Application for Employment

Mandatory field are marked by *.

Personal Details

* *
*
* *


 

Desired position(s)

If you are applying for an advertised position, please advise the location and position:
GattonArcherfield, BrisbaneOlympic Park, SydneyLaverton North, Melbourne
Local DriverInterstate DriverForklift OperatorLogistics/SchedulingApprenticeship/TraineeshipWorkshop TradeManagementAdministrationYardOther (please specify)
You are happy to be employed:
Full TimePart TimeCasuallyWorking on both weekends and weekdays
If successful, when are you available to commence?

 

Relevant Qualifications/Licences

(Please list licenses, tickets, authorisations e.g. forklift, dangerous goods etc.):


 

Employment History

(Please list your past 3 positions with the most recent first and attach your resume when asked to do so below):


 

Referees

(Please list 3 professional referees, preferably from your most recent jobs):



Have you ever worked for a Nolan's related entity previously? NoYes
If yes then please provide details (dates, position, reason for leaving):

Do you know anyone who currently works for a Nolan's related entity? NoYes
If yes then please provide details (name, position, location):

 

Driving Record

Please note: any employee may be charged with the responsibility of operating a company vehicle



Have you ever been denied a licence or permit to operate a motor vehicle? NoYes
Have you ever had any licence or permit suspended or revoked? NoYes
Have you ever had your driver/vehicle insurance cover cancelled/declined? NoYes
Have you ever been at fault in a road accident? NoYes
Have you ever been charged with drug or alcohol driving related offences? NoYes

 

Pre-Employment Medical Questionnaire

Your position at Nolan’s may require you to sit for extended periods of time; view monitors or other electronic devices; work in confined spaces; be in control of company plant or vehicles; or perform manual handling tasks. All these elements can be impacted on by medical conditions and as such, the below pre-employment medical questionnaire is part of your application.

Please answer the following

(Please select the appropriate No or Yes button and then type the ‘Details’ if answering ’Yes’)
Are you currently being treated by a Doctor for any illness/injury/condition which may impact on your ability to perform the duties of the role you are applying for?
NoYes  
Are you currently taking any prescribed medications which may impair your ability to perform the duties of the role you are applying for? (list medications and the prescribing Doctor)
NoYes  
Are you taking any over the counter drugs/medications (e.g. inhalers, pain/cold tablets)?
NoYes  
Do you smoke? (if yes, how many per day?)
NoYes  
Do you drink alcohol? (if yes, how many standard drinks per week on average?)
NoYes  
Are you taking any illicit/illegal drugs (e.g. THC, LSD, cannabis etc)?
NoYes  
Are you required to wear glasses or contact lenses as a condition of your licence?
NoYes

Do you have/have you ever had any of the following

(Please select the appropriate No or Yes button and then type the ‘Details’ if answering ’Yes’)
Allergies (e.g. food, dust, medication, bee stings etc)?
NoYes  
Broken or fractured bones?
NoYes  
Back, neck or spinal problems?
NoYes  
An x-ray or CT scan of your neck, shoulders or back?
NoYes  
Trouble wearing PPE (personal protective equipment)?
NoYes  
An injury or an illness as a direct result from work which may impact on your ability to perform the duties of the role you are applying for?
NoYes  
Exposure to and/or health issues relating to toxic substances or environmental hazards (e.g. dust, fumes, vapour)?
NoYes  
RSI, Occupational Overuse Syndrome (OOS) – MSD Musculoskeletal disorder?
NoYes  
Rotor cuff syndrome or surgery for this?
NoYes  
Wheezing/asthma/abnormal shortness of breath?
NoYes  
Heart trouble (e.g. chest pain/heart disease/angina /irregular heart beat/ murmurs)?
NoYes  
High/low blood pressure?
NoYes  
Arthritis or other joint/bone injuries/issues/disorders?
NoYes  
Hernia/piles/haemorrhoids/anal or rectal condition?
NoYes  
Psychological/nervous disorder (e.g. clinically diagnosed anxiety/stress/depression/psychiatric illness/post traumatic stress disorder)?
NoYes  
Blackouts/fainting/vertigo/dizziness/narcolepsy?
NoYes  
Sleep disorder/sleep apnoea?
NoYes  
Fits/convulsions/epilepsy/seizures?
NoYes  
Stroke/cerebrovascular accident (CVA), mini-strokes/ transient ischaemic attacks (TIAs)?
NoYes  
Migraines or frequent headaches?
NoYes  
Hepatitis or other communicable diseases (please specify)?
NoYes  
Q-Fever?
NoYes  
Head injury or concussion?
NoYes  
Eye trouble (eg double vision/colour blind)/difficulty seeing?
NoYes  
Loss of hearing or other hearing/ear problems/trauma?
NoYes  
Kidney/bladder problems/issues?
NoYes  
Any form of cancer, including skin cancer?
NoYes  
Muscular/ ligament/ tendon injuries/sprains/strains?
NoYes  
Deep vein thrombosis (DVT)?
NoYes  
Any other illness/injuries/medical conditions? (name)
NoYes  

Do you have/have you ever had any difficulty with the following?

