Employment Hillmans Transport are regularly seeking MC licenced line haul drivers based in Toowoomba, Longreach and Darwin. Ideal Applicants will have 5+ years of general freight experience, be 25 years of age or older, have a good driving record and hold a current commercial drivers medical. To apply for a position please complete the application form shown below. Fields marked with * are required. PERSONAL DETAILS Family Name* Christian Names* Address* Telephone Mobile Email Address* Date of Birth* Employment Position Applying For* LICENCES & QUALIFICATIONS Licence Number* Expiry Date* Licence Type* Class* Forklift Licence*YesNo If Yes, provide Licence Number Dangerous Goods Licence*YesNo Expiry Date Basic/Advanced Fatigue Management Accredited*YesNo Load Restraint Accredited*YesNo Other Qualifications/Skills HEALTH & MEDICAL Do you hold a current and valid Commercial Drivers Medical? *YesNo If Yes, were you declared fit to drive?---YesNo Last Medical Date* Medical Due Date* Did you test positive to Diabetes, Sleep Apnea, or other significant Medical Condition which is reasonably likely to impact your driving capability? *NoYes If Yes, is the condition managed to the satisfaction of the Medical Practitioner, enabling you to drive a heavy vehicle?---YesNo DRIVING HISTORY Have you ever been in an accident? *NoYes If Yes, what type of vehicle were you driving?---TruckCarMotorcycle Were you found to be by Police and Investigators to be at fault? *NoYes Was it a:---Single-vehicle accidentMulti-vehicle accident Accident/Traffic Offences for the last 5 years Date Details Date Details Date Details Have you ever been convicted for: Driving under the influence of alcohol? *NoYes If Yes, what type of vehicle were you driving?---TruckCarMotorcycle Driving under the influence of drugs? *NoYes If Yes, what type of vehicle were you driving?---TruckCarMotorcycle Driving dangerously, at fault, negligently or without due care? *NoYes Speeding at 15 - 30 kph or more over the posted limit in the last 12 months? *NoYes Have you ever had your licence endorsed, suspended or cancelled? *NoYes Have you held a different Interstate Licence, other than the licence number stated on this form, within the last 5 years? *NoYes Have you ever been convicted of a criminal offence? *NoYes Have you ever been convicted of a drug offence? *NoYes EMPLOYMENT HISTORY Employer 1 Employers Name * Employers Address * Employers Contact Name & Number Name*: Ph*: Position Held * Employed from * to * Type of freight carried * Average KM’s travelled per week * Reason for leaving * Employer 2 Employers Name * Employers Address * Employers Contact Name & Number Name*: Ph*: Position Held * Employed from * to * Type of freight carried * Average KM’s travelled per week * Reason for leaving * Employer 3 Employers Name * Employers Address * Employers Contact Name & Number Name*: Ph*: Position Held * Employed from * to * Type of freight carried * Average KM’s travelled per week * Reason for leaving * REFEREES Name * Company * Contact Number * Name * Company * Contact Number * Name * Company * Contact Number * NEXT OF KIN DETAILS Name * Contact Number * Your Marital Status *MarriedSingle Number of Children Experience Total years with a H C Licence Total years with a M C Licence Total years driving Single Trailers Total years driving B Doubles Total years driving double road trains Total years driving triple road trains Total years driving quad road trains Areas operated within Australia * Experience in carting the following freight types: General * YesNo Refrigerated * YesNo Steel * YesNo Dangerous Goods * YesNo Chemicals * YesNo Wide Loads * YesNo Machinery * YesNo Containers * YesNo Demountable Buildings * YesNo Pipe or Casing * YesNo Cable Reels * YesNo Do you have experience in towing and operating the following Trailer types: Tautliners * YesNo Refrigerated Trailers * YesNo Flat Tops * YesNo Drop Decks * YesNo Tankers * YesNo Swing Lifts * YesNo Tippers * YesNo Types of Prime-Movers driven (Please List) * Gearbox types driven (Please List) * MEMBERSHIP DETAILS Are you a current member of the TWU? * YesNo CLAIMS Are you currently on work cover? * NoYes Do you have any outstanding Workers Compensation Claims? * NoYes DRIVER DECLARATION By checking this box, I hereby declare that I have read and completed the above application form and agree to the collection and storage of the above information by Hillmans Transport. By checking this box, I hereby declare and warrant that I have read this questionnaire and that the answers above are in every respect true and correct and that I have not with-held any material information. I also agree, at the request of Hillmans Transport, to obtain from the relevant authority or Government department a complete and up to date record of offences. UPLOADS Maximum File Upload Size is 2MB. Upload copies of your Licences Upload copies of your Certificates Upload a copy of your Résumé Upload copies of References Upload a copy of your Driver History Anti-Spam Quiz What is the Capital City of Queensland?