Women behind the Wheel- Application Form

TransTrain and SRT Logisticsare working together to provide this training program for women who are interested in developing skills and knowledge to work in the transport and logistics industry – especially in truck driving roles. The training program provides nationally recognised outcomes and is supported by the Skills Fund of Skills Tasmania. A list of the units of competency is available on the TransTrain website.
Thisprogram is designed to develop a pool of women with critical skills, knowledge, endorsements and licences valued by industry and who may be offered work driving trucks but no guarantee of employment is made to any person who participates in or completes this program.

Structured training and assessment activities will be conductedduring Thursday 1stSeptember - Sunday 2nd October 2016, from a range of locations including SRT Logistics in Brighton. Follow up assessment may be offered over a longer period of time.

Exemption Order #16/08/016 Section 57 Anti Discrimination Act 1998. TransTrain Registered Training Organisation National Code #3363.

PROGRAM ACTIVITIES WILL BE HELD DURING Thursday1stSeptember UNTIL Sunday 2nd October 2016

To apply to take part in this program:fill in the details on this form, attach your resume, send to:

or PO Box 300, DEVONPORT, TASMANIA, 7310

APPLICATIONS MUST BE RECEIVED BY: Sunday 21stAugust 2016

YOUR PERSONAL DETAILS

Title
Given Name (First name)
Surname (Family Name)

YOURADDRESS

Street no and name
Town/Suburb
State / Postcode
Postal address if
different from above
Telephone (Home) / Telephone (Work)
Fax / Mobile
Email

BACKGROUND IN TRANSPORT, LOGISTICS & CUSTOMER SERVICE

List any experience you have had in Transport, Logistics or Customer Service

(if you run out of space, include more information in your attached resume)

YOUR CURRENT LICENCES / ENDORSEMENTS

List current licences and endorsements only -all documents/licences/endorsements to be presented at interview.
NOTE: Minimum requirement is a full manual car driver’s licence (not Learner’s, Provisional or Automatic).

Driver Licence Class /  Car LR MR HR HC MC / Year Obtained ______
High Risk Work - Forklift (LF) /  Yes No / Year Obtained ______/ Expiry Date _____/_____
First Aid /  Yes No / Level Details ______/ Expiry Date _____/_____
Other: / Expiry Date _____/_____
Other: / Expiry Date _____/_____

QUALIFICATIONS

Have you completed any qualificationsin the following areas?

Certificate II in Road Transport /  Yes No / Year Completed______
Certificate III in Road Transport /  Yes No / Year Completed______
Certificate II in Warehousing /  Yes No / Year Completed______
Certificate III in Warehousing /  Yes No / Year Completed______
Qualification Title / Institution/Training provider / Year completed

WORK HISTORY

Current or previous employer / Length of employment
Job Role Held
Contact Person / Contact Phone
Reason for leaving
Previous employer / Length of employment
Job Role held
Contact person / Contact Phone
Reason for leaving
Have you been made redundant in Tasmania in the past 2 years? /  Yes No

REFEREES (employment related)

Business Name / Contact Name
Job Role of Referee / Telephone
Business Name / Contact Name
Job Role of Referee / Telephone

JOB ACTIVE / EMPLOYMENT SERVICE PROVIDER (if applicable)

Business Name
Contact Name
Address
Telephone / Email

YOUR WORK PREFERENCES

Please tell us about your working days / hours preferences.

I am looking for work that is: / ☐Part Time ☐ Full Time ☐ Casual

DISABILITY OR SPECIFIC LEARNING NEEDS

Do you consider yourself to have a disability, impairment or long-term condition? Let us know how we can support you best.

 No /  Yes  please tell us about your specific support needs below
 Physical /  Medical condition /  Vision /  Hearing/Deaf
 Learning /  Mental Illness /  Intellectual /  Acquired Brain Impairment
 Other:

LEARNING SUPPORT

Do you have any specific learning needs that we should be aware of to support you in this program? This may include difficulties with reading or writing.
 No  Yes  please tell us so that we can discuss with you including exploring options for reasonable adjustment.

COMMITMENTS / ADDITIONAL SUPPORT

Do you have any commitments which may prevent you from attending the full courseor work experience placement which may include weekends during period Thursday 1st September to Sunday 2nd October 2016?

 No /  Yes tell us what day/s (including weekend days) you may not be available
 Day/s & times not available
 Day/s & times not available
 Day/s & times not available
 Day/s & times not available

CRIMINAL CONVICTIONS

You may be asked to complete a National Police Check as part of this training program

Do you have any criminal convictions? / ☐No
☐Yes – If “Yes” we will discuss this with you.

DECLARATION

I understand that:

  • I have completed this form to register my interest in taking part in the 2015-16 Seasonal Industries Transport Industry Job Ready program
  • The training program and work placement activities may include weekend days
  • TransTrain will consider this application and may then offer me an interview – following this interview I may be offered a place in this training program
  • This program is a training program, conducted by TransTrain, with work experience placementsoffered to selected participants through participating employer/s
  • There is no guarantee of employment either from participating employer/s or others as a result of taking part in this program

If accepted into the program, I agree to:

  • Attend and participate actively all training sessions and work placement days
  • Always attend training sessions and work placement days in a fit condition not impacted by fatigue, drugs or alcohol
  • Meet the costs of travel, accommodation, meals for program days and attendance at training
  • Meet costs associated with personal licence or endorsement issue including but not limited to:
  • Payment of fees at Service Tasmania for: Heavy Vehicle Driver Licence upgrades(TransTrain may provide single step heavy vehicle driver licence training and assessment as part of the program); Licence to Perform High Risk Work licence applications(TransTrain may provide high risk work forklift training and assessment as part of the program); personal issue of a National Driver Work Diary
    (issue of the work diary is made to individuals at Service Tasmania)
  • Payment of fees for National Police Check
  • Participate in any required medical, drug and alcohol testing
  • Tell TransTrain about any issues that I may have that impact on my participation in the training
  • Provide my own Personal Protective Clothing and Equipment as required by the course days or work placement for example:

  • Safety boots (steel cap) to Australian Standards
  • Leather gloves (“rigger” style)
/
  • Safety glasses
  • High Visibility Vest

Confidentiality – I understand that

  • TransTrain may discuss this application with my past employer(s) and referees, potential work experience placement employers and with Employment Service Provider / Job Active Providers

How did you find out about this program?

 Job Active Provider /  Gumtree Advertisement / The Mercury Newspaper / SRT Logistics
TransTrain Office / TransTrain Website / TransTrain Trainer/Assessor / Other:

 I give permission to TransTrain to send me newsletters and information on courses, including special offers

Declaration

I declare that, to the best of my knowledge, the information given is true and correct. I understand that inaccurate, misleading or untrue statements or knowingly withheld information may result in me being refused participation in the training including work placement. I understand that this application does not constitute an offer of employment.

Your Signature: / Date:

Women Behind the Wheel Application Form | V2 | Aug-16