Full Legal Name
*
Residential Street Address
*
Contact Number
*
Email Address
*
Data of Birth
*
Emergency Contact
*
Relationship to Emergency Contact
*
Emergency Contact Number
*
What is your desired position(s)?
*
What is your desired industry(s)?
*
What is your expected salary range?
*
What types of employment are you open to?
*
Full-time
Casual/Contract
Part-tiime
If contracting, do you operate under an ABN or PTY LTD?
No
Yes, ABN
Yes, PTY LTD
What is your reason for job seeking?
*
What is your current job search status?
*
Actively Applying
Passively Looking
Speaking to Recruiters (other than DR Analytics Recruitment)
Who is your current employer?
*
What is your current job title?
*
Reason for seeking to leave role? (if currently in one)
Have you applied directly in the last 6 months with any of the companies the recruiter discussed?
*
Yes
No
If Yes, which companies?
What working arrangements are you seeking?
*
On-site
Hybrid
Fully Remote
What is your notice period?
*
What is your availability to interview?
*
Working Rights in Australia
*
Australian Citizen
Permanent Resident
VISA
No Working Rights
If VISA, please provide the class
Do you have any past criminal convictions?
*
Yes
No
Do you have any medical conditions an employer should be aware of?
*
Yes
No
Do you have any current or past workers’ compensation claims?
*
Yes
No
Are you currently involved in any litigation or claims related to employment?
*
Yes
No
How did you hear about us?
*
Do you have any further comments for an employer or the recruiter?
*
I declare that each and every answer that I provide within this application form is true and accurate to the best of my knowledge and understanding. I understand that any false or misleading information may result in the termination of my employment and/or refusal of any possible claim to compensation. I authorise DR Analytics Recruitment to represent me in seeking employment opportunities, including but not limited to submitting my application, discussing my qualifications with potential employers and negotiating terms on my behalf. I understand that this representation does not guarantee employment and that I may withdraw this authority at any time by providing written notice.
*
I agree
Yes, DR Analytics Recruitment can contact me about job opportunities.
I may receive emails from analyticsrecruitment.com.au. I can opt-out at any time by unsubscribing or texting STOP. My data will be handled in accordance with
the privacy policy
and
Terms of Service
. For help, email
support@loxo.co
.