Application for registration for those seeking employment...

Please email, fax or post your resume to assist us with your registration.
Email: info@coffsallstaff.com.au
Fax: 02 6658 7379
Postal Address: PO Box 57
Coffs Harbour NSW 2450

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:

*

Gender:

Male Female

Marital Status:

Please select Married Defacto Single Divorced Other

Smoker:

Please select No Yes

Children:

Please select No Yes

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:

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:

Windows 98/XP

Word

Excel

Lotus

MYOB

Powerpoint

Access

Publisher

Attache

Outlook

MS Office

Internet

Other

Words per minute?

Hospitality Experience:

Bar Attendant

Wait Person

Functions

Chef/Cook

A-la Carte

Cocktails

Other

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 #:

Name:

2 *

Company:

Position:

Contact #:

Additional Info:

Do you have any outstanding Workers Compensation claims?

Please select No Yes *

Do you have any physical conditions which may limit your ability to perform a task?

Please select No Yes *

If yes please specify:

How did you hear about Coffs Harbour Allstaff Professionals?

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.

Please email, fax or post your resume to assist us with your registration.