Online application form

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    Part A

    Position Applied For: *

    Date: *

    Complete Name: *

    Date of Birth: *

    Street: *

    City: *

    State: *

    Email: *

    Phone No. Mobile:

    Australian Divers License: *

    Smoker? : *

    Australian Citizen? : *

    If NO, attach copy of residency/Work Permit by email

    Are you a scuba diver?: *

    Dive certification level?:

    High school from, to level:

    College/Uni from, to level:

    Please list any specialist training relevant to this position:

    Related Experience:

    Do you have any physical or medical limitation which may affect your work?: *

    If yes provide details below:

    Hobbies, interests, sports:

    Work Related Skills in Business, Diving, Instructing, Marine, etc:

    How or from who did you learn about this position:

    Expected Pay Scale:

    When Can You Start?:

    Part B

    Work Experience:

    (Start with your present or last position)

    1. Company Name:

    Phone:

    Company Address:

    Kind of Business:

    Your position:

    Supervisor's Name:

    Employed from:

    Employed to:

    Describe your duties:

    Pay: $:

    Per:

    Reason for leaving:

    2. Company Name :

    Phone:

    Company Address:

    Kind of Business:

    Your position:

    Supervisor's Name:

    Employed from:

    Employed to:

    Describe your duties:

    Pay: $:

    Per:

    Reason for leaving:

    3. Company Name :

    Phone:

    Company Address:

    Kind of Business:

    Your position:

    Supervisor's Name:

    Employed from:

    Employed to:

    Describe your duties:

    Pay: $:

    Per:

    Reason for leaving:

    4. Company Name :

    Phone:

    Company Address:

    Kind of Business:

    Your position:

    Supervisor's Name:

    Employed from:

    Employed to:

    Describe your duties:

    Pay: $:

    Per:

    Reason for leaving:

    I hereby give my permission for Mike Ball Dive Expeditions to contact either the above Companies or the Referees provided in my Resume to obtain a reference:

    Mike Ball Dive Expeditions may keep my Application, Resume and relevant paperwork on file for six months from the date of this submitting this employment application submission:

    Part C - Medical History

    Please answer the following questions on your past or present medical history with a YES or NO. If you are not sure, answer YES.

    Do you regularly take prescription or non-prescription medication?:

    History of diving accidents or decompression sickness?:

    Asthma?:

    A high cholesterol level?:

    Frequent or severe attacks of hayfever or allergy?:

    Frequent colds, sinusitis or bronchitis?:

    Any form of lung disease?:

    Pneumothorax (collapsed lung)?:

    History of chest surgery?:

    Epilepsy, seizures, convulsions or take medications to prevent them?:

    Recurring migraine headaches or take medications to prevent them?:

    History of blackouts or fainting (full/partial loss of consciousness)?:

    Do you frequently suffer form motion sickness (seasick, carsick, etc)?:

    History of recurrent back problems?:

    History of diabetes?:

    History of back, arm or leg problems following surgery, injury or fracture?:

    Inability to perform moderate exercise (eg: walk one mile within 12 minutes):

    History of high blood pressure or take medicine to control blood pressure?:

    History of any heart disease?:

    History of ear disease, hearing loss or problems with balance?:

    History of bleeding or other blood disorders?:

    History of any type of hernia?:

    History of ulcers or ulcer surgery?:

    History of drug or alcohol abuse?:

    History of skin disorders, dermatitis, melanomas, skin cancer, etc?:

    Part D - Divemaster and instructor applications

    Please supply a copy of:

    • AS2299 Occupational diving medical (with audiogram)

    • First Aid and Oxygen Therapy certifications

    Note: If successful in your application the above certifications must be valid for more than a 90 day period.

    SKIPPERS, ENGINEERS AND DECKHANDS

    Please supply a copy of:

    • Masters qualifications

    • Engineering qualifications

    • Coxswain qualification

     

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