TEGRA

Employment Form

* Required

Step 1 - Position/Personal Information


Clerical    Finance    Mechanic    Plant Operator    Truck Driver - Agitator    Truck Driver











Yes     No

Yes    No



H    HR    HC    Car






Yes    No

Step 2.A

- To be completed for all plant/mechanic/truck positions.

Please Start each Licence/Permit on a new line and include the Name, Class, State Obtained and Years Held for each Licence/Permit.

Backhoe    Excavator    Forklift    Grader    Loader    Other

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Step 2.B

- To be completed for all clerical positions.

Please start each qualification on a new line and include the name of the qualification, where it was obtained (Tafe/Uni/Other etc) and the date which it was obtained.
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Step 3 - Additional Information


Please list sports or physical activities that you participate in.

Yes    No

Yes    No

Yes    No

Yes    No
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Step 4 - Work History





From: To:






From: To:






From: To:

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Step 5 - Consent



Applications Received
All applications received will be held confidentially on file for six (6) months from the date of receipt. After that time your application will be shredded.

Consent
I certify that the information provided in this application and in any attached pages is accurate and truthful.

I consent to Tegra verifying all information provided herein. Verifications may include obtaining information from third parties, previous employers or supervisors and criminal conviction record check.

I hereby release Tegra from any claims or causes of action that I may now or hereafter have, including, but not limited to, claims based on privacy, confidentiality or defamation as a result of its verification of any information contained herein or submitted herewith.

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Step 6 - Review & Submit


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