Convenience Advertising - Maintenance Officer Application Form

Maintenance Officer Application Form

Please fill-in your personal details below
Personal Details
Your Name*

First NameLast Name
Mobile phone number*
E-mail Address*
myname@example.com
Home Street Address*
Home City*
Home State
Home Postcode
or locked bag
Maintenance State
The state you will be working in
Maintenance Area*
Suburbs or LGA area applied for
Do you have a current drivers license?

YesNo
Principal drivers date of birth

DayMonthYear
Do you have a reliable Vehicle

YesNo
Are you an Australian Citizen?

YesNo
Are you eligible to work in Australia?

YesNo
--If you answered "NO" to the above question and you are not an Australian Citizen please enter your permit/visa expiry date:
Do you have an ABN number - Please add your ABN Number

YesNoABN Number
Will you be willing to apply for an ABN number if you do not currently have one?

YesNo
Have you been convicted for any criminal offence in the last 5 years? (If yes please add the conviction type)

YesNoconviction type
Do you agree to Convenience Advertising conducting a check of any previous criminal offences?

YesNo
Details of current or previous last two employers
Employer 1 - Position Title
Employer 1 - Contact Name
Employer 1 - Address
Employer 1 - Contact phone number
Employer 2 - Position Title
Employer 2 - Contact Name
Employer 2 - Address
Employer 2 - Contact phone number
Please add below any additional requests for information
Should be Empty:

Maintenance Officer Application Form