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Job Seeker

International Registrations

‘Please use this form if you require a visa to work within Australia. If you already have a valid visa to work within Australia then please complete this form and add details of your existing work visa in the Additional Notes field at the end of the form. If you do not need a visa to work within Australia then please complete the Aus/NZ Registrations form




Personal Particulars

First Name*: Surname*: Preferred Name:
Address: Town/City: State: Post Code:
Home Phone:  or Mobile Phone*: Email*:
Date of Birth*: Marital Status: Spouse/Partner Name:

Next of Kin

Name*: Telephone*:

Have you previously spoken to one of our recruiters? If so, please choose their name*:
Have you worked for Workforce Solutions before?*
How did you hear about Workforce Solutions?

Qualifications

Trade or type of work sought*:
If you have any, what current work licences do you hold?
If you hold any welding codes, what are they?
If you hold a mineworkers health surveillance certificate/card, what number is it?
If you have ever been inducted, when was that?
Drivers licence number:
What class(es) of vehicle are you licenced to drive?
If you have any other qualifications or certificates, what are they?
Have you worked on a mine site?
Have you worked underground?
Do you have your own tools and safety gear?*

Job availability, suitability and preferences

Have you made any workers
compensation claims in the last 5 years?*
If you have made any workers compensation claims
in the last 5 years, please provide details and dates:
Do you have your own transport?
Are you a union member?
If you are a union member, which union do you belong to?
Have you have had any criminal convictions in the last 5 years?* Please provide details: 
Are you available for work now?*
Are you currently employed?*
What company are you working for now?
Position:
Period emloyed:
Brief job description:
What level of skills do you have?*
Any preferred location?
What kind of work are you interested in?

Work History
Please provide us with details of your last jobs

Job 1

 
Company Name:
Location:
Position:
Date started:
Date finished:
Brief job description:
Supervisor's Name:
Telephone number:

Job 2

 
Company Name:
Location:
Position:
Date started:
Date finished:
Brief job description:
Supervisor's Name:
Telephone number:

Job 3

 
Company Name:
Location:
Position:
Date started:
Date finished:
Brief job description:
Supervisor's Name:
Telephone number:

Health Check
Do you wear spectacles or contact lenses?  
Do you have ear problems/deafness? Please provide details: 
Do you have any mouth disorders/dental problems? Please provide details: 
Do you have fainting fit/epilepsy/severe headaches? Please provide details: 
Do you suffer from hay fever/sinusitis? Please provide details: 
Do you have any lung problems?
(Asthma, T.B., Bronchitis, breathlessness)
Please provide details: 
Do you suffer from indigestion,
ulcers, repeated diarrhoea etc.?
Please provide details: 
Do you suffer from a heart condition -
raised blood pressure, chest pains?
Please provide details: 
Do you have kidney/bladder problems? Please provide details: 
Do you have troublesome feet/bunions? Please provide details: 
Do you have varicose veins? Please provide details: 
Do you suffer from a hernia? Please provide details: 
Do you have hepatitis/diabetes? Please provide details: 
Do you have allergic reactions?
eg. bees, spiders
Please provide details: 
Do you have dermatits or another skin condition? Please provide details: 
Do you have nervous disorders or
have you had psychiatric treatment?
Please provide details: 
Have you had any operations or fractures? Please provide details: 
Do you have a knee or joint injury? Please provide details: 
Do you have back pain/back injury? Please provide details: 
Do you have any other conditions
which may affect employment?
Please provide details: 
Are you a smoker?  
Do you drink alcohol?  
Do you take regular medication? Please provide details: 
Do you exercise? If so, how often?
What was the date of your last tetanus immunisation?  
Do you have a conscientious or other
objection to medical treatment?
Please advise us of your private doctor's name,
address and phone number:
Are there any other health issues
you would like to discuss?

Additional notes:
I agree to Workforce Solutions terms and conditions and I have read the privacy policy.