Occupational Therapist

Application form for Occupational Therapist Date Title Mr Mrs Miss Ms Other Do you identify as Aboriginal/Torres Strait Islander? YES NO First Name Surname Date of Birth Place of birth State/Country Do you require a Visa to work in Australia? * YES NO Email Address Home Address Home Ph Suburb State Postcode Qualifications ** Please advise your qualifications and upload certificates where possible** Certificate Diploma Trade Degree Qualifications Browse Health and Safety / Medical Questionnarie Please answer the following questions and provide details where applicable. Have you ever had any injuries that impacted on your ability to perform work? YES NO Resume * Browse Browse PRIVACY & PERSONAL INFORMATION CONSENT Please complete the following consent statement I, consent to the collection of necessary personal information, including age, gender, medical history / reports, address details for the purpose of recruitment for this position. I agree to undertake all medical tests and examinations as required to ensure my capability to perform the tasks required of the position for which I have applied. I hereby declare that the information I have provided in this form is true and accurate and I authorise the company to verify any information if required. Any false or misleading information may result in the termination of my position / application.I have read and understood my rights in respect of access to and collection of my personal information.#J-18808-Ljbffr