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Questionnaire

The following questions are also designed to assist in assessing your suitability to be employed by Diverseco with regard to the significant ethical obligations on our employees, customers and suppliers.

Drivers License
Do you have an Australian drivers licence?

YesNo

Years Experience
How many years' experience do you have in this type of role or Apprentices what level of secondary school have you completed?

Salary Expectations
What are your Salary Expectations?

Notice Given
How much notice are you required to give your current employer?

Qualifications
What qualification have you obtained that is most relevant to the position you have applied for?

Family Employment
Do you have a family member who is or has been employed by Diverseco or one of its subsidiaries?

YesNo

Employment Termination
Has your employment ever been terminated by any organisation, for any reason?

YesNo

Unsatisfactory Performance
Have you been found to have committed misconduct or otherwise performed your duties unsatisfactorily in previous employment

YesNo

Misconduct Investigation
Are you currently, the subject of an investigation or any other process relating to suspected or alleged misconduct or other unsatisfactory performance by you?

YesNo

Traffic Accident
Have you been in a workplace traffic accident which resulted in the employer insurer having to be notified?

YesNo

Work Eligibility
Are you currently eligible to work in Australia? Please provide a copy of your current work permit or visa.

Yes; I am a permanent resident/ citizenYes; I have a current work permit/visaNo

Attach supporting documentation

Workplace Diversity
Diverseco is committed to increasing employment opportunities for Aboriginal people at all levels within Diverseco. Do you identify with being Aboriginal or Torres Strait Islander?

YesNoPrefer not to disclose

Pecuniary Interest
Do you have any monetary or other interest with any other company or body corporate that may be considered a direct competitor of Diverseco?

YesNo

Travel
From time to time you may be required to travel in a company vehicle or within on your role, be given a vehicle as part of your package. Have you experienced any motor vehicle incidents?

YesNo

Criminal History/ charges
Diverseco employees are under significant ethical obligations due to the nature of the projects that we work on. In assessing whether it is appropriate to offer you employment with Diverseco, it is important to consider your suitability by reference to those ethical obligations including by having regard to your character and prior conduct. The following questions are important in assisting to assess your suitability to be offered employment with Diverseco.

Note: Spent Convictions
You are not required to divulge information about a spent conviction. A spent conviction is a criminal conviction that lapses either immediately or after a period of time pursuant to the provisions of the Spent Convictions Act 2009.

Criminal History
Have you ever been convicted of any criminal offence, including road traffic offences not resolved by expiation?

YesNo

Criminal Charges
Are you currently facing criminal charges that are yet to be determined?

YesNo

Background Screening
Have you undergone Criminal History Screening and/or other relevant background or history assessments/screening in the last five years?

YesNo

Please Note
In addition to this declaration, you may be asked to agree to Criminal History or other background history screening or assessment. You will not be further considered for an offer of employment with Diverseco if you do not agree to participate in such history or other background screening or assessment. If you are offered and accept employment with Diverseco, it will be a condition of such employment that you agree to periodic history or background screening and assessment.

Pre-Employment Medical
To be eligible to receive an offer of employment with Diverseco, you must complete a Pre-Employment Declaration. You may also be required to agree to other pre-employment processes. The information derived in this declaration and other pre-employment processes is necessary to assess the suitability of applicants to be offered employment with Diverseco having regard to an applicant's ability to perform the technical aspects of a role and in consideration of the ethical obligations on our employees. Some information is necessary to seek to ensure that we comply with their obligations under the Work Health and Safety Act 2012. Some information is necessary in seeking to ensure Diverseco collects diversity statistics as part of our commitment to collaborating with some of our government agencies for either tenders or government funding. The information is collected and will be managed in accordance with the State Records Act 1997 and destruction schedules issued under that Act. Note that misconduct includes making a false statement in connection with an application for employment. Thus, in the event you are employed, any false statement by you in connection with your application for employment will amount to misconduct and render you liable to disciplinary action, including the possibility of termination of employment. This Pre-Employment Declaration is issued by the National Director Legal and Human Resources in accordance with instruction from the Diverseco Board of Directors.

