Apprentice Application

Surname:
First Name:
Address:
Post Code:
Phone No (H):
Mobile:
Email
Date of Birth:
MM slash DD slash YYYY
Place of Birth:
Country:
Marital Status:
Name of Spouse / Partner:
Spouse / Partner Occupation:
No of Children:
Age of Children:
WA Driver License Number:
Class:
Expiry:
Do you have any health related problems that may affect your work performance?
Provide details where applicable:
Have you made a Workers Compensation Claim in the last three years?
Nature of Injury:
Employer:
Time Lost:
Insurer:
Have you ever been convicted of a criminal offence?
Provide details where applicable
Would you be willing to provide/maintain a current Police Clearance (Annually)?
Would you be willing to participate in a company pre employment medical?
Would you be willing to provide and maintain current First Aid/CPR accreditation?
Do they know of any reason that would prevent you from performing the inherent duties of the position?
Provide details
Is there anything that may prevent you from working regular overtime, country work, or emergency work?
Provide details
Have you done a recent refresher course on testing installations?
Do you have your own tools required to carry out work for this position
Expected hourly rate plus penalties (Rate of Pay per Hr)
Education, Training & Employment History
Please list current licences held.
Licence Title Licence No Expiry Date
Have you had any license cancelled or suspended:
If so Reason:
Please tick the box that best describes your experience level.
Explanation of Scale
0 Never attempted
1 Participated in installation
2 Minor installation experienced
3 Average ability at this task
4 Handle this task easily
5 Proficient in this area
General
Experience Fields
Domestic
- 0
- 1
- 2
- 3
- 4
- 5
Commercial
- 0
- 1
- 2
- 3
- 4
- 5
Rural
- 0
- 1
- 2
- 3
- 4
- 5
Industrial
- 0
- 1
- 2
- 3
- 4
- 5
Maintenance
- 0
- 1
- 2
- 3
- 4
- 5
Solar
- 0
- 1
- 2
- 3
- 4
- 5
Petro chemical
- 0
- 1
- 2
- 3
- 4
- 5
Mining
- 0
- 1
- 2
- 3
- 4
- 5
Low voltage
- 0
- 1
- 2
- 3
- 4
- 5
High voltage
- 0
- 1
- 2
- 3
- 4
- 5
Comments:
Installation
Cable tray
- 0
- 1
- 2
- 3
- 4
- 5
Cable ladder
- 0
- 1
- 2
- 3
- 4
- 5
Steel conduit
- 0
- 1
- 2
- 3
- 4
- 5
PVC conduit
- 0
- 1
- 2
- 3
- 4
- 5
Cabling
SWA cables
- 0
- 1
- 2
- 3
- 4
- 5
PVC/PVC cables
- 0
- 1
- 2
- 3
- 4
- 5
TPS cable
- 0
- 1
- 2
- 3
- 4
- 5
MIMS cable
- 0
- 1
- 2
- 3
- 4
- 5
Pyrolex/Radox
- 0
- 1
- 2
- 3
- 4
- 5
Flexible cables
- 0
- 1
- 2
- 3
- 4
- 5
Cable terminators
HV cable
- 0
- 1
- 2
- 3
- 4
- 5
LV cable below 50mm2
- 0
- 1
- 2
- 3
- 4
- 5
LV cable above 50 mm2
- 0
- 1
- 2
- 3
- 4
- 5
Data
- 0
- 1
- 2
- 3
- 4
- 5
Fibre optic
- 0
- 1
- 2
- 3
- 4
- 5
Aerial lines
- 0
- 1
- 2
- 3
- 4
- 5
Motor installation
3 phase 0 –22 KW
- 0
- 1
- 2
- 3
- 4
- 5
3 phase 22 KW and above
- 0
- 1
- 2
- 3
- 4
- 5
Motor control
- 0
- 1
- 2
- 3
- 4
- 5
DC controls
- 0
- 1
- 2
- 3
- 4
- 5
Single phase
- 0
- 1
- 2
- 3
- 4
- 5
Switchboards
CT cubicle
- 0
- 1
- 2
- 3
- 4
- 5
Distribution boards – small
- 0
- 1
- 2
- 3
- 4
- 5
Distribution boards – large
- 0
- 1
- 2
- 3
- 4
- 5
Motor control centre
- 0
- 1
- 2
- 3
- 4
- 5
Load centre
- 0
- 1
- 2
- 3
- 4
- 5
PLC
- 0
- 1
- 2
- 3
- 4
- 5
Lifting equipment
Bucket elevator
- 0
- 1
- 2
- 3
- 4
- 5
Escalators
- 0
- 1
- 2
- 3
- 4
- 5
Lifts
- 0
- 1
- 2
