Application Form
Personal Info
Given Name(required)
Surname(required)
Phone No.
Mobile No.
DOB
Gender  Male Female
Email Address
Postal Address
Nationality

Visa Info
Work Visa No
Work visa valid from
Work visa valid to
Where are you currently
Where do you want to go for work
Preferred type of work
Available to start
Finishing date

Education / Qualifications / Experience
School / College / University
Dates Attended
Course / Qualification obtained
Licences Held  car truck semi other
Plant Operating Tickets
Trade Qualifications
Are you from a farming background> Details
How do you rate yourself as a Mechanic?
How do you rate yourself as a Welder?
Machinery Operated - Make / Model / Implements

Employment History
1. Employer Details (Name / Address / Phone Number)
Title Held
Duration of Employment
Duties Involved
2. Employer Details (Name / Address / Phone Number)
Title Held
Duration of Employment
Duties Involved
3. Employer Details (Name / Address / Phone Number)
Title Held
Duration of Employment
Duties Involved
Payment
 $60 (GST inclusive) for 3 months membership
 $120 (GST inclusive) for 12 months membership
Payments made by Visa, MasterCard and bankcard are charged a $1.00 processing fee.

** Payment of membership is not required until we can guarantee you work **

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conditions and policies of Harvest Hotline Australia Pty Ltd.
For further information please contact us; info@harvesthotlineaustralia.com.au