Your application information will be kept confidential in line with the Privacy Amendment (Private Sector) Act 2000 and the Privacy and Personal Information Protection Act 1998.

1. Yes I agree to the privacy statement*

1. Title* Mr Mrs Ms Miss Dr Other
2. First name*
3. Last name*

1. E-mail*
2. Phone*

   Digits only or add + for international numbers

1. Street*
2. Street Cont.
3. City, Town or Suburb*
4. Postcode or Zipcode*
5. Country*Please choose... AFGHANISTAN ALBANIA ALGERIA AMERICAN SAMOA ANDORRA ANGOLA ANGUILLA ANTIGUA AND BARBUDA ARGENTINA ARMENIA ARUBA AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BOSNIA AND HERZEGOVINA BOTSWANA BRAZIL BRUNEI DARUSSALAM BULGARIA BURKINA FASO BURUNDI CAMBODIA CAMEROON CANADA CAPE VERDE CAYMAN ISLANDS CENTRAL AFRICAN REPUBLIC CHAD CHILE CHINA COLOMBIA COMOROS CONGO CONGO, THE DEMOCRATIC REPUBLIC OF THE COOK ISLANDS COSTA RICA COTE D'IVOIRE CROATIA CUBA CYPRUS CZECH REPUBLIC DENMARK DJIBOUTI DOMINICA DOMINICAN REPUBLIC ECUADOR EGYPT EL SALVADOR EQUATORIAL GUINEA ERITREA ESTONIA ETHIOPIA FALKLAND ISLANDS (MALVINAS) FAROE ISLANDS FIJI FINLAND FRANCE FRENCH GUIANA FRENCH POLYNESIA GABON GAMBIA GEORGIA GERMANY GHANA GIBRALTAR GREECE GREENLAND GRENADA GUADELOUPE GUAM GUATEMALA GUINEA GUINEA-BISSAU GUYANA HAITI HOLY SEE (VATICAN CITY STATE) HONDURAS HONG KONG HONG KONG SAR, CHINA HUNGARY ICELAND INDIA INDONESIA IRAN, ISLAMIC REPUBLIC OF IRAQ IRELAND ISRAEL ITALY JAMAICA JAPAN JORDAN KAZAKHSTAN KENYA KIRIBATI KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF KOREA, REPUBLIC OF KUWAIT KYRGYZSTAN LAO PEOPLE'S DEMOCRATIC REPUBLIC LATVIA LEBANON LESOTHO LIBERIA LIBYAN ARAB JAMAHIRIYA LIECHTENSTEIN LITHUANIA LUXEMBOURG MACAO MACAU SAR, CHINA MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF MADAGASCAR MALAWI MALAYSIA MALDIVES MALI MALTA MARSHALL ISLANDS MARTINIQUE MAURITANIA MAURITIUS MEXICO MICRONESIA, FEDERATED STATES OF MOLDOVA, REPUBLIC OF MONACO MONGOLIA MONTSERRAT MOROCCO MOZAMBIQUE MYANMAR NAMIBIA NAURU NEPAL NETHERLANDS NETHERLANDS ANTILLES NEW CALEDONIA NEW ZEALAND NICARAGUA NIGER NIGERIA NIUE NORFOLK ISLAND NORTHERN MARIANA ISLANDS NORWAY OMAN PAKISTAN PALAU PANAMA PAPUA NEW GUINEA PARAGUAY PERU PHILIPPINES PITCAIRN POLAND PORTUGAL PUERTO RICO QATAR REUNION ROMANIA RUSSIAN FEDERATION RWANDA SAINT HELENA SAINT KITTS AND NEVIS SAINT LUCIA SAINT PIERRE AND MIQUELON SAINT VINCENT AND THE GRENADINES SAMOA SAN MARINO SAO TOME AND PRINCIPE SAUDI ARABIA SENEGAL SEYCHELLES SIERRA LEONE SINGAPORE SLOVAKIA SLOVENIA SOLOMON ISLANDS SOMALIA SOUTH AFRICA SPAIN SRI LANKA SUDAN SURINAME SVALBARD AND JAN MAYEN SWAZILAND SWEDEN SWITZERLAND SYRIAN ARAB REPUBLIC TAIWAN, PROVINCE OF CHINA TAJIKISTAN TANZANIA, UNITED REPUBLIC OF THAILAND TOGO TOKELAU TONGA TRINIDAD AND TOBAGO TUNISIA TURKEY TURKMENISTAN TURKS AND CAICOS ISLANDS TUVALU UGANDA UKRAINE UNITED ARAB EMIRATES UNITED KINGDOM UNITED STATES URUGUAY UZBEKISTAN VANUATU VENEZUELA VIET NAM VIRGIN ISLANDS, BRITISH VIRGIN ISLANDS, U.S. WALLIS AND FUTUNA WESTERN SAHARA YEMEN ZAMBIA ZIMBABWE INTERNATIONAL OTHER Unknown
6. State, Region or Province*Please choose...

