Jobs & Skills Centre Registration Please enable JavaScript in your browser to complete this form.PERSONAL INFORMATIONFull Name *FirstLastContact Phone Number *Email *Date of Birth *MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender *MaleFemaleCountry of Birth *Ethnicity *Visa Status *Australian CitizenPermanent ResidentAustralian Temporary ResidentInternational StudentOther (specify below)Other (Visa type)Date of Arrival in Australia *MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920We have further help available for those who have lived in Australia for less than 5 years.Other (Residency Status) *EMPLOYMENT INFORMATIONCurrent Employment Status *Full-timePart-timeCasualUnemployedDesired outcome (please tick one box only)Full time employmentPart time employmentCasual employmentEducational Status *School StudentTAFE/RTO StudentUniversity StudentOther (specify below)Other (Educational Status)Highest level of education obtained *Year 10Year 11Year 12Certificate or DiplomaDegree or higherOtherName of post-school qualification(s) completed:Are you registered with a Job Active provider?YesNoIf yes, what is the name of the provider?Do you have a disability or health issue that may restrict the type of work you can do?YesNoIf yes, please specify:How did you hear about us? *Name and Location of Referring Company/OrganisationConsultant/Case Manager NameConsultant/Case Manager Phone NumberConsultant/Case Manager Email AddressConsultant/Case Manager CommentsDate of Application *MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920House Number and Street Name *Suburb *Postcode *Language Spoken at home *CAREER INTERESTSDesired industry (Please click one or more)Accommodation & hospitality/food ServicesAdministrative and Support ServicesAgriculture, Forestry and FishingArts and Recreation ServicesConstructionEducation and TrainingElectricity, Gas, Water & Waste ServicesFinance and Insurance ServicesHealth Care and Social AssistanceInformation TechnologyManufacturingMining & EngineeringOil & GasProfessional, Scientific and Technical ServicesPublic Administration and SafetyRental, Hiring and Real EstateRetailTransportWholesale & WarehousingOtherDesired occupation (job Title)First choiceSecond choiceSecond choiceDo you have a resume?YesYes, but needs updatingNoUpload resume if you have Click or drag a file to this area to upload. Captcha - Prove you are not a robot * = Client's consent: I consent to be registered with MSCWA's Jobs and Skills Centre and agree to have my information released to other organizations or government agencies for the purposes of identifying employment and training opportunities on my behalf. *AgreeCommentSubmit
