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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