步骤 1 字，最多 2 50% Please fill out the form below and upload your resume to complete your application for an Emerald Grain harvest casual position. There are two forms: the first is a general application form, the second is a pre-employment medical form. You must fill in each section to complete your application. Once you have completed your application, you will see a confirmation appear on the screen. Name* 第一页 后一页 Home Phone NumberMobile Phone NumberEmail* Address* 街道地址 市 State Post Code 阿富汗阿尔巴尼亚阿尔及利亚美属萨摩亚安道尔安哥拉安提瓜岛和巴布达阿根廷亚美尼亚澳洲奥地利阿塞拜疆巴哈马巴林孟加拉国巴巴多斯白俄罗斯比利时伯利兹贝宁百慕大不丹玻利维亚波斯尼亚和黑塞哥维那博茨瓦纳巴西文莱保加利亚布吉纳法索布隆迪柬埔寨喀麦隆加拿大佛得角开曼群岛中非共和国乍得智利中国哥伦比亚科摩罗刚果民主共和国的刚果共和国哥斯达黎加科特迪瓦克罗地亚古巴塞浦路斯捷克共和国丹麦吉布提多米尼克多米尼加共和国东帝汶厄瓜多尔埃及萨尔瓦多赤道几内亚厄立特里亚爱沙尼亚埃塞俄比亚法罗群岛斐济芬兰法国法属波利尼西亚加蓬冈比亚 (西非的独立国)乔治亚州Deutschland (德国)加纳希腊格陵兰格林纳达关岛危地马拉几内亚几内亚比绍圭亚那海地洪都拉斯香港证券交易所匈牙利冰岛印度印度尼西亚伊朗伊拉克爱尔兰以色列意大利牙买加日本约旦哈萨克斯坦肯尼亚基里巴斯朝鲜韩国科索沃科威特吉尔吉斯斯坦老挝拉脱维亚黎巴嫩莱索托利比里亚利比亚列支敦士登立陶宛卢森堡马其顿马达加斯加马拉维马来西亚马尔代夫马里马耳他马绍尔群岛毛里塔尼亚毛里求斯墨西哥密克罗尼西亚摩尔多瓦摩纳哥Монгол улс (蒙古)黑山共和国摩洛哥莫桑比克မြန်မာ (缅甸)纳米比亚瑙鲁尼泊尔荷兰新西兰尼加拉瓜尼日尔尼日利亚北马里亚纳群岛挪威阿曼巴基斯坦帕劳群岛巴勒斯坦国巴拿马巴布亚新几内亚巴拉圭秘鲁菲律宾波兰葡萄牙波多黎各卡塔尔罗马尼亚俄罗斯卢旺达圣基茨和尼维斯圣卢西亚岛圣文森特和格林纳丁斯萨摩亚群岛圣马力诺圣多美和普林西比沙特阿拉伯塞内加尔塞尔维亚塞舌尔群岛塞拉利昂新加坡圣马丁岛斯洛伐克斯洛文尼亚所罗门群岛索马里南非西班牙斯里兰卡苏丹苏丹，南苏里南河斯威士兰瑞典瑞士叙利亚台湾(中国)塔吉克斯坦坦桑尼亚泰国多哥汤加特立尼达和多巴哥突尼斯土耳其土库曼斯坦图瓦卢乌干达乌克兰阿联酋英国美国乌拉圭乌兹别克斯坦瓦努阿图梵蒂冈城委内瑞拉越南维尔京群岛,英国维尔京群岛,美国也门赞比亚津巴布韦 国家 What is your current Residency Status*Please SelectAustralian CitizenPermanent ResidentWorking VisaPlease Provide Visa Details* Site where you wish to work?*NSW - ArdlethanNSW - CoolamonNSW - GoolgowiNSW - The RockVictoria - ElmoreVictoria - NullawilHave you had previous experience in Grain Industry*YesNoPlease provide details about your Grain Industry experience* Do you have any of the following licences / qualifications? Drivers' Licence Forklift Confined Space Fumigation Front End Loader Non-Slewing Crane Working at Heights Chemical Users Telehandler Other Please Specify Licences*Previous Experience Grain Classification & Quality Control Weigh Bridge Operation Pest Control Bunker Operation Hopper Attendant Machine and Plant Operations Maintenance of Site and/or Equipment Other Other Experience* What date would you be available to commence work?* Are you aware that it is compulsory to complete an online safety induction and attend the designated training scheduled for the position prior to commencing employment with Emerald Grain and do you agree to this?* Yes No Upload Resume*允许文件类型：jpg, jpeg, gif, png, pdf, doc, docx。Please note that successful applicants will need to successfully complete training prior to commencement and Emerald Grain may require applicants to complete a pre-employment medical assessment and police check. Random drug and Alcohol testing may be conducted on sites at any time. Emerald Grain cannot guarantee the length of employment nor the hours of employment each week. If employment is expected to go on beyond 3 months, then applicants will be required to complete a police check and a full medical including a drug and alcohol test. Thank you for completing this form and please complete the Pre-employment medical form and attach your resume prior to submitting your application. PRE-EMPLOYMENT MEDICAL POLICY / PROCEDURE REFERENCE: Fitness to Work Policy Emerald Grain has a duty of care to provide a safe place of work and to ensure employees and contractors are not exposed to hazards. This form will allow us to obtain relevant medical information so we can ensure, as much as possible, that you are able to undertake the role without risk of harm to yourself or others. Please note that it is discriminatory to deny a person employment solely because they have a disability or illness; that is not the intention of this questionnaire. The intent of this questionnaire is to ascertain that