Registration Form

In order to comply with the terms of our licence, formal registration is required by law. Whilst most of the details we need will be covered in your resume, would you kindly complete the fields detailed on this form. The information supplied by you will form part of Core Talent’s records. Failure to supply the information requested may prejudice our ability to assess your suitability for this position. You are entitled to update the information you have supplied and to access this information upon request to Core Talent’s Privacy Officer and will receive a Privacy Collection Statement during the discussion with your consultant.

Personal Details

First Name

Last Name

Other

Date of Birth

Address

City

State

Postcode

Contact

Home Phone

Mobile Phone

Work Phone

Ext.

Email

General Details

Are you a citizen of: Australia/New Zealand/Neither?

If neither, what type of visa do you hold? (Required if you are not a citizen)

Visa Number (Required if you are not a citizen)

Expiry Date (Required if you are not a citizen)

Do you have own your transport?

Yes

No

To Ensure that we can provide you with safe work environment, do you have or have you had an injury or illness that may prevent you from performing certain work related tasks or passing a medical examination if required? if yes, please provide details below.

Yes

No

if yes, please provide details below

Position Sought

Position

Preferred Location

Type of work

Permanent

Temp / Contract

Other

Current Package ($ and benefits)

Required Package

Notice Period & conditions

Have you ever been found guilty of a criminal offence other than a conviction that is spent under Part VIIC of the Crimes Act 1914? (only Australia).

Yes

No

Are you awaiting the hearing of charges, or have you ever been convicted of a criminal offence in a civil or criminal court of law in New Zealand other than a conviction that is spent under the Criminal Convictions (Clean State) Act 2004 (only New Zealand).

Yes

No

Do you have any unspent criminal convictions which relate to a criminal offence you committed overseas which would reasonably be considered to be relevant to the duties of the position you are applying for through Core Talent?.

Yes

No

Referees

Please provide the details of two referees, one of which should be your current or past employer. No contact will be made before permission is obtained from you. If no work references are available please supply appropriate academic certificates.

Referee One

Name

Position

Organisation

Contact Number

Email Address

Referee Two

Name

Position

Organisation

Contact Number

Email Address

File Upload

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Declaration

I hereby authorise Core Talent to contact the referees listed above for the purpose of obtaining work related verbal references in its search for employment on my behalf. I consent to Core Talent retaining the information contained in this application form for the purposes of considering my suitability for positions that may arise with clients of Core Talent. I authorise the disclosure, copying and printing of this profile and resume to potential employers by Core Talent in its capacity as a recruitment consultancy. In addition, I agree to hold confidential from any third party the names and details of any clients, jobs or assignments discussed with me by any representative of Core Talent. I confirm that all the above information and details I have provided in this application form and in my enclosed resume are accurate and true.

Candidate Enquiry

Express your interest

General Enquiry

Client Enquiry