Job Position
Title
Surname
Given Name
Address
Suburb
Postcode
State
E-mail Address
Contact Phone Number
Health
 I have a medical condition that may preclude me from undertaking the duties of the position I have applied for? 
 I have a disability or injury likely to affect my work performance? 
 I have made a Workers` Compensation claim? 
If ` YES` please provide details.
Criminal Record
 I have current/pending convictions for any offences from any court. 
If ` YES` please provide details.
Watkins is an Equal Opportunity Employer, are you:
 Male 
 Female 
 Disability 
 Aboriginal or Torres Strait Islander 
 Non English speaking background 
Qualifications/Experience
I declare that the above statements are true in all respects.
 I AGREE 
 I DISAGREE 

Powered byEMF HTML Form
Report Abuse