[AGENCY NAME] CANDIDATE REGISTRATION
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Thanks for registering with us. This form takes about five minutes.

How your information is handled
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We collect this information to find you suitable roles, talk to you about them and support you through a placement. We keep it in our candidate records for [two years] from our last contact with you, then delete or de-identify it, and you can ask us to delete it sooner. We never send your details to an employer without your knowledge and consent, and we never contact your current employer without asking you first.

Some of the services we use to store and send your information are outside Australia: [list your providers and where they are, or say that none are]. Our privacy policy at [link] explains how to see or correct your information and how to complain.

I have read how my information is handled: [ ] Yes

Your details
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Full name: ____________________

Name you’d like us to use: ____________________

Suburb and postcode: ____________________

Mobile: ____________________

Email: ____________________

Emergency contact: ____________________  (name, relationship and phone)

Work rights
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Are you an Australian citizen or permanent resident? [ ] Yes   [ ] No, I hold a visa

If you hold a visa: which visa: ____________________  (for example, subclass 482)

Visa expiry date: ____________________

Evidence of your work rights: ____________________  (a copy of your visa grant notice or a VEVO check)

I confirm I have the right to work in Australia: [ ] Yes

Qualifications and checks
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Qualifications and licences: ____________________

Do you hold a driver’s licence? [ ] Yes   [ ] No

Do you have a current police check? [ ] Yes, issued in the last six months   [ ] Yes, but older   [ ] In progress   [ ] No

What you’re looking for
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Type of work: [ ] Permanent   [ ] Temporary or contract   [ ] Open to either

When could you start? [ ] Immediately   [ ] One week   [ ] Two weeks   [ ] Four weeks   [ ] Other: ______

Notice period in your current role: ____________________

Preferred locations: ____________________  (for example, Sydney CBD, hybrid)

Salary expectation: ____________________  (Australian dollars, before tax)

Is that: [ ] A year, plus super   [ ] A year, including super   [ ] A day   [ ] An hour

Areas of interest: ____________________

Referees
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Up to three people who can speak to your work. We only contact them with your consent.

Referee 1: ____________________  (name, position, company, email and phone)

Referee 2: ____________________  (name, position, company, email and phone)

Referee 3: ____________________  (name, position, company, email and phone)

Anything else, and your declaration
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Anything else we should know? ____________________

The information I have given here is true and correct: [ ] Yes

[Agency name] may contact the referees above about roles it represents me for: [ ] Yes

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Signature

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Date