EMPLOYMENT APPLICATION

Swan Transit

Please return completed Application to:

< Depot Address >

Privacy Statement : By you completing this form, Swan Transit is collecting personal information through an application process to enable it to select and recruit staff. Swan Transit, its advisors and any persons engaged by them to assist in the selection and recruitment process may use and disclose your information for selection and recruitment purposes. This may include contacting any referee nominated by you. Please note that, in the event that your application with Swan Transit is successful, the personal information that Swan Transit holds about you which relates to your selection, recruitment and employment by Swan Transit will become an employee record under the Privacy Act (1988). This means that Swan Transit will generally be exempt from the requirements of the Privacy Act in respect of that information. Other statutory obligations may apply.

OFFICE USE ONLY Date Application Received

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Guide To Completing This Form

This form is an application only for employment. It serves as an instrument for Swan Transit to effectively recruit staff. For you to progress in the selection process for the position you have applied for, it is essential that you comply with the following guidelines:

• Please use BLOCK letters when writing on this form. • You must complete all sections of the form. Failure to do this may render your application incomplete and therefore unsuccessful. • The more information you provide will increase your prospects of progressing in the recruitment process. You must be prepared to provide all information in the various categories (personal details, licence, citizenship details, passport, experience, medical, etc.). • A resume alone will not be accepted, it must accompany this completed form. • Your resume must be an up-to-date document. • You must supply a copy of your drivers licence, F Endorsement and visa (if applicable) with this form. • If you have other supporting documentations (references, certificates, parchments, Working with Children Permit, etc.), submit copies of these with this form. Please do not submit original documents. • You may submit this form electronically, however it is our preference that you download, print the form, complete it in your own hand-writing and then return it to us by post to the address depicted on the front page.

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Position applied for: Driver/Other

Employment Status: FullFull----time/Parttime/Parttime/Part----time/Casualtime/Casual

Preferred Worksite Location:

Personal Details

Title (Mr, Mrs, Ms, Miss): Surname: Given Names:

Address: Suburb:

Contact Phone Numbers: Home: Mob:

Gender: Male / Female Marital Status: D.O.B:

E-mail Address:

Legal and Organisational Profile A copy of documents must be provided to support application

Are you a Citizen of Australia? Yes / No If yes please provide copy of passport, Australian Citizenship Certificate or Certificate of Residence Status. If noIf no go to next question.

Are you a permanent resident? Yes / No If yes please provide copy of your permanent visa or a Certificate of Evidence of Resident Status. If noIf no go to next question.

Have you been issued with a visa If yes please provide a copy of your passport and the visa entitling you entitling you to live and work in to work in Australia. If no our company is unable to offer you Australia? Yes / No employment based on your answers to these questions.

Education Standard Comment Date Attended & of Achievement

Secondary School/s you have attended:

Level/year you reached at Secondary School:

Tertiary Qualifications:

Other Qualifications or Achievements

Have you completed Cert III in Driving Operations (Bus)? Yes / No

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Licence Details

Licence Number: State of Issue: Expiry Date: Class/s Held:

F or T Endorsement Held Do you allow Swan Transit to check the status of your licence and demerit points on Yes / No line”? Yes / No

Do you hold a current Working with Children Permit? Yes / No

WWC Number: Expiry Date:

Driving History

What experience have you had driving heavy vehicles?

Have you experience in driving a heavy bus? If "yes", provide details

Have you any demerit points against your licence? If "yes", provide details

How many points are currently on your licence?

Have you ever had your licence suspended? If "yes", give details

Have you ever had a driving conviction involving alcohol or drugs? If "yes", provide details

Have you been charged with traffic convictions or offences over the last 5 years? If "yes", provide details

Are there any criminal convictions recorded against you? If "yes", provide details

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Experience & Skills

Have you previously worked in any capacity for any companies within the Transit Systems Group? i.e. Swan Transit, Torrens Transit, Transit Systems NSW, Territory Transit.

Have you worked for any other bus company or public transport company or provider? If ‘yes", provide details

What experience and skills do you have in handling cash or ticketing?

What customer service experience and related skills do you have in dealing with the general public?

What experience do you have in operating a two- way radio?

What other experience and skills do you have relevant to the position applied for?

Workers Compensation

Have you ever made a claim for Workers Compensation? If "yes" provide details

Have you ever received a Workers Compensation lump sum settlement payment? If "yes" provide details

Do you have an unresolved Workers Compensation claim? If "yes" provide details

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Medical

Private Medical Practitioner Information Doctors Name/Address Contact Phone No.

Do you agree to undergo a pre-employment medical examination with a Company medical service?

Do you agree to undergo a Functional Capacity Assessment?

Have you a disability or impairment likely to affect or be aggravated by your work? If "yes" provide details

Are you able to sit and drive a bus for a continuous period of up to 5 hours?

Have you ever had or, do you have a medical Circle One If “Yes” please provide details condition related to the following: (Circle Yes or No) • Sleep disorder Yes / No • High blood pressure Yes / No • Diabetes Yes / No • Back/neck/shoulder injury Yes / No • Depression Yes / No • Heart condition Yes / No • Respiratory complaint Yes / No

What is your height? cm.

*What is your current body weight in kilograms? kg.

*Please Note: As a duty of care to employees, restrictions of equipment use necessitate that Swan Transit engage staff with a body weight of less than 120kg.

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Employer History --- Most Recent First

Period Employer/Company Position you held Reason for Leaving

From: To:

From: To:

From: To:

From: To:

From: To:

From: To:

From: To:

General Circle One Details

Can you read, write, speak and comprehend Yes / No English well?

Can you speak any language other than English? Yes / No If "yes" provide details

Are you prepared to undertake a Literacy Yes / No Language and Numeracy assessment?

Are you prepared to undertake a Driving skills Yes / No assessment in a heavy bus?

Are you prepared to undertake comprehensive Yes / No training prior to commencing employment?

Are you prepared to work within a 7-day rotating Yes / No roster that includes weekends and public holidays?

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Referees

Do you have any objection to Swan Transit obtaining Comment: information about your work history from current or previous employers Yes / No? If "yes" please specify:

Provide three (3) work related referees and contact telephonetelephone numbers

Referee Name Position/Company Contact No(s).

1.

2.

3.

SWAN TRANSIT SYSTEM POLICIES

Applicant’s attention is drawn to the following Swan Transit Policies:

• All Swan Transit worksites are alcohol and prohibited-drug free working environments. • Smoking restrictions apply within all Swan Transit sites and vehicles. • Swan Transit is an equal opportunity employer complying with anti- discrimination and privacy legislation. • Applicants accepted into the employment of Swan Transit must comply with the Company Code of Conduct .

DECLARATION

• I declare that the information I have provided in this application is true and accurate in all respects and has been wholly and solely completed by myself.

• I acknowledge that I may be required to provide proof of any statement made in this application and that any statement that is found to be false or deliberately misleading may cause my application to become invalid and, if accepted for employment, I may be liable for summary dismissal.

......

SIGNATURE OF APPLICANT DATE

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