Your name

Available start date

Licensed Electrician:

Unlicensed Electrician:

TA:

What is your current employment status? *
EmployedUnemployedSelf-EmployedStudent

STRICTLY CONFIDENTIAL

Please complete all sections or application will not be considered.

To the best of my knowledge all information on the application is correct and complete. I understand that the Company reserves the right to verify all information on this application and that any false statements will be considered sufficient cause for my rejection as an applicant, or my dismissal if hired.

It is Luhan Group Pty Ltds policy before employment that if required, the applicant must consent to a medical examination by a Medical Practitioner of the company’s choice as well as a statutory hearing test, personal drug test, and a relevant Luhan Group and/or Client Police Clearance if required.

Personal Details

How do you prefer to submit your resume? *
Upload fileProvide URL

General Details

Do you hold a current drivers license?

Do you hold a current Electrical License?

Do you have an overseas license?

Please provide copies of all licences where possible

Upload copies of licenses

Do you have your own transport?

Are you prepared to do shift work if necessary?

Are you an Australian Resident or Citizen?

Copy of Working Visa / Passport / Birth Certificate is required (electronic form accepted)

Upload copies of documents required

If successful you may be required to work on various sites.

A pre-requisite to work on many of these sites is a Police Clearance check. Any conviction may impede your chances of gaining permission to work on site. However, minor offences committed in the past can be offset with character references or by a lengthy and current clean record.

Do you feel you will pass a current Police clearance check?

Do you feel you will pass a current drug screening test?

Emergency Contact - Next of Kin

Medical Details

THIS FORM IS TO ENABLE THE CORRECT ASSISTANCE DUE TO ANY EMERGENCY

Are you allergic to any drugs/medications?

Are you taking any long term medication?

Do you wear contact lenses?

Do you suffer from any of the following?

Fear of heights

Diabetes

Fear of enclosed spaces

Heart Condition

Epilepsy

Blackouts/Dizziness

Do you have any other medical problems not mentioned above?

New Employment Details & Authority to Commence

Clothing Size:

Preferred superannuation fund: (Please tick)

(Please provide membership numbers if possible – copy cards where possible)

Form to be completed ASAP

BY INSERTING MY NAME BELOW AND SUBMITTING, I HEREBY AGREE AND UNDERSTAND THAT AS AN EMPLOYEE FOR LUHAN GROUP, A LABOUR HIRE COMPANY, I HAVE TO COMPLY WITH ALL CLIENT AND OR SITE SPECIFIC OCCUPATIONAL HEALTH AND SAFETY REQUIREMENTS. I NEED TO NOTIFY MY EMPLOYER IMMEDIATELY SHOULD ANY ACCIDENTS, INCIDENTS OR HAZARDS ARISING IN THE COURSE OF EMPLOYMENT AND I ALSO UNDERSTAND THAT SHOULD I BE ASKED TO PERFORM ANY TASKS I AM NOT QUALIFIED OR COMFORTABLE WITH, THAT I WILL NOTIFY MY EMPLOYER (LUHAN GROUP) AND ALSO MY CURRENT SUPERVISOR.