Join the team Join the Clipper Pearls Team! To be considered for a role, please complete the form below Clipper Pearls Application for EmploymentPolice clearance or working VISA essentialDate of Application Date Format: MM slash DD slash YYYY How did you find this office?*Word of mouthLabour HireWebsitePosition:*DeckhandDiverBoat SkipperCookKitchenhandYardhandEngineerPersonal DetailsSurname*First Name*Address (Postal)*Email address* Telephone*SexMaleFemaleDate of Birth Date Format: MM slash DD slash YYYY Employment HistoryIf you have a current resume/CV please attachResume/CV1. Company1. Position1. Period Employed1. Reason for Leaving2. Company2. Position2. Period Employed2. Reason for LeavingQualificationsPlease tick or select if applicable and provide the appropriate details.Senior first Aid Certificate Senior first Aid Certificate ExpiryPlease selectRestricted CoxswainsCoxswainsExpiryPlease selectMaster VMaster IVPlease selectMed IIMed IPPA Ticket PPA Ticket Current Dive Medical & ExpiryOpen Water Accreditation Open Water Accreditation Fisheries LicencesForklift ticket and ExpiryDriver's Licence and TypeOtherImmigration StatusStatusPermanent Australian ResidentPermanent New Zealand ResidentTemp WorkingVisa NumberPassport NumberUpload copy of passportClipper Pearls Pre-Employment Health QuestionnaireThe following information is begin sought to assess your ability to perform the essential duties required for the position.Personal HealthVisual defects / eye conditions including colour blindness?*YesNoHearing defects / ear conditions?*YesNoSevere anxiety, depression, other psychiatric disorder?*YesNoParalysis or other neurological disorder?*YesNoFainting attacks, blackouts, epilepsy or fits?*YesNoRecurrent headaches / migraines?*YesNoDo you have any allergies to medications, antibiotics, chemical substances, insect bites, foods or anything else?*YesNoheart disease, high blood pressure?*YesNoAsthma, bronchitis, tuberculosis or other chest disease?*YesNoAllergies such as hay fever, sinusitis?*YesNoBack or neck pain lasting more than 2 weeks?*YesNoHave diabetes?*YesNoVertigo, giddiness or tinnitus?*YesNoDo you have any physical disability?*YesNoHave you ever had a worker's compensation claim?*YesNoDo you have difficulty bending repeatedly?*YesNoDo you have difficulty with lifiting heavy objects?*YesNoDo you have difficulty with lifting repeatedly?*YesNoDo you have difficulty with standing for long periods?*YesNoave you ever had repetitive strain injury?*YesNoDo you have any special dietary needs?*YesNoHave you ever worked under conditions or with substances, which may have been hazardous to your health (e.g. toxic chemicals, noise, dusts, asbestos, radiation)?*YesNoJoint problems, pains, injuries or arthritis?*YesNoAny fractures or broken bones?*YesNoProblems with balance or co-ordination?*YesNoSkin disease (e.g. psoriasis, dermatitis, eczema)?*YesNothyroid disease or liver disease?*YesNoUpper limb or shoulder pain?*YesNoHave you had any sever injury or operation?*YesNoDo you get seasick?*YesNoIf yes to any questions, please give detailsApplicants DeclarationDo you have any other health concerns or medical conditions you are aware of that may affect your ability to work abourd a vessel at sea?*YesNoIs there any other information that Clipper Pearls should be made aware of, so that it can fulfill its own duty of care to its employees?*YesNoIf yes to either of the above, please provide detailsImportant Note: Section 79 Workers’ Compensation and Injury Management Act 1981 – Wilful and false representation - Where it is proved that the worker has, at the time of seeking or entering employment in respect of which he claims compensation for an injury, wilfully and falsely represented himself as not having previously suffered from the injury an arbitrator may in the arbitrator's discretion refuse to award compensation which otherwise would be payableSubmitting this application I declare that the particluars on this form are to the best of my knowledge, correct and true. I also understand and am aware that any inaccurate statement made, or information withheld, may result in the termination of my employment/contract.*I agreeI disagreeCAPTCHANameThis field is for validation purposes and should be left unchanged.