(Please select the appropriate No or Yes button and then type the ‘Details’ if answering ’Yes’)
Crouching/bending/kneeling/stretching/pulling/pushing?
NoYes  
Lifting weights <20 kg
NoYes  
Working at heights
NoYes  
Walking up/down stair/ladders or on uneven ground
NoYes  
Sitting/standing for an extended time
NoYes  
Shift-work/sleep/fatigue
NoYes  
Working in hot/cold extremes
NoYes  
Repetitive movement of hands/arms
NoYes  
Confined spaces
NoYes  
Do you know of any other circumstances regarding your health/fitness that might make you unable to carry out the duties of the role you are applying for?
NoYes  
Any other comments or notes relevant to your ability to perform the role you are applying for?

 

Applicant Acknowledgement/Declaration/Consent

I confirm that I do freely give this information. I confirm that I completed this application and warrant that all entries on it and information in it are true and complete to the best of my knowledge. I warrant all information provided during the process of applying for a position (including this application, interview, referee details, licenses, identity details, medical, or any other employment processes) as being true and correct and acknowledge that in the event of employment, any false or misleading information given during the process may result in termination of my employment.
I authorise DM & MT Nolan Pty Ltd and its related entities to make such investigations and inquiries on my personal, employment, medical history and other related matters as may be necessary in arriving at an employment decision.
I irrevocably consent to provide, as a condition of employment and on request, a copy of my current, valid Driver’s license (or other relevant licences/tickets/qualifications) and, where required by my position, a full and up-to-date copy of my driving record and license history as proved by the relevant State and Federal Licensing Authorities. I will provide this prior to commencing employment with DM & MT Nolan Pty Ltd and during employment, within 7 days of being requested. I acknowledge that if I am unable or unwilling to provide these, my employment with DM & MT Nolan Pty Ltd may not commence or may be terminated.
In making this declaration, I direct that any medical practitioner or other person who has been or may be consulted by me, shall be and is hereby authorised and directed by me to divulge at any time to DM & MT Nolan Pty Ltd or associated entities or representatives (e.g. HR, payroll, management), any information concerning my health and medical history that he/she may have acquired in the course of any professional attendance by him/her on me, or any professional consultation I have had with him/her and I hereby expressly waive all professional confidence and provisions of laws to privilege forbidding disclosure of such information in my employment or this request.

 

*

Resume:

captcha *

Application for Employment

Application for Employment

Mandatory field are marked by *.

Personal Details

* *
*
* *


 

Desired position(s)

If you are applying for an advertised position, please advise the location and position:
GattonArcherfield, BrisbaneOlympic Park, SydneyLaverton North, Melbourne
Local DriverInterstate DriverForklift OperatorLogistics/SchedulingApprenticeship/TraineeshipWorkshop TradeManagementAdministrationYardOther (please specify)
You are happy to be employed:
Full TimePart TimeCasuallyWorking on both weekends and weekdays
If successful, when are you available to commence?

 

Relevant Qualifications/Licences

(Please list licenses, tickets, authorisations e.g. forklift, dangerous goods etc.):


 

Employment History

(Please list your past 3 positions with the most recent first and attach your resume when asked to do so below):


 

Referees

(Please list 3 professional referees, preferably from your most recent jobs):



Have you ever worked for a Nolan's related entity previously? NoYes
If yes then please provide details (dates, position, reason for leaving):

Do you know anyone who currently works for a Nolan's related entity? NoYes
If yes then please provide details (name, position, location):

 

Driving Record

Please note: any employee may be charged with the responsibility of operating a company vehicle



Have you ever been denied a licence or permit to operate a motor vehicle? NoYes
Have you ever had any licence or permit suspended or revoked? NoYes
Have you ever had your driver/vehicle insurance cover cancelled/declined? NoYes
Have you ever been at fault in a road accident? NoYes
Have you ever been charged with drug or alcohol driving related offences? NoYes

 

Pre-Employment Medical Questionnaire

Your position at Nolan’s may require you to sit for extended periods of time; view monitors or other electronic devices; work in confined spaces; be in control of company plant or vehicles; or perform manual handling tasks. All these elements can be impacted on by medical conditions and as such, the below pre-employment medical questionnaire is part of your application.

