Bega Valley Shire Council is collecting personal information from you as part of the recruitment and selection process. Bega Valley Shire Council recognises the importance of privacy and is committed to ensuring the privacy of your personal information collected and/or received by us.

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 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 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. Gender Male Female Non-binary / Non-conforming Prefer not to say

1. LinkedIn URL

   (Please click on your profile and copy the URL from your profile page.)

1. Are you are current employee of Bega Valley Shire Council?*

   1. Yes
   2. No
2. Do you have Australian work rights? For example: Australian citizenship, permanent residency of Australia, New Zealand citizenship with entry to Australia on a valid passport or a non-citizen with a valid visa that provides work rights. * Yes No
3. Do you have any pre-existing conditions or injuries that may impact your ability to fulfil the duties of the position?*

   1. Yes
   2. No
4. Please explain if answered yes in the above statement
5. I acknowledge that I will be required to undertake a pre-employment vetting that will include a standard medical assessment and a drug screen. Additionally, I may be required to undertake an audiogram, spirometry test and/or skin cancer check, working with children check, Australian criminal history check.*

   1. Yes
   2. No
6. Have you ever been convicted of a criminal offence in Australia and/or overseas?*

   1. Yes
   2. No
7. Please explain if answered yes in the above statement
8. Do you identify as Aboriginal or Torres Strait Islander?

   1. Yes
   2. No
9. Were you born in Australia?

   1. Yes
   2. No
10. If you were not born in Australia, in what year did you arrive?
11. Was English the first language you spoke?

    1. Yes
    2. No
12. If English was not the first language you spoke, what was the other language?
13. Do you identify yourself as a person who has a disability?

    1. Yes
    2. No
14. If you answered yes to identifying as having a disability, please provide the nature of the disability and if a modification to the recruitment and selection process will be requested?
15. SELECTION CRITERIA: Proven recent plant operator experience working on pavement construction activities or similar.*
16. SELECTION CRITERIA: Demonstrated relevant experience in road and drainage works which may include (but not limited to):, in-situ stabilisation, gravel re-sheeting, pavement upgrade, site levelling, pipe laying, culvert construction, drainage and environmental control installation.*
17. SELECTION CRITERIA: Demonstrated ability in the use of a personal computer and the associated use of Microsoft software packages including Word, Outlook and Excel.*
18. SELECTION CRITERIA: Experience in operating and using a variety of hand and power tools which may include (but not be limited to): chainsaws, concrete cutting saws, concrete vibrators and pumps.*
19. SELECTION CRITERIA: Demonstrated ability to interpret both paper and electronically based plans and schedules and apply these to work being performed.*
20. SELECTION CRITERIA: Additional skills, knowledge and qualifications that might be applicable to this position, such as licences and specialised training*
21. SELECTION CRITERIA: School Certificate (Year 10) or equivalent.* Yes No
22. SELECTION CRITERIA: SafeWork NSW General Construction Induction Card (White Card).* Yes No
23. SELECTION CRITERIA: NSW RMS Heavy Rigid (HR) licence.* Yes No
24. SELECTION CRITERIA: Traffic Controller Qualification.* Yes No
25. SELECTION CRITERIA: Implement Traffic Control qualification.* Yes No
26. SELECTION CRITERIA: HLTAID003 - Provide first aid.* Yes No
27. SELECTION CRITERIA: Civil Plant Licence or Competencies (ideally Grader and Backhoe Loader). * Yes No

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