Employment Application Form Basic InformationGiven Name(s) *Surname *Preferred NameEmail Address *Date of Birth *GenderMaleFemaleOtherPrefer not to sayStreet Address *Apartment, suite, etcCity *State *Post Code *Country *AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCabo VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweMobile Phone *0 / 10Home PhoneNext of Kin *RelationshipContact *Security Licence No. *Security Licence Class *ABCDESecurity Licence StateNSWACTVICTASQLDSAWANTSecurity Licence Expiry Date *Copy of Security Licence *Choose FileNo file chosenDelete uploaded fileAre you a subcontractor?YesNoDrivers Licence No.Drivers Licence Expiry DateDrivers Licence StateNSWACTVICTASQLDSAWANTLanguages spokenWhich of the following statements best describes your right to work in Australia? *I am an Australian citizenI am an Australian permanent residentI am New Zealand citizenI have a work visaUpload Copy of Work VisaChoose FileNo file chosenDelete uploaded filePhysical InformationUniform RequirementsShirt SizeHealth DeclarationDo you have any pre-existing injuries or medical conditions that could affect the performance of the duties specified in the position description?YesNoPlease provide details:Note: Employers have a duty of care to provide safe work environments to all employees. This includes understanding an employee’s health or medication requirements. Employers also have an obligation under privacy legislation in relation to holding all medical information. Any information that you provide will remain private and confidential.Courses AttainedI have completed the following courses: *RSAFirst AidBlue Card (Traffic Control Slow/Stop Slow)Yellow Card (Traffic Control Plan)White/Green Card (OHS Construction)Certificate IV (Risk Management)Defensive TacticsBatons & HandcuffsUpload Copy of RSA CertificateChoose FileNo file chosenDelete uploaded fileRSA Expiry DateUpload Copy of First Aid Certificate *Choose FileNo file chosenDelete uploaded fileFirst Aid Expiry Date *Upload Copy of Blue CardChoose FileNo file chosenDelete uploaded fileUpload Copy of Yellow CardChoose FileNo file chosenDelete uploaded fileUpload Copy of White CardChoose FileNo file chosenDelete uploaded fileUpload Copy of Certificate IV (Risk Management)Choose FileNo file chosenDelete uploaded fileUpload Copy of Defensive Tactics CertificateChoose FileNo file chosenDelete uploaded fileUpload Copy of Batons & Handcuffs CertificateChoose FileNo file chosenDelete uploaded fileList any other courses and qualificationsUpload Copy of Any Other CertificatesDrag and Drop (or) Choose FilesAvailabilityI am available:On CallYesNoDay (0600-1800)MonTueWedThuFriSatSunEvening (1600-2400)MonTueWedThuFriSatSunNight (1800-0600)MonTueWedThuFriSatSunDo you have your own transport?Yes, all the timeSometimesNoPreferred IndustriesType of WorkRetail & Loss PreventionCrowd ControlWarehousing & Construction(Tick box where applicable)Employment HistoryHave you worked for any other security company?YesNoCompany 1 NameVenue/SitePositionPeriod of EmploymentReason for LeavingCompany 2 NameVenue/SitePositionPeriod of EmploymentReason for LeavingCompany 3 NameVenue/SitePositionPeriod of EmploymentReason for LeavingReferencesCompany 1 NameContact NameTitlePhoneCompany 2 NameContact NameTitlePhoneAcknowledgementView Crowd Control Conduct Guidelines: Click here(opens in a new tab)I have read the Crowd Control Conduct GuidelinesView Fit for Work Policy: Click here(opens in a new tab)I have read the Fit for Work PolicyView Health and Safety Handbook: Click here(opens in a new tab)I have read the Health and Safety HandbookAcknowledging this policy does not guarantee a placement at any Urban Protection Group Site.I acknowledge that I have never been charged or convicted of an indictable offence as this would void my employment with UPG. I hereby authorise UPG Pty Ltd to undertake all necessary background checks. I acknowledge that submitting this application does not guarantee an offer of placement on any Urban Protection Group Site. I understand this application is an expression of interest. I acknowledge that all the information I have provided is true and correct:First Name *Last Name *Date *Submit Application Form