Pre-Employment Health Declaration
Employment is conditional upon the applicant being fit and fully able to perform the inherent requirements of the role. When completing this declaration, it must be in full knowledge of the position as outlined in the role description. It is a requirement that all applicants applying for roles within the organisation completes a Pre-Employment Health Declaration which is a confidential document. You must complete all components of the Declaration, including providing additional, supporting information and documentation where indicated. Failure to make a disclosure, or the making of a false or misleading disclosure, may disentitle you to compensation pursuant to the Work Health and Safety legislation [pursuant to the state of employment] should you suffer any recurrence, aggravation, acceleration, exacerbation or deterioration of a pre-existing injury or disease arising from employment with our organisation. We may rely upon any failure to disclose in accordance with the provisions of the legislation as grounds for denying compensation. This pre-employment health declaration also assists us in obtaining information to enable us to meet our obligation under the Equal Opportunity Act 2010 to make reasonable adjustments for an employee or prospective employee in order to perform the genuine and reasonable requirements of the employment. Note that misconduct includes making a false statement in connection with an application for employment. Thus, in the event you are employed, any false statement by you in connection with your application for employment will amount to misconduct and render you liable to disciplinary action, including the possibility of termination of employment. If appointed, the completed pre-employment declaration form will be retained on your employee file. If you are unsuccessful, for whatever reason, all documents relating to your application will be retained for three months and then destroyed.

Medical and/or Disability
The following question is designed to assist in ensuring you are fit to perform the duties of the role you have applied for; in ascertaining if any reasonable workplace adjustments are required in order for you to perform the inherent requirements of the role; and to assist Human Resources in meeting obligations under the Work Health and Safety Act 2012. You must answer all of the following questions fully and truthfully. Attach pages as necessary.

Please Note:
If you have any disability or medical condition which might require workplace modifications to either assist to ensure your health and safety in the workplace or to enable you to satisfactorily perform the duties of the role for which you have applied, you are required to provide detail. This information is necessary to enable management to meet its obligations under health and safety legislation and, where relevant, to ensure appropriate modifications or assistance to provide a safe system of work for you in the event you are offered employment. The provision of any such information will not be used to discriminate against you because of the existence of any such disability or medical condition.

Medical Condition
Do you currently have any disability (including learning disability) or medical condition which might prevent or impede you from being able to satisfactorily perform any duties or functions that might be reasonably required of you in the role for which you have applied? (Tick Appropriate Box)

YesNo

Medical Examination
Do you agree to undergo a medical examination that relates to your capacity to perform the functions of the role you have applied for? (Tick Appropriate Box)

YesNoUnsure

Declaration
I declare that the information in this declaration and in any other documents completed by me and information provided by me in support of my application for employment, and the information provided by me during any interviews in connection with my application for employment, is true and correct in every detail. I also understand that any offer of employment to me will be expressly on the basis that the information that I have provided in relation to my application for employment is true and correct in every detail.

Disclosure of Confidential Information
I acknowledge that if I am employed in the role for which I have been offered or in any other role, I may, during the course of that employment, gain access to confidential information. Detailed provisions regarding disclosure of confidential information are contained in Diverseco policies, relevant legislation and industrial instruments. Without detracting from such sources, unless such information is clearly not of a confidential nature, and unless I am expressly advised to the contrary by someone with requisite authority, policy or as required by law all information I gain access to is to be treated as confidential. The expression "confidential information" as used in this declaration means all information which must be treated as being of a confidential nature. I understand that I must not disclose or make use of that confidential information, during or after that employment, except in the proper course of my duties and/or with requisite authority and/or otherwise according to law. In particular, I undertake not to use any confidential information, with the intent of securing a benefit for myself, any person, company or any future employer. In any case where I am in doubt as to whether information gained during employment is confidential and/or how such information should be managed, I undertake to seek advice and instruction from a supervisor or manager.

Potential or Actual Conflict of Interest
I undertake that if I am employed in Diverseco in the role for which I have been offered or in any other role, I will not engage in any external or private activities which will result in a conflict or potential conflict of interest with any of my duties. I understand that in any case where there is any possible doubt regarding a potential conflict of interest, I undertake to seek advice and instruction from a supervisor or manager.

Accept *

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Expressions of Interest - Engineering, Sales, Service - All States.

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Questionnaire

The following questions are also designed to assist in assessing your suitability to be employed by Diverseco with regard to the significant ethical obligations on our employees, customers and suppliers.

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Personal

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Work Rights

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Application

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Personal

Work Rights

Expressions of Interest - Engineering, Sales, Service - All States.

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The following questions are also designed to assist in assessing your suitability to be employed by Diverseco with regard to the significant ethical obligations on our employees, customers and suppliers.

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Work Rights

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