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Application

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Last Name

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Questionnaire

Service Technician Questions
Do you have customer service experience?

YesNo

Have you completed a trade apprenticeship course?

YesNo

Do you have any National Measurement Institute Licenses?

YesNo

Do you have a current Australian driver's licence?

YesNo

Are you willing to undergo a pre-employment medical check?

YesNo

Do you have a valid right to live and work in Australia?

What attracted you to apply for this role?

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

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

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

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 which resulted in the employer insurer having to be notified?

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

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

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

Are you currently facing criminal charges that are pending court outcomes?

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

Have you received 1st and 2nd dose of COVID-19 vaccination?

What are your salary expectations?

When are you available to start?

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 discharge the ethical obligations on our employees. Some information is necessary to comply with Work Health and Safety Act 2011 (Cth), and the equivalent laws of a State or Territory relating to work health and safety which apply in the jurisdictions where Diverseco operates its business (collectively referred to hereafter as “WHS Laws”). 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. Your personal information is collected and managed in accordance with the Privacy Act 1988 (Cth) and the equivalent laws of a State or Territory that relates to the collection, holding, use, correction, disclosure, and destruction of records containing personal information. In participating in a Pre-employment medical, you must provide accurate and complete information. The provision of false or misleading information in connection with your application of employment will amount to misconduct and render you liable to disciplinary action, including the possibility of termination of employment.

Pre-Employment Health Declaration
Applicants must be able to perform the inherent requirements of the role. It is a requirement that all applicants applying for roles with Diverseco completes a Pre-Employment Health Declaration, which is a confidential document. When completing this Declaration, the applicant must understand the position as outlined in the role description. The must complete all components of the Pre-Employment Health Declaration, including providing additional, supporting information and documentation (if indicated). The applicant must provide accurate and complete information. The provision of false or misleading information in connection with your application of employment will amount to misconduct and render you liable to disciplinary action, including the possibility of termination of employment. Failure to make a disclosure, or the making of a false or misleading disclosure, may disentitle you to compensation pursuant to the WHS Laws 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 the Pre-Employment Health Declaration also assists us in obtaining information to enable us to meet our obligation under the Equal Opportunity Act 2010 (Cth) to make reasonable adjustments for an employee or prospective employee in order to perform the genuine and reasonable requirements of the employment. If appointed, the completed Pre-Employment Health Declaration 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 will assist in ensuring you are fit to perform the duties of the role you have applied for; in ascertaining if any reasonable workplace adjustment is required for you to perform the inherent requirements of the role; and to assist Diverseco in meeting obligations under the WHS Laws. 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 Diverseco to meet its obligations under WHS Laws and, where relevant, to ensure appropriate modifications or assistance to provide a safe system of work for you in the event you obtain employment with Diverseco. 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?

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?

YesNo

Potential or Actual Conflict of Interest
If I obtain employment with Diverseco, 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 an actual or potential conflict of interest, I must declare that potential conflict to Diverseco and seek appropriate directions to resolve the conflict. This remains an ongoing obligation throughout

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.

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Personal

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