Registration Form
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CANDIDATE INFORMATION
SF-014Date: 25th March 2010Revision No: 2 Edition: 9Page 1 of 2
Surname......
Given Names......
Preferred Name......
Home Number......
Work Number......
NB: Only list if we can call you!
Mobile Number......
Email......
Street Address......
......
Suburb / Town......
Post Code...... State ......
Do you haveOwn CarLicence
Next of Kin…………………………………………………….
Relationship…………………….Phone Number……….….
Illness/Health Condition affecting work performance
Yes No……………………………………………….
TitleMiss Ms Mrs Mr DrOther
Date of Birth......
NB: Optional!
Employment Type
Full TimePart TimeTemporary
Positions seeking......
Date available to start work......
How did you hear about us?
CBC WebsiteSeekCareer One
Cairns PostYellow PagesPDC Directory
City LifeReferral Other………...
Are you an Australian Citizen? Yes No
If yes, you MUST provide proof, eg Australian Passport, Full Australian Birth Certificate, Australian Citizenship Certificate or Certificate of Evidence of Citizenship.
Are you a Permanent Resident or in Australia on a visa?
Yes No
If yes, you must complete an ‘Authority to Obtain Details of Work Rights Status’ form (available from Reception) and a copy of photo page in passport.
SF-014Date: 25th March 2010Revision No: 2 Edition: 9Page 1 of 2
OFFICE USE ONLYPhoto TakenYes NoInfo Statement Given Yes Electronic Copy of ResumeYes
Has Australian Citizenship status been confirmed? ………………...... Yes No
Perm Residents/Visa – Has this form been checked online with and details attached? Yes No
Have you sighted photographic identification eg Passport, Drivers Licence?...... Yes No
If you are unable to confirm candidate’s status and identification you are not permitted to
represent, refer, recommend or place this candidate.
Days available to work...... TypingGross ...... Errors ( ) Acc %...... Net.....wpm
Hours available to work...... DEGross...... Errors ( ) Acc %...... Net.....kphr
Desired income range...... WordOverall...... %(B / I / A )
Current income range...... ExcelOverall...... %(B / I / A )
Presentationex / gd / av / bd Communicationex / gd / av / bd Skills ex / gd / av / bd Rating 5 / 4 / 3 / 2 / 1 Notice ………..
COMMENTS......
......
......
......
......
CONSULTANT...... DATE……………………………………..
Computer Skills
Please tick the box that best matches your current skill level for each of the items below. If never used, leave blank.
Beginner / Competent / Advanced / Beginner / Competent / AdvancedAccess / Micro Station
AccPac / Microstran
Acrobat Writer / MS Exchange
Ami Pro / MYOB Accounts
Apple MAC / MYOB Payroll
Attaché Accounts / .Net
Attaché Payroll / Oracle
AutoCAD / Outlook
AutoCAD 12D / Pagemaker
Business Objects / Pastel
C#, C++, C / Photoshop
Dreamweaver / PHP, CSS, HTML
Ellipse / PowerPoint
Excel / Pronto
Fidelio / Publisher
Filemaker Pro / QuickBooks
Front Page / Quickpayroll Pro
HBCIS / SAP
ITIL / SKIDS
Java / Solution 6 Accts
JD Edwards / Solution 6 Payroll
Linux / SQL Server
Locus / Sybiz Accounts
Lotus 123 / Sybiz Payroll
Lotus Notes / Unix
Map Info / Windows 2003
Matman / Windows XP
Micropay / Word
Please list any software packages that you are a competent or advanceduser of, that are not already listed above
......
......
Please list any qualifications you have completed
First AidSuitability Card (Blue Card - Work with children)
WHSO Rehab Co-ordinator
Cert IV Workplace Assessment & Training Microsoft Certified......
Currently Studying......
Undergraduate......
Postgraduate......
Industry Specific......
Other (Including language skills)......
REPRESENTATION, VERIFICATION AND REFERENCE CHECKING
I authorise CBC Staff Selection to represent me to any employer after I give my verbal permission.I authorise CBC Staff Selection to contact the referees nominated on my resume for the purpose of reference checks.
Signature...... Date………………………
SF-014Date: 25th March 2010Revision No: 2 Edition: 9Page 1 of 2