First Name
*
Last Name
*
Worker Preferred name
Date Of Birth
Email
*
Phone
*
Worker Preferred contact method
City
*
State
*
Postal Code
*
Country
Enter your country
2. Roles and experience
Worker Other role
Worker Previous work and relevant skills
*
Worker Most recent employer
Worker Equipment and specialist skills
Worker Roles sought
*
Worker Primary role
*
Worker Primary role experience
*
3. Availability, travel and transport
Worker Travel distance
*
Worker Transport to work
*
Worker Current driver licence
*
Worker Driver licence classes
Worker Overnight travel
Worker Start availability
*
Worker Available from date
Worker Days available
*
Worker Preferred shifts
*
Worker Early morning starts
*
Worker Overtime
*
Worker Weekend work
*
Worker Preferred work arrangement
*
Worker Preferred work suburbs or regions
4. Work rights
Worker Right to work in Australia
*
Worker Work rights status
*
Worker Visa subclass
Worker Visa expiry date
Worker Work restrictions
*
Worker Work restriction details
5. Qualifications, documents and PPE
Which licences and qualifications do you hold?
*
Select all that apply. Choose None yet if you do not hold any. Only the relevant details will appear below.
EWP WP - Name type or class
EWP WP - Issuing state or organisation
EWP WP - Card or licence number
EWP WP - Issue date
EWP WP - Expiry date
Private qualification evidence. PDF, JPG/JPEG or PNG. Optional at registration.
EWP WP - Front or certificate upload
PDF, JPEG, JPG or PNG ( max 5 Files )
Private qualification evidence. PDF, JPG/JPEG or PNG. Optional at registration.
EWP WP - Back upload
PDF, JPEG, JPG or PNG ( max 5 Files )
Working at Heights - Name type or class
Working at Heights - Issuing state or organisation
Working at Heights - Card or licence number
Working at Heights - Issue date
Working at Heights - Expiry date
Private qualification evidence. PDF, JPG/JPEG or PNG. Optional at registration.
Working at Heights - Front or certificate upload
PDF, JPEG, JPG or PNG ( max 5 Files )
Private qualification evidence. PDF, JPG/JPEG or PNG. Optional at registration.
Working at Heights - Back upload
PDF, JPEG, JPG or PNG ( max 5 Files )
Dogging - Name type or class
Dogging - Issuing state or organisation
Dogging - Card or licence number
Dogging - Issue date
Dogging - Expiry date
Private qualification evidence. PDF, JPG/JPEG or PNG. Optional at registration.
Dogging - Front or certificate upload
PDF, JPEG, JPG or PNG ( max 5 Files )
Private qualification evidence. PDF, JPG/JPEG or PNG. Optional at registration.
Dogging - Back upload
PDF, JPEG, JPG or PNG ( max 5 Files )
White Card - Name type or class
White Card - Issuing state or organisation
White Card - Card or licence number
White Card - Issue date
White Card - Expiry date
Private qualification evidence. PDF, JPG/JPEG or PNG. Optional at registration.
White Card - Front or certificate upload
PDF, JPEG, JPG or PNG ( max 5 Files )
Private qualification evidence. PDF, JPG/JPEG or PNG. Optional at registration.
White Card - Back upload
PDF, JPEG, JPG or PNG ( max 5 Files )
Other qualification - Name type or class
Other qualification - Issuing state or organisation
Other qualification - Card or licence number
Other qualification - Issue date
Other qualification - Expiry date
Private qualification evidence. PDF, JPG/JPEG or PNG. Optional at registration.
Other qualification - Front or certificate upload
PDF, JPEG, JPG or PNG ( max 5 Files )
Private qualification evidence. PDF, JPG/JPEG or PNG. Optional at registration.
Other qualification - Back upload
PDF, JPEG, JPG or PNG ( max 5 Files )
Hoist licence - Name type or class
Hoist licence - Issuing state or organisation
Hoist licence - Card or licence number
Hoist licence - Issue date
Hoist licence - Expiry date
Private qualification evidence. PDF, JPG/JPEG or PNG. Optional at registration.