you are fit to work at an Emerald Grain site or if further medical assessment is required at an approved provider. All Emerald Grain employees who work at the Melbourne Port Terminal must undergo a full medical with an approved provider prior to their employment being confirmed. Emerald Grain casual staff employed at country storage facilities do not require a full pre-employment medical. However, Emerald Grain reserves the right for employees to have a full pre-employment medical conducted if deemed necessary. Casual staff who are retain by Emerald Grain in ongoing employment for 3 months and beyond will be required to complete a full medical. All details provided will be treated as strictly confidential and will be maintained on your personnel file. Name of Company*Have you ever had, or do you foresee having any difficulties with any of the following?Working in extreme temperatures? (e.g. 0°C to 50°C)*YesNoWhat difficulties do you have with working in Extreme Temperatures* Working in PPE including long trousers, long sleeved shirts, steel cap work boots, high visibility clothing, hearing protection, safety glasses and wearing work gloves?*YesNoWhat difficulties do you have with working in PPE* Working at heights?*YesNoWhat difficulties do you have with working at heights?* Working in dusty environments?*YesNoWhat difficulties do you have with working in dusty environments?* Walking up stairs/ladders?*YesNoWhat difficulties do you have walking up stairs / ladders* Walking on uneven ground?*YesNoWhat difficulties do you have with walking on uneven ground? Sitting / Standing for extended periods of time?*YesNoWhat difficulties do you have with standing / sitting for extended periods of time?* Shift Work*YesNoWhat difficulties do you have with shift work?* Undertaking manual handling tasks including bending, heavy lifting and/or pulling?*YesNoWhat difficulties do you have undetarking manual handling tasks?* Working in confined spaces?*YesNoWhat difficulties do you have working in confined spaces?* Undertaking work with your hands above shoulder height?*YesNoWhat difficulties do you have working with your hands above shoulder height?* Have you ever suffered from:Epilepsy, vertigo or other conditions that cause fainting dizziness or blackouts?*YesNoDetails about your epilepsy, vertigo or other conditions that cause fainting dizziness or blackouts Lung Conditions e.g. Asthma, emphysema, pneumonia?*YesNoDetails about your Lung Conditions* Hearing Conditions e.g. Tinnitus, perforation, hearing loss, past operations, hearing aids?*YesNoDetails about your hearing conditions* Nasal Conditions e.g. Sinusitis, hay fever?*YesNoDetails about your nasal condition* Visual Impairment e.g. Colour blindness?*YesNoDetails about your visual impairment* Do you wear / use any of the following?Glasses*YesNoContacts*YesNoHearing Aids*YesNoBack brace / ankle brace / elbow brace / other support device?*YesNoPlease specify your support device*Claims and Health ConditionsDo you have or have you ever had any health issues or conditions that may affect your ability to perform the inherent requirements of the job that you are applying for?*YesNoDetails* Candidate Decleration* I declare that I have understood the above questions and certify that the information which I have provided is truthful and correct. I understand that if any information is knowingly false or if it is established to be untruthful, my application may not be considered and/or my employment may be terminated. I understand that if I do not disclose the existence of any pre-existing injury or disease that may affect my work, that I may not be entitled to WorkCover Compensation if there is an aggravation of that pre-existing injury in the workplace.