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WHICH DESIGN & CONSTRUCT CONSULTANT REQUESTED THIS INFORMATION:
Select consultant
Andy Botting
Ephram Stephenson
Jamie Lewis
Jemma Troughton
Maree Turner
Patrick Velasco
Please fill in all mandatory fields (*) and a Design & Construct consultant will be in contact with you as soon as possible to discuss your application.
Candidate Details
Forename:
*
Surname:
*
Address:
*
Suburb:
*
State:
*
Post Code:
*
Date of Birth:
Driver License?
Yes
No
Own Vehicle?
Yes
No
Contact
(H) Phone Number:
*
(M) Phone Number:
*
Email Address:
*
Resume:
Reference
Name:
Name:
Company:
Company:
Position:
Position:
Phone:
Phone:
Email:
Email:
Declaration - Agreed & Accepted
Do you have any medical conditions which may affect your work?
*
Yes
No
Have you been found guilty of a criminal offence which has not spent?
*
Yes
No
I authorise Design & Construct to use the information provided in this form and to contact the above referees to obtain work references to assist in obtaining employment on my behalf.
*
I authorise Design & Construct to disclose the information provided in this form, references received and any other information provided on my work history including my resume to potential employers.
*
I confirm that any personal or sensitive information I have provided in this form or otherwise to Design & Construct is true and accurate. I will retain any information provided to me by Design & Construct in confidence.
*
I have read and understood each of the statements in this
collection statement
and voluntarily consent to:
*
•
Personal and sensitive information about me being collected as indicated
here in
•
Personal and sensitive information about me being used as indicated
here in
•
Personal and sensitive information about me being disclosed as indicated
here in
