employment drug & alcohol testing? *
Would you agree to under go a pre-employment medical examination and hearing test? *
Do you have any medical history or physical condition that may affect your performance of the inherent requirements of this job? *
Have you ever been injured whilst at work? *
Have you ever lodged a claim for workcare / work accident: *
5. Education and Experience
Do you hold any of the following industry related tickets / licences?
Do you have suitable footwear and protective clothing that you can commence with? *
6. Previous employment
Employment Reference 1:
Employment Reference 2:
Employment Reference 3:
Application made following:
Upload your Resume and Cover Letter (optional)

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