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Personal Details
Home Phone
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Email
*
Full Legal Name
*
Date of Birth
*
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Day
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Month
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Year
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Gender
*
Male
Female
Address
*
Suburb
*
State
*
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QLD
NSW
VIC
SA
WA
TAS
ACT
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Post Code
*
Do you identify as Aboriginal or Torres Strait Islander?
*
Yes
No
Who is your Traditional Owner Group?
*
What is your preferred method of contact?
Email
Text Message
Current Situation
Are you currently working?
*
Yes
No
Do you receive Centrelink payments?
*
Yes
No
What is your Customer Reference number (CRN)?
Do you have a current drivers licence
*
Yes
No
Do you have your own car?
*
Yes
No
If not, do you have access to public transport?
Yes
No
Who is your Job Active Provider?
Job Active Provider Name
Location
Next of kin
Who is your next of kin?
*
Family or Friend for emergency contact.
Next of kin contact number
*
Relationship to you
*
Mother, Father, Sister, Brother etc.
What industry are you interested in?
*
Accounting
Administration & Office Support
Advertising, Arts & Media
Banking & Financial Services
Call Centre & Customer Service
CEO & General Management
Community Services & Development
Construction
Consulting & Strategy
Design & Architecture
Education & Training
Engineering
Farming, Animals & Conservation
Government & Defence
Healthcare & Medical
Hospitality & Tourism
Human Resources & Recruitment
Information & Communication Technology
Insurance & Superannuation
Legal
Manufacturing, Transport & Logistics
Marketing & Communications
Mining, Resources & Energy
Real Estate & Property
Retail & Consumer Products
Sales
Science & Technology
Self Employment
Sport & Recreation
Trades & Services
How did you hear about Indigenous Workstars ?
*
Facebook
Google
IWS Victoria
IWS Queensland / Database Emails
Koori Mail
Expo
Word of Mouth
QGC
Santos
Job Search Agency
Seek
University
DATSIMA
Look Now Training and Employment
Titans 4 Tomorrow
Indigenous Youth Leadership Program
Other
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By completing this form, you give Indigenous Workstars consent to share information with companies and your Traditional Owner Corporation for the purposes of employment and reporting and that the information you have provided is true and correct.
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