The Exchange Yarrabilba

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Before we get started, it's important you know what we do with the information that you provide. We provide this data to YMCA. Please make sure you read our privacy policy!

* Date of Registration

PERSONAL DETAILS

* First Name

* Last Name

* Gender

Street

* City/Suburb/Town

State

Postal Code

Country

* Email

Mobile

* D.O.B

* Do you identify as Aboriginal or Torres Strait Islander?

EMPLOYMENT DETAILS

Are you linked to an ATSI employer service?

If so, Name of the Provider:

* Ethnicity

Year of Arrival

Language/s spoken

Do you receive a Centrelink benefit?

Job Active Provider

Suburb

Benefit

Employment Status

Ideal Work Type

Current Position

Previous Position

How long have you been unemployed?

Reason

Work Rights: (If applicable)

EDUCATION & SKILLS

Do you have a CURRENT resume?

Choose file

* Have you completed a Certificate I, II, III, IV, Diploma or Bachelor?

List your Qualifications

First Aid & CPR

Approximate year of completion:

Training Provider:

* Currently studying

If yes, what are you studying?

Studying Training Provider:

Have you completed a Skilling Queenslandersfor Work program?

If yes, which course?

Drivers Licence

Have own Transport?

Mandatory Checks and Licenses

When do you expect to get your licence if unlicensed, suspended or on ‘L’s”?

Availability:

* Do you have restrictions? (eg: only school hours, no evenings, school pick up, faith-based etc)

* Area of Assistance required?

FINISHING UP

* How did you hear about the Exchange?:

Referred by:

Have you connected with our facebook page?

I Agree that the information provided on this form, and all documents I have provided to Aspect (e.g. CV, academic transcripts, references) is true and correct.