The Bloomfield Group may from time to time utilise the services of Recruitment Agencies as part of our recruitment process for various positions. In providing your CV to Bloomfield you acknowledge acceptance of being included in these processes.

1. Yes I agree to the privacy statement*

1. First name*
2. 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. LinkedIn URL

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

1. Which of the following statements best describes your right to work in Australia?*

   1. Yes - Permanently with no restrictions
   2. Yes - Temporarily with no restrictions
   3. Yes - Temporarily with restrictions
   4. No - I require sponsorship
2. Do you have a current Australian driver's licence?*

   1. Yes
   2. No
3. Do you have reliable transport to and from work?*

   1. Yes
   2. No
4. Are you willing to undergo a pre-employment medical check, which includes a drug and alcohol test?*

   1. Yes
   2. No
5. Do you have a family member, or friend, who works for The Bloomfield Group?*

   1. Yes
   2. No
6. If you have a family member, or friend, who works for The Bloomfield Group, please state who they are and your relationship?
7. For statistical purposes only, do you identify as?*

   1. Male
   2. Female
   3. Other
   4. I prefer not to disclose
8. For statistical purposes only, are you a person of Aboriginal or Torres Strait Islander origin?*

   1. No
   2. Yes, Aboriginal
   3. Yes, Torres Strait Islander
   4. Yes, both Aboriginal and Torres Strait Islander
   5. I prefer not to disclose
9. Are you willing to provide us with a copy of your driving record?*

   1. Yes
   2. No
10. Have you committed one of the following offences in the last 12 months? • Exceed the speed limit by over 10 km/h • Driving and not wearing a seatbelt • Driving and using a mobile phone when not permitted • Driven under the influence of alcohol or another drug *

    1. Yes
    2. No
11. Have you ever committed one of the following offences? • Exceed the speed limit by over 10 km/h • Driving and not wearing a seatbelt • Driving and using a mobile phone when not permitted • Driven under the influence of alcohol or another drug *

    1. Yes
    2. No
12. If you answered yes to committing one of the following offences? [• Exceed the speed limit by over 10 km/h • Driving and not wearing a seatbelt • Driving and using a mobile phone when not permitted • Driven under the influence of alcohol or another drug], Please provide details of all your driving offences including the date of the offence: If you answered no, please put n/a. *
13. Are you currently:*

    1. Attending school or tertiary education
    2. Employed
    3. Unemployed
14. If you are at school, what year of school are you completing this year?*

    1. Year 9 or below
    2. Year 10
    3. Year 11
    4. Year 12
    5. Trade College
    6. TAFE
    7. University
    8. Not applicable
15. Can you supply either a copy of a school report from years 10-12 as applicable, or a written reference from an employer?*

    1. Yes
    2. No
16. Have you ever completed or partially completed an apprenticeship or traineeship? If yes, please provide details. If no please put n/a*
17. Why do you want this apprenticeship?*
18. Have you completed any work experience and/or study related to your chosen field? If yes, please provide the detail. If no please put n/a*
19. How do you think you will manage working in a physically demanding environment?*
20. Please provide an example of how you contribute to team environments.*
21. Please provide an example of how you have demonstrated your commitment to safety in the workplace.*
22. Do you consent to your referees being contacted in relation to this position?*

    1. Yes
    2. No
23. Please provide the name, position, and contact details of two (2) referees. If you are still attending school, please provide at least one school teacher.*