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07 4952 0100

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Job Applied For*
Location*
If your application is successful, when could you start?*
If this position is seasonal, would you consider returning next season if you were asked to?*
- Yes
- No
Have you worked for Zarb Road Transport / NDL Transport before?*
- Yes
- No
Where did you hear about these cane crushing season roles with Zarb Road Transport?
- Word of Mouth
- Our Website
- Noticeboard
- Seek
- Other
- Canegrowers
Name*
Prefix First Name Last Name
Address*
Street Address City State Postcode Country
Email*
Mobile*

Do you have a current drivers license?*
- Yes
- No
License Class*
License Number*
State of Issue*
Expiry Date*
Experience with this license in years*
Do you currently hold any of these licenses / Qualifications?*
- Forklift / High Risk License
- MSIC Card (port access card)
- Mechanical Trader
- First Aid Certificate
Other Qualifications / Certificates / Licenses
Are you an Australia Citizen?*
- Yes
- No
Can you read and understand English?*
- Yes
- No

In the last 10 years have you been involved in any of the following?*
Tick all that apply
- Single vehicle accident/rollover
- Caused an at fault accident
- Been in a major accident and not at fault according to police and investigator reports
- Been in an accident where a vehicle fault caused or contributed to the incident
- None of the above
Have you previously worked shift work?*
- Yes
- No
Have you previously worked a rolling roster?*
- Yes
- No
Sugar Production is seasonal, Are you willing and available to work the entire length of the season (from approximately May to Dec)?*
- Yes
- No
Are you prepared to work overtime if required?*
- Yes
- No
Are you prepared to abide by all safety rules and obligations?*
- Yes
- No
Are you willing and available to undergo a pre-employment medical and drug and alcohol screen?*
- Yes
- No

Do you object to enquiries being made of your past or present employers?*
- Yes
- No
Last or present employer*
Supervisor Name*
From*
To*
Reason for Leaving*
Key Duties / Responsibilities*
Referee Name*
Referee Contact Number*
Do you have any other employment you want to list?*
- Yes
- No
Previous Employer - 2
Position Held
Supervisor Name
From
To
Reason for Leaving
Key Duties / Responsibilities
Referee Name
Referee Contact Number
Previous Employer - 3
Position Held
Supervisor Name
From
To
Reason for Leaving
Key Duties / Responsibilities
Referee Name
Referee Contact Number

I hereby declare that all the information given on this form and attached resume, signed and dated by me, is true and complete. I understand that providing any false or misleading information is an offence under Australian law and may lead to my application being unsuccessful.*
- I Accept
I have read and understand our Medical Assessment Requirements information sheet.*
- I Accept
I have read and understand our Employment Application Privacy statement.*
- I Accept
Please attach your resume & your licences
Drop files here or

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Name
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Have an enquiry?

Main Office: 12-22 McLennan St,
Mackay, QLD 4740
Phone: (07) 4952 0100