- 3
- 4
- 5
Conveyors
- 0
- 1
- 2
- 3
- 4
- 5
Winders
- 0
- 1
- 2
- 3
- 4
- 5
Hoists
- 0
- 1
- 2
- 3
- 4
- 5
Cranes
- 0
- 1
- 2
- 3
- 4
- 5
Power generation
Gensets 0 – 25 KVA
- 0
- 1
- 2
- 3
- 4
- 5
Gensets 25Kva and above
- 0
- 1
- 2
- 3
- 4
- 5
Power station
- 0
- 1
- 2
- 3
- 4
- 5
Lighting towers
- 0
- 1
- 2
- 3
- 4
- 5
Maintenance
Schematics
- 0
- 1
- 2
- 3
- 4
- 5
Tool repair
- 0
- 1
- 2
- 3
- 4
- 5
Fault finding
- 0
- 1
- 2
- 3
- 4
- 5
RCD appliance testing
- 0
- 1
- 2
- 3
- 4
- 5
Aerials
- 0
- 1
- 2
- 3
- 4
- 5
Emergency lighting
- 0
- 1
- 2
- 3
- 4
- 5
Air conditioners
- 0
- 1
- 2
- 3
- 4
- 5
General light and power
- 0
- 1
- 2
- 3
- 4
- 5
Regulations
AS/ NZS 3000
- 0
- 1
- 2
- 3
- 4
- 5
AS/ NZS 3008
- 0
- 1
- 2
- 3
- 4
- 5
AS/ NZS 5033 (Solar)
- 0
- 1
- 2
- 3
- 4
- 5
Public Health
- 0
- 1
- 2
- 3
- 4
- 5
O H & S/Work Safe
- 0
- 1
- 2
- 3
- 4
- 5
Emergency lighting
- 0
- 1
- 2
- 3
- 4
- 5
Portable equipment
- 0
- 1
- 2
- 3
- 4
- 5
Temporary power
- 0
- 1
- 2
- 3
- 4
- 5
Other
Nurse call
- 0
- 1
- 2
- 3
- 4
- 5
MATV/Audio
- 0
- 1
- 2
- 3
- 4
- 5
Fire alarm
- 0
- 1
- 2
- 3
- 4
- 5
Instrumentation
- 0
- 1
- 2
- 3
- 4
- 5
Data and communications
- 0
- 1
- 2
- 3
- 4
- 5
Transformers
- 0
- 1
- 2
- 3
- 4
- 5
Computer operation
- 0
- 1
- 2
- 3
- 4
- 5
Metering Arrangements
- 0
- 1
- 2
- 3
- 4
- 5
Skills/ Testing
Testing
Domestic Installation testing
- 0
- 1
- 2
- 3
- 4
- 5
testing Understanding of required test results
- 0
- 1
- 2
- 3
- 4
- 5
Earth Loop impedance testing
- 0
- 1
- 2
- 3
- 4
- 5
Understanding of the MEN system
- 0
- 1
- 2
- 3
- 4
- 5
Commercial installation testing
- 0
- 1
- 2
- 3
- 4
- 5
Motor testing
- 0
- 1
- 2
- 3
- 4
- 5
HV Installation testing
- 0
- 1
- 2
- 3
- 4
- 5
Skills
Manual practice
- 0
- 1
- 2
- 3
- 4
- 5
Fitting
- 0
- 1
- 2
- 3
- 4
- 5
Welding
- 0
- 1
- 2
- 3
- 4
- 5
Oxyacetylene work
- 0
- 1
- 2
- 3
- 4
- 5
Tool Sharpening
- 0
- 1
- 2
- 3
- 4
- 5
Procedures
Architectural Drawings
- 0
- 1
- 2
- 3
- 4
- 5
Commissioning
- 0
- 1
- 2
- 3
- 4
- 5
Testing
- 0
- 1
- 2
- 3
- 4
- 5
Administration
- 0
- 1
- 2
- 3
- 4
- 5
Estimating
- 0
- 1
- 2
- 3
- 4
- 5
Customer relations
- 0
- 1
- 2
- 3
- 4
- 5
Workplace relations
- 0
- 1
- 2
- 3
- 4
- 5
Coordinating
- 0
- 1
- 2
- 3
- 4
- 5
Drawing
- 0
- 1
- 2
- 3
- 4
- 5
First Aid
- 0
- 1
- 2
- 3
- 4
- 5
Circuit Development
- 0
- 1
- 2
- 3
- 4
- 5
Resume to be provided with this Application to include:
- Previous employment history
- Position held
- Job description
- Additional courses, training and seminars attended
- References to be contactable
- Interests and hobbies
- Any information which could be useful regarding your experience, abilities, duties or responsibilities
CV / Resume Upload
Max. file size: 128 MB.
The information provided is true and correct
Signature of Applicant:
Date
MM slash DD slash YYYY
Email
This field is for validation purposes and should be left unchanged.

How can we help you?

At Holdens Electrical Contracting, we offer comprehensive electrical services for commercial, industrial, and domestic customers in Perth. Our skilled team is ready to assist you with all your electrical needs.

Apprentice Application

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(08) 9459 1538

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Licence Title	Licence No	Expiry Date