Engineering/Management Candidate Form.

PLEASE DO NOT COMPLETE THIS FORM UNLESS WE HAVE INSTRUCTED YOU TO DO SO. If you would like make an application, but haven't been in touch with us yet, please contact us or view our job board to apply.

  • Personal Details



  • Emergency Contact



  • Employment History - Most Recent Employer



  • Employment History - Prior Recent Employer



  • Work Preferences



  • Qualifications



  • Experience



  • Work Adjustment and Capacity

  • A Commitment to Equal Employment Opportunity

    Maxwell Recruitment maintains a strong commitment to both equality and safety at work.

    This means that we aim to provide the right candidate for the job and the right job for the candidate.

    Whilst equality at work is critical, Maxwell Recruitment also has an equally important obligation to maintain as far as practicable an employee’s health and safety at work as well as the health and safety of others that may be affected by an employee’s actions.

    Health and safety at work is the joint responsibility of Maxwell Recruitment, our clients and our employees. It is therefore essential that Maxwell Recruitment is advised of all factors that may affect the capacity of an individual to work safely and effectively. If we are not advised of a particular condition that may affect a candidate’s work capacity, we are unable to make changes to the position so as to accommodate the condition.  We may also unknowingly place you into a role which threatens your safety.

    The information provided by you below will allow Maxwell Recruitment to make arrangements to ensure that any incapacity does not result in an unsafe work environment and that certain disabilities are accommodated in the workplace.

    Matching You to the Right Job

    One of the most important elements of any recruitment process is the matching of the right people to the right job.  Part of this matching process is ensuring that all candidates put forward for positions have the capacity to perform the inherent requirements of the position without creating risks to the health and safety of that employee or others working in the same workplace.

    Given Maxwell Recruitment is typically unable to determine the exact nature of your assignment at the point of registration, we ask that you provide information on any physical or psychological conditions that may impact upon your capacity to perform the following functions safely, effectively and without risk to yourself or those around you. By providing this information you also assist Maxwell Recruitment to make changes to certain positions so as to accommodate any such condition. Whilst the principal purpose of this questionnaire is to ensure your safety, given its importance, a failure to provide true and accurate information may also be relied upon to discipline you and/or terminate your employment or assignment.

    If you have any concern about answering any of the below questions, then you are advised to speak to a Maxwell Recruitment representative.

    The information provided by you below shall be retained in accordance with our privacy policy.

    • Dust mask/face mask/other respiratory protection
    • Ear plugs/ear muffs/other hearing protection
    • Gloves
    • Hard hat/helmet
    • Knee pads
    • Overalls
    • Safety boots
    • Safety goggles/eye protection
    • Safety harness
    • Sun hat
    • Sun screen




  • Disclosure Declaration

    You are not required to disclose spent, quashed or pardoned convictions.


  • Declaration

  • I confirm that I have read this Application and understand its contents. I declare that the information recorded on this Form is true and correct and acknowledge that the provision of any false information could result in termination of my employment.

    I agree to abide by the stated conditions of employment as advised by Maxwell Recruitment when placed into employment on behalf of Maxwell Recruitment and acknowledge that I must advise Maxwell Recruitment of any changes or additional skills so my details are correct.

    I acknowledge that the completion of this application to register with Maxwell Recruitment does not necessarily ensure that I will be offered employment with Maxwell Recruitment and any offer of employment shall be made in Maxwell Recruitment's sole discretion. I acknowledge and agree that this Candidate Application is to be read in conjunction with any contract of employment that I may enter into with Maxwell Recruitment.

    I consent to my former employers providing relevant records to Maxwell Recruitment. I release my former employer and Maxwell Recruitment from any liability for any damages whatsoever caused by such records being provided. I further consent to Maxwell Recruitment performing reference checks with the former employers named within this Form or in my submitted resume and consent to my personal information, including reference checks, being provided to Maxwell Recruitment’s clients.