Job Application Form

Vacancy Information
Position Name: / Relief Plant Operator / Vacancy Number: / 2015/17
Personal Details
Title: / ☐Mr ☐Mrs ☐Miss ☐Ms ☐Dr ☐Other:Please Specify ______
Surname: / First Name:
Address
Street Address:
Suburb: / Postcode:
Contact Details
Home Phone: / Mobile Phone:
Email Address:
Other Information
Have you previously worked for Cessnock City Council? / ☐Yes ☐ No If Yes: please provide details of your cessation date
Are you legally entitled to work in Australia? / ☐Yes ☐ No Please Note: Proof of eligibility may be requested
Do you hold Australian Permanent Residency? / ☐ Yes ☐ No If No: please provide details of you visa status
Do you hold a valid Driver’s Licence? / ☐Yes ☐ No If Yes: please provide information below
Licence Class: / Licence Number:
Referees
Please provide details of at least two referees who may be contacted to verify your work history.
Referee checks may be conducted at any point throughout the recruitment process so please ensure your Referees are aware of your application.
If you are unable to provide current employment referees upon submission of this application, Council may seek these details from you, if required.
Employer Name / Contact Person / Position Held / Relationship to Applicant / Phone Number / Email Address
CURRENT EMPLOYEES ONLY
Please complete this section if you are currently employed by Cessnock City Council.
Current Employment Type: / ☐Permanent ☐ Temporary ☐ Casual
Current Position:
For eligible outdoor employees and positions, do you wish to retain your 43 hour week? / ☐Yes ☐ No ☐ Not applicable
Applicant declaration
☐ / I acknowledge that the information provided in this application, to the best of my knowledge, is true and accurate.
☐ / I understand that I am required to produce original qualifications or transcripts, proof of eligibility to work in Australia and all licenses required for the position. Verification of these documents maybe undertaken by Council.
☐ / I understand that Council’s recruitment is based on individual merit. The information provided in my application will be used throughout the recruitment process for this particular position and may be disclosed to other panel members involved in recruitment process or Council officers as required.
☐ / I understand that in order to progress through the recruitment process I must address and meet all essential criteria to the designated level and have attached the followinginformation
Resume
Selection Criteria Response Form OR Statement Addressing the Selection Criteria
☐ / I understand that if my application is successful and I commence employment with Cessnock City Council, I will be bound by and required to observe all policies and procedures as specified and stipulated by Council.
☐ / I understand that I must not release confidential information related to this recruitment process to any person not involved in the process.
☐ / I understand that in submitting this application I am giving authority for Council to contact my listed referees.
☐ / I understand that if any information given by me in this application is found to be false, or if I am found to have deliberately misrepresented or omitted any relevant information, Council may refuse to employ me, or if I am already employed may terminate my employment immediately and without notice or payment in lieu of notice.
Full Name:
Signature: / Date:

Applying for a position at Cessnock City Council

  • This form is mandatory if you wish to apply for a position at Cessnock City Council. Please Note: If you are applying for more than one position a separate application form is required for each position.
  • Please ensure you address the selection criteria outlined in the Position Description. You should concisely illustrate how you meet the criteria. You may elect to use the Selection Criteria Response Form which is available Council’s website, otherwise please prepare your own document addressing the criteria.
  • When providing your referee details please ensure you provide referees who have been your direct Manager / Supervisor.
  • Please do not provide originals of certificates and qualifications, as they will not be returned.
  • Your application must be received by the closing date. Applications may be submitted via;

Email /
Post / General Manager
Cessnock City Council
PO Box 152
CESSNOCK 2325

Note: Please ensure your application is marked as “Job Application – Private and Confidential”

Page 1 – Application Form –Relief Plant Operator - Cessnock City Council

Selection Criteria Responses

Essential Criteria

Please explain how you meet each of theEssential Criteria for the position as stated in the job description. You must address and meet all essential criteria to progress through the recruitment process.

Holder of a current Class HR driver’s licence with demonstrated experience in the use of a HR drivers and licence willingness to obtain a HC licence
Demonstrated competence in the operation, servicing and maintenance of rollers and trucks.

Essential Criteria

Please explain how you meet each of theEssential Criteria for the position as stated in the job description. You must address and meet all essential criteria to progress through the recruitment process.

Holder of a current Work Safely in the Construction Industry Certificate (formerly OHS General Construction Induction Certificate). / ☐ Yes, I hold this ticket
☐ No, I do nothold this ticket
1.Demonstrated experience and Plant Certificates of Competency including previous WorkCover Certificates in at least one of the following items of plant:
  • Grader
  • Skid Steer Loader
  • Backhoe Loader
  • Excavator

Holder of a current RMS Select/Modify Traffic Control Plans Certificate (red card), or willingness to obtain / ☐ Yes, I hold this ticket/licence
☐ I am willing to obtain this ticket/licence
Basic knowledge of road and drainage construction and maintenance requirements.

Essential Criteria

Please explain how you meet each of theEssential Criteria for the position as stated in the job description. You must address and meet all essential criteria to progress through the recruitment process.

Experience in the use of minor plant and equipment.
Demonstrated basic literacy, numeracy, oral and written communication skills.
Holder of a Safe Work Near Power Lines Certificate (formally known as 5099) or willingness to obtain. / ☐ Yes, I hold this ticket/licence
☐ I am willing to obtain this ticket/licence

Highly Desirable Criteria

Please explain how you meet each of theHighly Desirable Criteriafor the position as stated in the job description.

Holder of a current Class HR/HC driver’s licence. / ☐ Yes, I hold this ticket
☐ No, I do nothold this ticket
Holder of Plant Certificates of Competency including previous WorkCover Certificates, and demonstrated competence in the operation, servicing and maintenance of Council’s Skid Steer Loader, Backhoe/Loader and/or Grader, Hiab Crane, 20T excavator.
Demonstrated competence in the operation of plant such as water truck , street sweeper.

Highly Desirable Criteria

Please explain how you meet each of theHighly Desirable Criteriafor the position as stated in the job description.

Crane Chaser’s Certificate or knowledge of the principles of, and demonstrated experience in lifting loads.
Demonstrated ability to plan and co-ordinate own work tasks on a daily basis, with minimal supervision.

Applicant declaration

☐

/ I acknowledge that the information provided in this application, to the best of my knowledge, is true and accurate.

☐

/ I understand the information provided in this form will be used throughout the recruitment process for this particular position and may be disclosed to other panel members involved in recruitment process or Council officersas required.

☐

/ I understand that if any information given by me in this application is found to be false, or if I am found to have deliberately misrepresented or omitted any relevant information, Council may refuse to employ me, or if I am already employed may terminate my employment immediately and without notice or payment in lieu of notice.

Full Name:

Signature:

/

Date:

Page 1 – Application Form –Relief Plant Operator - Cessnock City Council