Application Form

Experience and Skills
In which of the following have you had experience?
Carpenter: Formwork/Tradesmen
Y/N Last 2 years Total years experience Where / company
Concreting (drives, footpaths, pads)
Y/N Last 2 years Total years experience Where / company
Steel fixing
Y/N Last 2 years Total years experience Where / company
Scaffold
Y/N Last 2 years Total years experience Where / company
Retaining wall construction - timber
Y/N Last 2 years Total years experience Where / company
Retaining wall construction - Concrete/block
Y/N Last 2 years Total years experience Where / company
Brick/block laying
Y/N Last 2 years Total years experience Where / company
Fencing - Timber
Y/N Last 2 years Total years experience Where / company
Fencing - post and wire
Y/N Last 2 years Total years experience Where / company
Foundations
Y/N Last 2 years Total years experience Where / company
Building pad preparation
Y/N Last 2 years Total years experience Where / company
Sanding/blinding
Y/N Last 2 years Total years experience Where / company
Demolition Labouring
Y/N Last 2 years Total years experience Where / company
Dogman
Y/N Last 2 years Total years experience Where / company
General Labouring
Y/N Last 2 years Total years experience Where / company
Rigging
Y/N Last 2 years Total years experience Where / company
Survey
Y/N Last 2 years Total years experience Where / company
Jaw crusher (type)
Y/N Last 2 years Total years experience Where / company
Quarry processing
Y/N Last 2 years Total years experience Where / company
Soft landscaping (planting, irrigation)
Y/N Last 2 years Total years experience Where / company
Instant turf laying
Y/N Last 2 years Total years experience Where / company
Seeding (drill and Hydro)
Y/N Last 2 years Total years experience Where / company
Arboriculture - chainsaw
Y/N Last 2 years Total years experience Where / company
Hard landscaping (paving)
Y/N Last 2 years Total years experience Where / company
Sub base preparation
Y/N Last 2 years Total years experience Where / company
Base course preparation
Y/N Last 2 years Total years experience Where / company
Kerb preparation
Y/N Last 2 years Total years experience Where / company
Top course preparation
Y/N Last 2 years Total years experience Where / company
Asphalting/chip sealing
Y/N Last 2 years Total years experience Where / company
Gabion basket build/fill
Y/N Last 2 years Total years experience Where / company
Geotextile installation
Y/N Last 2 years Total years experience Where / company
Drainlaying - PVC/PE pipe
Y/N Last 2 years Total years experience Where / company
Drainlaying - Concrete pipe
Y/N Last 2 years Total years experience Where / company
Grade checking
Y/N Last 2 years Total years experience Where / company
Pipe laying
Y/N Last 2 years Total years experience Where / company
Plumbing
Y/N Last 2 years Total years experience Where / company
Pipe laser level set up (grade calc) and use
Y/N Last 2 years Total years experience Where / company
Rotating laser setup (RL calc) and use
Y/N Last 2 years Total years experience Where / company
Benching
Y/N Last 2 years Total years experience Where / company
Corbels
Y/N Last 2 years Total years experience Where / company
Concrete/plaster mixing
Y/N Last 2 years Total years experience Where / company
Confined space entry
Y/N Last 2 years Total years experience Where / company
Plate compactor (main size)
Y/N Last 2 years Total years experience Where / company
Trench compactor
Y/N Last 2 years Total years experience Where / company
Remote controlled trench compactor
Y/N Last 2 years Total years experience Where / company
Excavator (main size)
Y/N Last 2 years Total years experience Where / company
Compactor
Y/N Last 2 years Total years experience Where / company
Crane driver
Y/N Last 2 years Total years experience Where / company
Dozer (main size and type)
Y/N Last 2 years Total years experience Where / company
Dump truck Articulated
Y/N Last 2 years Total years experience Where / company
Dump truck Rigid
Y/N Last 2 years Total years experience Where / company
Grader - Final trim
Y/N Last 2 years Total years experience Where / company
Grader - maintenance/earthworks
Y/N Last 2 years Total years experience Where / company
Pivot steer Loader (main size)
Y/N Last 2 years Total years experience Where / company
Roller - roading
Y/N Last 2 years Total years experience Where / company
Roller - Earthworks
Y/N Last 2 years Total years experience Where / company
Motor scraper (type)
Y/N Last 2 years Total years experience Where / company
Skid steer operation (name attachments)
Y/N Last 2 years Total years experience Where / company
Tractor operation - sweeper
Y/N Last 2 years Total years experience Where / company
Tractor operation - Harrows/discs
Y/N Last 2 years Total years experience Where / company
Articulated tipping trailer and truck
Y/N Last 2 years Total years experience Where / company
Truck and trailer tipper
Y/N Last 2 years Total years experience Where / company
Hiab/crane truck
Y/N Last 2 years Total years experience Where / company
Plant transporter
Y/N Last 2 years Total years experience Where / company
Bottom Dumper spreading
Y/N Last 2 years Total years experience Where / company
Tipper spreading
Y/N Last 2 years Total years experience Where / company
Road sweeper
Y/N Last 2 years Total years experience Where / company
Watercart
Y/N Last 2 years Total years experience Where / company
Plant operation under GPS control
Y/N Last 2 years Total years experience Where / company
Do you consent to Blakely Construction retaining the information contained in this application for consideration of your suitability for any other position that may become available in the future?*
- Yes
- No

Referees
Please provide the names and contact details of three referees who are not related to you (Preferably past employers).
Name
Phone
Position Held
Email
Company
Address
Name
Phone
Position Held
Email
Company
Address
Name
Phone
Position Held
Email
Company
Address
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Consent to Collect Information
I consent to Blakely Construction Ltd seeking verbal and/or written information about me on a confidential basis from representatives of my previous employers and/or referees. I authorise them to release the information requested to Blakely Construction Ltd for the sole purpose of assessing my suitability for the position applied for. I understand that the information supplied will be used as evaluative material and will not be disclosed to me or to any third party.
Full Name*
Date*
Declaration
I declare that to the best of my knowledge the answers in this application are correct. I understand that if any false or deliberately misleading information is given, or any material fact suppressed, I will not be accepted, or if I am employed by Blakely Construction Ltd, my employment will be terminated.
Full Name*
Date*
Comments
This field is for validation purposes and should be left unchanged.

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Experience and Skills

Referees

Y/N	Last 2 years	Total years experience	Where / company

Y/N	Last 2 years	Total years experience	Where / company

Y/N	Last 2 years	Total years experience	Where / company

Y/N	Last 2 years	Total years experience	Where / company