Application for registration for those seeking employment...
Please complete the form below... * required fields
Last Name:
*
First Name:
Address:
Town/City:
State:
Please Select NSW ACT QLD VIC TAS WA SA NT *
Post Code:
Home Phone #:
Mobile #:
Fax #:
Email:
Please identify and describe yourself:
Date of Birth:
Gender:
Male Female
Marital Status:
Please select Married Defacto Single Divorced Other
Smoker:
Please select No Yes
Children:
Interests other than work:
Drivers Licence:
Please select No Yes *
C
R
LR
MR
HR
HC
MC
Other Licence:
Backhoe
Front End Loader
Forklift
Bobcat
Excavator
Truck
Specific Licence:
Other Language:
Australia Citizen/Resident:
Your Job Seeker ID #:
if applicable
Desired Field of Employment:
Administration
Accountant
Receptionist
Hospitality
IT Support
Transport Industry
Office Manager
Mechanic
Office General
Carpentry
Labourer
Medical
Commercial Cleaning
Management
Other
Permanent Part Time Casual Temporary All
Date available:
Computer Program Experience:
Windows 98/XP
Word
Excel
Lotus
MYOB
Powerpoint
Access
Publisher
Attache
Outlook
MS Office
Internet
Words per minute?
Hospitality Experience:
Bar Attendant
Wait Person
Functions
Chef/Cook
A-la Carte
Cocktails
Certificates & Qualifications:
Please List - eg: Tertiary, First Aid, RSA, RSG, RSF, OH&S General Induction.
1.
2.
3.
4.
5.
6.
Referees:
Name:
1 *
Company:
Position:
Contact #:
2 *
Additional Info:
Do you have any outstanding Workers Compensation claims?
Do you have any physical conditions which may limit your ability to perform a task?
If yes please specify:
How did you hear about Coffs Harbour Allstaff Professionals?
Please provide the following information:
I * (insert full name) authorise investigation of all statements contained in this application and my resume. I understand that misrepresentation or omission of facts called for is cause for dismissal/unsuccessful candidacy. I authorise the use of my resume and details outlined in this application for the sole purpose of securing employment through Coffs Harbour Allstaff Professionals
It is my responsibility to inform Coffs Harbour Allstaff Professionals monthly of my work status and I understand that after three months if I have failed to do this, my registration with Coffs Harbour Allstaff Professionals will be terminated.
Upload your resume:
Note: File must be either Word 97 - 2003 document or PDF. Maximum file size 500KB. This form will NOT process without a file to upload.