Hoist licence - Front or certificate upload
PDF, JPEG, JPG or PNG ( max 5 Files )
Private qualification evidence. PDF, JPG/JPEG or PNG. Optional at registration.
Hoist licence - Back upload
PDF, JPEG, JPG or PNG ( max 5 Files )
Confined Space - Name type or class
Confined Space - Issuing state or organisation
Confined Space - Card or licence number
Confined Space - Issue date
Confined Space - Expiry date
Private qualification evidence. PDF, JPG/JPEG or PNG. Optional at registration.
Confined Space - Front or certificate upload
PDF, JPEG, JPG or PNG ( max 5 Files )
Private qualification evidence. PDF, JPG/JPEG or PNG. Optional at registration.
Confined Space - Back upload
PDF, JPEG, JPG or PNG ( max 5 Files )
Trade qualification - Name type or class
Trade qualification - Issuing state or organisation
Trade qualification - Card or licence number
Trade qualification - Issue date
Trade qualification - Expiry date
Private qualification evidence. PDF, JPG/JPEG or PNG. Optional at registration.
Trade qualification - Front or certificate upload
PDF, JPEG, JPG or PNG ( max 5 Files )
Private qualification evidence. PDF, JPG/JPEG or PNG. Optional at registration.
Trade qualification - Back upload
PDF, JPEG, JPG or PNG ( max 5 Files )
Worker Resume or CV
PDF, JPEG, JPG or PNG ( max 5 Files )
Worker Other supporting documents
PDF, JPEG, JPG or PNG ( max 10 Files )
First Aid or CPR - Name type or class
First Aid or CPR - Issuing state or organisation
First Aid or CPR - Card or licence number
First Aid or CPR - Issue date
First Aid or CPR - Expiry date
Private qualification evidence. PDF, JPG/JPEG or PNG. Optional at registration.
First Aid or CPR - Front or certificate upload
PDF, JPEG, JPG or PNG ( max 5 Files )
Private qualification evidence. PDF, JPG/JPEG or PNG. Optional at registration.
First Aid or CPR - Back upload
PDF, JPEG, JPG or PNG ( max 5 Files )
Implement Traffic Control Plans - Name type or class
Implement Traffic Control Plans - Issuing state or organisation
Implement Traffic Control Plans - Card or licence number
Implement Traffic Control Plans - Issue date
Implement Traffic Control Plans - Expiry date
Private qualification evidence. PDF, JPG/JPEG or PNG. Optional at registration.
Implement Traffic Control Plans - Front or certificate upload
PDF, JPEG, JPG or PNG ( max 5 Files )
Private qualification evidence. PDF, JPG/JPEG or PNG. Optional at registration.
Implement Traffic Control Plans - Back upload
PDF, JPEG, JPG or PNG ( max 5 Files )
Traffic Controller - Name type or class
Traffic Controller - Issuing state or organisation
Traffic Controller - Card or licence number
Traffic Controller - Issue date
Traffic Controller - Expiry date
Private qualification evidence. PDF, JPG/JPEG or PNG. Optional at registration.
Traffic Controller - Front or certificate upload
PDF, JPEG, JPG or PNG ( max 5 Files )
Private qualification evidence. PDF, JPG/JPEG or PNG. Optional at registration.
Traffic Controller - Back upload
PDF, JPEG, JPG or PNG ( max 5 Files )
Forklift LF - Name type or class
Forklift LF - Issuing state or organisation
Forklift LF - Card or licence number
Forklift LF - Issue date
Forklift LF - Expiry date
Private qualification evidence. PDF, JPG/JPEG or PNG. Optional at registration.
Forklift LF - Front or certificate upload
PDF, JPEG, JPG or PNG ( max 5 Files )
Private qualification evidence. PDF, JPG/JPEG or PNG. Optional at registration.
Forklift LF - Back upload
PDF, JPEG, JPG or PNG ( max 5 Files )
Electrical licence - Name type or class
Electrical licence - Issuing state or organisation
Electrical licence - Card or licence number
Electrical licence - Issue date
Electrical licence - Expiry date
Private qualification evidence. PDF, JPG/JPEG or PNG. Optional at registration.
Electrical licence - Front or certificate upload
PDF, JPEG, JPG or PNG ( max 5 Files )
Private qualification evidence. PDF, JPG/JPEG or PNG. Optional at registration.