1. Please indicate your eligibility to work in Australia.
   Please note: You must have the right to live and work in Australia for the duration of this position to apply for the job. *

   1. Australian / New Zealand Citizen
   2. Permanent Resident
   3. Current Visa
   4. None of the above
2. If you answered current visa, please provide details.
3. Are you currently employed or have you previously been employed by Bathurst Regional Council?*

   1. Yes, I currently work for Council
   2. Yes, I have previously worked for Council
   3. I have never worked for Council
4. If you answered yes to the above, please provide brief details of your employment.
5. Do you have a current NSW Driver's Licence? *

   1. Yes
   2. No
   3. I have a Driver's Licence from another State or Territory
6. What class of NSW Drivers Licence do you currently hold? *

   1. Class C
   2. LR
   3. MR
   4. HR
   5. HC
   6. Other
   7. I do not currently hold a drivers licence
7. Do you have demonstrated experience and are competent in the use of heavy vehicle trucks requiring an MR Licence?*

   1. Yes
   2. No
8. If you answered yes, please detail below the experiences/ skills you have in relation to the use of trucks and heavy plant and your length of experience in the use of MR rated plant.
9. Have you had experience in tree maintenance works, such as working for an arboriculture business or in a parks and garden section of a local or state government department undertaking tree works?*

   1. Yes
   2. No
10. If you answered yes, please detail below the experiences/ skills you have in relation to tree works.
11. This position requires the incumbent to undertake labouring duties including mowing duties, duties associated with Council’s tree maintenance crew and other parks labouring duties as required. Do you have experience in undertaking similar labouring activities? *

    1. Yes
    2. No
12. If yes, please provide details of your experience, including how long you have worked in past labouring positions and the types of activities performed.
13. Do you have experience in utilising small/ minor plant and equipment in relation to tree works and grounds maintenance duties?*

    1. Yes
    2. No
14. If you answered yes, please detail the types of tools & equipment you have operational knowledge of
15. Have you had experience in working in a team environment?*

    1. Yes
    2. No
16. If you answered yes, please detail below and describe how you have contributed to a team success.
17. Do you hold a WorkCover Construction Induction Card (White Card)?*

    1. Yes
    2. No
18. Do you hold a level 2 Chainsaw competency certificate or equivalent recognised qualification?*

    1. Yes
    2. No
19. Do you hold any RMS Traffic Control qualifications, if yes, please provide details. *
20. Do you hold an Elevated Work Platform Certificate?*

    1. Yes
    2. No
21. EEO data collections questions - Please note: providing this information is voluntary. Any information you provide will remain confidential and will only be used for the gathering of statistical data.
    Is English the primary language spoken at home?

    1. Yes
    2. No
22. Do you identify as an Aboriginal or Torres Strait Islander?

    1. Yes
    2. No
23. Are you an Australian Defence Veteran?

    1. Yes
    2. No
24. Do you require workplace adjustments due to disability, injury or health condition?

    1. Yes
    2. No
25. If you answered ‘yes’ to the last question, please provide details of support or assistance you require in order to help you through the recruitment process.