School Based Traineeship Registration Personal DetailsPlease note: This page is for the use of Apprentice & Traineeships onlyPlease refer to the Recruitment Registration page for Labour Hire.Date Name* Given Name(s) Surname Date of Birth* DD MM YYYY PhoneMobile*Email Address* Address Address Line 2 Suburb State Post Code GenderFemaleMalePrefer not to discloseParent/Guardian* First Last Phone/Mobile*Relationship to you*MotherFatherGuardianOtherDo you identify as Aboriginal or Torres Strait Islander? Yes No In which Country were you born?* Australia Other Please specifyArea of employment* Albany/Great Southern Bunbury/South West Perth/Metro/Peel What is your preferred outcome?* Apprenticeship Traineeship Industry you are interested in?*e.g Building & Construction, Electrical, Retail, Business etcAvailability* Full Time Part Time Casual Temporary Work Do you have access to reliable transport* Yes No Licences, Tickets & Computer ProgramsLicences (current & valid)*No LicenceL PlatesC LicenceC-A LicenceTickets (current & valid)White CardFirst AidPolice ClearanceWorking with ChildrenComputer Programs (qualified or competent use)ExcelOutlookPowerpointPublisherWordList any work experience to dateInterest areas* Automotive Building Business Carpentry & Joinery Cabinet Making Community Service Sport and Recreation Outdoor Recreation Hairdressing Horticulture/Agriculture Hospitality Information Technology Engineering Plumbing Retail Community Pharmacy EducationIf this information is on your resume, please leave blank.Level of School*Year 10Year 11Year 12OtherName of High School*Resume and Cover Letter UploadPlease upload your current resume and cover letterResumePlease include documents such as Word or PDF (do not attach images or photos of resume)Cover Letter (if applicable)Please include documents such as Word or PDF (do not attach images or photos of cover letter) Medical HistoryPlease answer the following questions - these could impact on your ability to be employed in some work situations / environments and help us match you with a suitable position. Smoking Status* Smoker Non-Smoker Do you suffer from Hearing Loss?* Yes No Click on the 'Yes' or 'No' to select answerDo you suffer from Aids, HIV, Hepatitis?* Yes No Click on the 'Yes' or 'No' to select answerDo you suffer from Allergies?* Yes No Click on the 'Yes' or 'No' to select answerDo you suffer from Colour Blindness?* Yes No Click on the 'Yes' or 'No' to select answerDo you suffer from Epilepsy?* Yes No Click on the 'Yes' or 'No' to select answerDo you suffer from Heart Problems?* Yes No Click on the 'Yes' or 'No' to select answerDo you suffer from Back/ Spinal Condition?* Yes No Click on the 'Yes' or 'No' to select answerDo you suffer from Industrial Dermatitis?* Yes No Click on the 'Yes' or 'No' to select answerPlease provide details of any other serious accidents, illness or major operationsATC Work Smart Privacy Information and DeclarationPrivacy Information We collected personal information from you in accordance with the Australian Privacy Principles (APP’s) in the Privacy Act 1988 and will only disclose your information in accordance with these Principles. We collect information (e.g. your name, address information in your resume or provided separately e.g. police clearance) in the course of our function and activities as a Group Training Organisation (GTO) a Registered Training Organisation (RTO) and a Recruitment and Labour Hire organisation, in order to provide you with the best possible service. We use information that we hold about you for the primary purposes of delivering our services and if you choose not to provide the personal information that we ask for, or the information that you provide us is incomplete or inaccurate, it may mean that we are unable to provide our services including processing your enrolment or employment. We may disclose some of your personal information to a number of organisations including but not limited to: Host Employers/Employers, your authorised representative or legal advisors, banks and government and statutory authorities. We do not disclose your personal information overseas. You may access your personal information (subject to some exceptions allowed by law). For details and access to this information please use the contact details provided in our full Policy. Our privacy policy contains information about how you may access your personal information held by us and seek the correction of such information and how we handle concerns or complaints about this Privacy Policy, or our handling of your personal information. A copy of our full Privacy Policy is available on request or at www.atcworksmart.com.au Acknowledgment and consent Your signature below (and your parent/guardian’s signature if you are under 18) indicates your consent for the use and disclosure of your personal information for the purpose as indicated above. Collective Agreement I understand that if I accept an offer of casual employment as a labour hire employee with ATC WORK SMART I will be paid in accordance with the ATC WORK SMART Collective Agreement for casual employees. A copy of the Collective Agreement will be made available on request when an offer of employment is made. Declaration To the best of my knowledge, all information on this registration form is correct and complete. I declare that I am legally able to work in Australia, and understand that ATC WORK SMART reserves the right to verify all information on this application and that any false statements will be considered cause for my rejection as an applicant or my dismissal subject to investigation if hired. I also understand if I am employed by ATC WORK SMART that under the Occupation Safety and Health Act 1984 and Regulations 1996 as amended I have a duty of care including but not limited to the following: To wear / use all personal safety clothing and equipment to safely perform any given task, to report any probable or possible hazards, to avoid hazards as far as practicable, to participate in on site inductions, to abide by all safe operating procedures. Further, I am prepared to undertake a medical examination with a doctor nominated by your company and a pre-employment drug and alcohol screen, if required and participate in random drug and alcohol testing. I understand my details will remain ‘active’ for a period of 3 months, after which they may be made inactive and that if I have not been in contact within that time, I may be required to re-register. Please click anywhere on the declaration (right) if you agree with our terms and conditions* I agree with ATC Work Smart Privacy Information and hereby declare that all of the information I have provided is correct and that I am legally able to work in Australia