Electrical licence - Back upload
PDF, JPEG, JPG or PNG ( max 5 Files )
Rigging - Name type or class
Rigging - Issuing state or organisation
Rigging - Card or licence number
Rigging - Issue date
Rigging - Expiry date
Private qualification evidence. PDF, JPG/JPEG or PNG. Optional at registration.
Rigging - Front or certificate upload
PDF, JPEG, JPG or PNG ( max 5 Files )
Private qualification evidence. PDF, JPG/JPEG or PNG. Optional at registration.
Rigging - Back upload
PDF, JPEG, JPG or PNG ( max 5 Files )
Order picker LO - Name type or class
Order picker LO - Issuing state or organisation
Order picker LO - Card or licence number
Order picker LO - Issue date
Order picker LO - Expiry date
Private qualification evidence. PDF, JPG/JPEG or PNG. Optional at registration.
Order picker LO - Front or certificate upload
PDF, JPEG, JPG or PNG ( max 5 Files )
Private qualification evidence. PDF, JPG/JPEG or PNG. Optional at registration.
Order picker LO - Back upload
PDF, JPEG, JPG or PNG ( max 5 Files )
Worker PPE and tools owned
*
Worker Trade-specific tools
Worker How did you hear about NexaWork
Worker Referred by
Worker Additional skills or availability notes
Telehandler competency - Name type or class
Telehandler competency - Issuing state or organisation
Telehandler competency - Card or licence number
Telehandler competency - Issue date
Telehandler competency - Expiry date
Private qualification evidence. PDF, JPG/JPEG or PNG. Optional at registration.
Telehandler competency - Front or certificate upload
PDF, JPEG, JPG or PNG ( max 5 Files )
Private qualification evidence. PDF, JPG/JPEG or PNG. Optional at registration.
Telehandler competency - Back upload
PDF, JPEG, JPG or PNG ( max 5 Files )
Crane licence - Name type or class
Crane licence - Issuing state or organisation
Crane licence - Card or licence number
Crane licence - Issue date
Crane licence - Expiry date
Private qualification evidence. PDF, JPG/JPEG or PNG. Optional at registration.
Crane licence - Front or certificate upload
PDF, JPEG, JPG or PNG ( max 5 Files )
Private qualification evidence. PDF, JPG/JPEG or PNG. Optional at registration.
Crane licence - Back upload
PDF, JPEG, JPG or PNG ( max 5 Files )
Other EWP training - Name type or class
Other EWP training - Issuing state or organisation
Other EWP training - Card or licence number
Other EWP training - Issue date
Other EWP training - Expiry date
Private qualification evidence. PDF, JPG/JPEG or PNG. Optional at registration.
Other EWP training - Front or certificate upload
PDF, JPEG, JPG or PNG ( max 5 Files )
Private qualification evidence. PDF, JPG/JPEG or PNG. Optional at registration.
Other EWP training - Back upload
PDF, JPEG, JPG or PNG ( max 5 Files )
6. References
Worker Referee 1 - Full name
Worker Referee 1 - Company
Worker Referee 1 - Position and working relationship
Worker Referee 1 - Phone
Worker Referee 1 - Email
Worker Referee 1 - Permission to provide details
I have permission to provide this person’s contact details.
Worker Referee 2 - Full name
Worker Referee 2 - Company
Worker Referee 2 - Position and working relationship
Worker Referee 2 - Phone
Worker Referee 2 - Email
Worker Referee 2 - Permission to provide details
I have permission to provide this person’s contact details.
7. Declarations and consent
Privacy Notice:
https://nexaworksolutions.com.au/privacy-policy
Worker Accuracy declaration
*
I confirm that the information I have provided is accurate to the best of my knowledge.
Worker Privacy acknowledgement
I have read the Privacy Notice and understand how NexaWork will collect and use my information to assess my registration, contact me about work and coordinate recruitment.
Worker Promotional communications consent
I would like general news and promotional updates from NexaWork by email or SMS.
Worker Hirer profile sharing consent
I agree to NexaWork sharing my approved anonymous worker profile with registered hirers.