Online application form

    Part A

    Position Applied For: *
    Date: *
    Complete Name: *
    Date of Birth: *
    Street: *
    City: *
    Email: *
    Phone No. Home:
    Phone No. Work:
    Australian Divers License: *
    Can you type: *
    Typing speed:
    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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