Contact Details
First Name:*
Last Name:*
Mobile number:*

Address Details:
Address Line 1:*

ATSI / JA Details / Work Preferences
Do you identify as Aboriginal or Torres Straight Islander?
Do you have a Current Drivers Licence?*
Do you have your own reliable vehicle?*
What region are you looking for work in? *
Willing to Relocate*
Willing to Travel*
Willing to Live Away*

Privacy Policy
By completing this form, you give Workforce Connect consent to share information with companies for the purposes of employment and reporting and that the information you have provided is true and correct.*
Consent Date (Todays date)*

Work Rights
Are you an Australian citizen or permanent resident?*
If no, do you have a current working visa for Australia?
If you are not a citizen or permanent resident of this country please enter your visa expiry date.
Date of Birth*

Please attach your resume (Must be word or PDF, cannot be a scanned copy)


Skill Skill Group Skill Type

Work History

Start Date End Date Company Position
Attach any other documents here. E.g. tickets and licences.