Action Industrial Catering - Quality providers of catering and support services to the remote mining and construction industry.

Apply Online

Please complete the form below to lodge an application with Action Industrial Catering.

Provide as much detail as possible and ensure that you have agreed to our application policy by checking the box at the end of the form.

If you have any questions regarding the application process then please feel free to contact us.

Applicant Details
Last Name		First Name
Home Address
State		Post Code	Date of Birth
Phone		E-mail Address
Mobile		Male Female
Mailing Address (if different from above)
State		Post Code
Position Applied for
Are you an Australian Citizen?		Yes No	Place of Birth
Are you an Australian Perminent Residant			Yes No
Do you have permission to work status?			Yes No
Visa Class	Sub Class	Expiry Date
Have you previously worked for Action Industrial Catering		Yes No	If so, when?
Reason for Leaving
Are you of Aboriginal or Torres Strait Island decent?			Yes No

Driving Licence
Do you hold a current WA Manual Driver's Licence?	Yes No	Other? Give details
Licence Number		Class	Expiry Date
Have you ever had your licence suspended?		Yes No	Date
If Yes please give details
Have you ever had a driving conviction involving Alcohol / Drugs?		Yes No	Date
If Yes please give details

Military Service
Branch		From	To
Rank at Discharge		Type of Discharge
If other than honorable, explain
Are you a member of any Reserve Military Force?	Yes No	If Yes which service
What date were you transferred to the reserve?		What date does your reserve cease?

Education
High School		Address
From	To	Did you graduate?	Yes No
College		Address
From	To	Did you graduate?	Yes No
Other		Address
From	To	Did you graduate?	Yes No

Qualifications
Please list and Educational or Trade qualifications
1
2
3
4
5
6

Family
Marital Status
Number of children	Ages
Is your family Perth based?		Yes No
If succcessful in gaining employment, do you intend to relocate your family?		Yes No

Next of Kin
Name		Relationship
Address
State		Post Code
Mobile number		Email address
Name		Relationship
Address
State		Post Code
Mobile number		Email address

Previous Employment - Three Previous Employers Required
1.
Company		Phone Number
Address		Supervisor
Job Title	Starting Salary $	Ending Salary $	Hourly Rate
Responsibilities
From	To	Reason for leaving
May we contact your previous supervisor for a reference?		Yes No
Name of contact
2.
Company		Phone Number
Address		Supervisor
Job Title	Starting Salary $	Ending Salary $	Hourly Rate
Responsibilities
From	To	Reason for leaving
May we contact your pervious supervisor for a reference?		Yes No	Name of contact
3.
Company		Phone Number
Address		Supervisor
Job Title	Starting Salary $	Ending Salary $	Hourly Rate
Responsibilities
From	To	Reason for leaving
May we contact your pervious supervisor for a reference?		Yes No	Name of contact

Medical History
Do you have, or have you ever had, any medical or health issues which may impact on your ability to undertake the required duties if employed by AIC? - If so please provide a brief description below of the issue and how it can be appropriately managed. Please list ANY medication you are currently taking :-
1
2
3
Do you have any allergies?		Do they require medication?
Have you ever made a Workers Compensation Claim?		Yes No	Date of claim
Length of time off work		Treatment Received
If Yes please give details
Have you ever received a lump sum settlement?	Yes No	From Insurer	From Company
If Yes please give details
PLEASE NOTE: Failure to declare any past / current medical information may result in your employment being teminated.

Certificates and Documents
Have you completed any of the following:
MARCSTA	Yes No	Date completed	Certificate number
Blue Card (Construction Awareness)	Yes No	Date completed	Certificate number
Senior First Aid	Yes No	Date completed	Certificate number
Mine Health Surveillance Medical	Yes No	Date completed	Certificate number
Four Wheel Drive Course	Yes No	Date completed	Certificate number
Fork Lift	Yes No	Date completed	Certificate number

Police Clearance and Criminal Record
AIC Reserves the right to retract an offer based on clearance results
Have you completed a WA Police Check in the last 6 months?	Yes No	Date completed
Have you been convicted of a criminal offence in the past 5 years?	Yes No
If Yes please give details
Have you been resident in NewZealand in the past 5 years?	Yes No
Have you completed a Priv/F1 or F2 (NZ criminal convictions form)?	Yes No	Date completed

Conditions of Employment
In order to ensure the suitability of the person for our requirements and to ensure that the employee is satisfied in the position, it is the policy of Action Industrial Catering Pty Ltd (AIC) to put each new employee on a probationary period. I understand that, unless otherwise stated in employment agreements, positions are initially for a 3-month probationary period during which time either party may terminate in accordance with said employment agreement. As sites are FIFO it may be a requirement to complete the current swing, I understand I may be liable for any and all costs associated with leaving site on a day or date that falls outside a normal swing. I understand that as a condition of employment I will be required to undergo a medical examination by a nominated medical officer. Further I understand that prior to employment and at any time during employment with AIC I will be required to take an alcohol and/or drug test as required by AIC and any client company AIC is contracted to. I hereby affirm that all information given by me in this application for employment is true and correct and that I have not knowingly withheld any circumstances or facts that would, if disclosed, affect my application. I understand that if considered for employment, the information provided in this application and my employment and personal history may be subject to investigation by AIC and I hereby authorise such an investigation to be made. If employed, I understand that I shall be subject to the company's regulations. I further affirm my understanding that in the event I am employed by the company my employment or any assignment during said employment shall be governed by applicable Australian law and Company policy and shall constitute that my employment may be terminated at any time without notice if it is proven by the company that I have knowingly misstated any facts above or if I have knowingly withheld facts or circumstances that would, if disclosed, affect my application. As a consequence of you completing this employment application Action Industrial Catering Pty Ltd (AIC) will collect personal information about you, directly from you. This information is collected to assess your suitability for employment with AIC. It is not mandatory for you to provide all of the information requested, but if you do not it may affect our ability to assess your application for employment and therefore appointment with our company.

Signature of Applicant
I acknowledge all information in this employment application is true and complete