Instructions on how to register


The registration process is straight forward and involves you providing your contact details, choosing which BOUNCE BACK into work Workshop or Group Sessions you want to attend, and providing us with some background information to better understand your possible needs.

It takes about 7 minutes to complete and requires no personal records, dates, or complex questions.

PART A  MATURE AGE PERSON REGISTERING

Mandatory Fields (*)

First Name:

Last Name:
Address:
Suburb: *
Post Code: *
Email Address: *
Telephone:
Date of Birth:
Select Activity:

Whats is your current situation:






On a Disability Support Pension and seeking work
Self employed person wanting some part time work

If you are working with an employment agency or some other group to assist you find more work please indicate.



Agency:
Location:
Agency workers full name:
Telephone Number:


The following questions are not mandatory, but are very useful in
assisting you:

How did the hear about jobWISE and the workshop?











If working part time now please indicate:

Hours:

Arrangement:






How long have you wanted more paid work? 


What area of employment are you most interested in?






What do you hope to get out of the jobWISE Program?







How did you complete this application?







PART B  REFERRING AGENCY DETAILS

To be completed by the Agency if the Agency is supporting
and referring the person:

Agency Name:
Agency Site location:
Agency Workers Name:
Agency Workers Email:
Telephone Number:
Type of agency working with person?






Relationships to person being referred?



Does the Agency want some feedback on the persons involvement?



Status of the person as your client?










 

 

 
 
 
 
 

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