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Address

Postal Address (if different to Address)

Please provide a brief history of previous employment and qualifications below:

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Qualifications

Enter qualification details. **Copies of Certificates to also be attached below

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Select your residency status *

Do you speak a language other than English at home?

Please advise what locations you are willing to work (travel to)

Do you have your own vehicle?

Do you have a disability, impairment or long term condition?

Please specify your disability, impairment or long term condition(s) below:

Have you any other pre-existing injuries or medical conditions (including industrial disease) that may be aggravated by performing the employment you are applying for? (Please see Position Description as supplied by the Company for more information)

Are you undertaking any medical treatment at present, including any medications short or long term?

Do you have any medical conditions that may affect your ability to perform?

Do you have any physical impairments which would prevent the wearing of personal protective equipment?

*We require these questions to be answered truthfully to be able to support you in your employment with Skill360. Skill360 is an equal opportunity employer.

By signing this declaration, you declare that the information contained in the Registration Form is true and correct.

Skill360 Australia collects, discloses and uses the personal information requested in this registration form to carry out our internal administration and operations and to provide you with our services. If you do not provide the information requested in this registration form, we may not be able to process your application.

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Our Privacy Policy sets out our policies on managing personal information. Following a request, we will provide you with access to personal information we hold about you in accordance with our obligations under the Privacy Act 1988. To request access to information, ask a question, or to get a copy of our Privacy Policy, please write to: info@skill360.com.au

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