Section 1: Personal Details

First Name *

Last Name *

Primary Phone Number *

Mobile Phone Number

Fax

Email *

Street No and Name *

City or Suburb *

State *

Country *

Post Code *

Date of Birth * [dd/mm/yy]

Gender Male Female *

Section 2: Diving Experience

Are you a Qualified Commercial Diver? Yes No [If No, Please Go to Section 3]

Approximately how many Commercial Dives have you done, excluding course dives? *

Commercial Diving Certification

Commercial Diving Training School *

Date of Certification * [dd/mm/yy]

Select Highest Diving Qualification Held:

Select Highest Diving Qualification Held Australian Diver Accreditation Scheme (ADAS) Part 1 Australian Diver Accreditation Scheme (ADAS) Part 2 Australian Diver Accreditation Scheme (ADAS) Part 3

If another type, please specify below:

Do you have a Current NSW Work Cover Constructions Induction Certificate or "Greencard"? Yes No
[Click here to learn about "Green Cards"]

Date of Green Card Course [dd/mm/yy]

Green Card Training Facility Name

It is compulsory to have a Green Card in NSW. You do the required course at many locations, for an average cost of $80. If you don't have one we can arrange for one which will be debited from your wages.

Do you have a current Diving Medical? Yes No [Note: Medicals must comply with AS2299 and be no older than 12 months]
Medical Expiry Date [dd/mm/yy]

Do you have a Senior First Aid with current CPR certification? [Note: These certifications must be current]
Yes No

Certificate Issuer (e.g. St Johns Ambulance)

Certificate Number

Section 3: Other Information

Please List Other Qualifications (e.g. Trade Certificates)

Is there anything else you wish to tell us? For Example, what type of work you are looking for/what experience you have.
Tip: Take your time, the better the information you give us, the more likely we are to respond.

Confidentiality: Your details will be kept on our company server. They will not be given to any outside parties or used for purposes other than employment. If you wish to allow us to pass your details on to other reputable Diving Contractors please check the box below:

Yes, you may give my details to other employers
No, do not pass my details on to other employers

Thankyou for applying to MDS. Your application will be placed in our database, please ensure your contact details are current.