Please answer the following

(Please select the appropriate No or Yes button and then type the ‘Details’ if answering ’Yes’)
Are you currently being treated by a Doctor for any illness/injury/condition which may impact on your ability to perform the duties of the role you are applying for?
NoYes  
Are you currently taking any prescribed medications which may impair your ability to perform the duties of the role you are applying for? (list medications and the prescribing Doctor)
NoYes  
Are you taking any over the counter drugs/medications (e.g. inhalers, pain/cold tablets)?
NoYes  
Do you smoke? (if yes, how many per day?)
NoYes  
Do you drink alcohol? (if yes, how many standard drinks per week on average?)
NoYes  
Are you taking any illicit/illegal drugs (e.g. THC, LSD, cannabis etc)?
NoYes  
Are you required to wear glasses or contact lenses as a condition of your licence?
NoYes

Do you have/have you ever had any of the following

(Please select the appropriate No or Yes button and then type the ‘Details’ if answering ’Yes’)
Allergies (e.g. food, dust, medication, bee stings etc)?
NoYes  
Broken or fractured bones?
NoYes  
Back, neck or spinal problems?
NoYes  
An x-ray or CT scan of your neck, shoulders or back?
NoYes  
Trouble wearing PPE (personal protective equipment)?
NoYes  
An injury or an illness as a direct result from work which may impact on your ability to perform the duties of the role you are applying for?
NoYes  
Exposure to and/or health issues relating to toxic substances or environmental hazards (e.g. dust, fumes, vapour)?
NoYes  
RSI, Occupational Overuse Syndrome (OOS) – MSD Musculoskeletal disorder?
NoYes  
Rotor cuff syndrome or surgery for this?
NoYes  
Wheezing/asthma/abnormal shortness of breath?
NoYes  
Heart trouble (e.g. chest pain/heart disease/angina /irregular heart beat/ murmurs)?
NoYes  
High/low blood pressure?
NoYes  
Arthritis or other joint/bone injuries/issues/disorders?
NoYes  
Hernia/piles/haemorrhoids/anal or rectal condition?
NoYes  
Psychological/nervous disorder (e.g. clinically diagnosed anxiety/stress/depression/psychiatric illness/post traumatic stress disorder)?
NoYes  
Blackouts/fainting/vertigo/dizziness/narcolepsy?
NoYes  
Sleep disorder/sleep apnoea?
NoYes  
Fits/convulsions/epilepsy/seizures?
NoYes  
Stroke/cerebrovascular accident (CVA), mini-strokes/ transient ischaemic attacks (TIAs)?
NoYes  
Migraines or frequent headaches?
NoYes  
Hepatitis or other communicable diseases (please specify)?
NoYes  
Q-Fever?
NoYes  
Head injury or concussion?
NoYes  
Eye trouble (eg double vision/colour blind)/difficulty seeing?
NoYes  
Loss of hearing or other hearing/ear problems/trauma?
NoYes  
Kidney/bladder problems/issues?
NoYes  
Any form of cancer, including skin cancer?
NoYes  
Muscular/ ligament/ tendon injuries/sprains/strains?
NoYes  
Deep vein thrombosis (DVT)?
NoYes  
Any other illness/injuries/medical conditions? (name)
NoYes  

Do you have/have you ever had any difficulty with the following?

(Please select the appropriate No or Yes button and then type the ‘Details’ if answering ’Yes’)
Crouching/bending/kneeling/stretching/pulling/pushing?
NoYes  
Lifting weights <20 kg
NoYes  
Working at heights
NoYes  
Walking up/down stair/ladders or on uneven ground
NoYes  
Sitting/standing for an extended time
NoYes  
Shift-work/sleep/fatigue
NoYes  
Working in hot/cold extremes
NoYes  
Repetitive movement of hands/arms
NoYes  
Confined spaces
NoYes  
Do you know of any other circumstances regarding your health/fitness that might make you unable to carry out the duties of the role you are applying for?
NoYes  
Any other comments or notes relevant to your ability to perform the role you are applying for?

 

Applicant Acknowledgement/Declaration/Consent

I confirm that I do freely give this information. I confirm that I completed this application and warrant that all entries on it and information in it are true and complete to the best of my knowledge. I warrant all information provided during the process of applying for a position (including this application, interview, referee details, licenses, identity details, medical, or any other employment processes) as being true and correct and acknowledge that in the event of employment, any false or misleading information given during the process may result in termination of my employment.
I authorise DM & MT Nolan Pty Ltd and its related entities to make such investigations and inquiries on my personal, employment, medical history and other related matters as may be necessary in arriving at an employment decision.
I irrevocably consent to provide, as a condition of employment and on request, a copy of my current, valid Driver’s license (or other relevant licences/tickets/qualifications) and, where required by my position, a full and up-to-date copy of my driving record and license history as proved by the relevant State and Federal Licensing Authorities. I will provide this prior to commencing employment with DM & MT Nolan Pty Ltd and during employment, within 7 days of being requested. I acknowledge that if I am unable or unwilling to provide these, my employment with DM & MT Nolan Pty Ltd may not commence or may be terminated.
In making this declaration, I direct that any medical practitioner or other person who has been or may be consulted by me, shall be and is hereby authorised and directed by me to divulge at any time to DM & MT Nolan Pty Ltd or associated entities or representatives (e.g. HR, payroll, management), any information concerning my health and medical history that he/she may have acquired in the course of any professional attendance by him/her on me, or any professional consultation I have had with him/her and I hereby expressly waive all professional confidence and provisions of laws to privilege forbidding disclosure of such information in my employment or this request.

 

*

Resume:

captcha*