OFFICE USE ONLY
Candidate Name:
Candidate WorkDesk Code:
Candidate Registration Form
By completing and signing this registration booklet, you are consenting to SCO Recruitment performing background checks. Offers of employment may be subject to a medical
examination, working with children’s checks, AFP Criminal Records Check and other background check which may include and academic qualifications check, certification check,
reference check or any other check deemed relevant to the position/s you are applying or put forward for. Please note, applicants may be required to undertake a medical
examination as part of the employment application process, which may include testing for alcohol and other drugs to ensure that duties can be performed safety and adequately. All
information contained within this application will be treated as confidential under The Federal Privacy Act 1988.
SCO Recruitment
Unit 5, 333-335 Newbridge Road Moorebank NSW 2120 P.O Box 748, Moorebank NSW 1875
T: 9824 3279 F: 9824 3051
www.scorecruitment.com.au
ABN: 64 137 038 709
CANDIATE INFORMATION - Temporary/Casual Positions
POSTION REQUIRED
What type of work are you seeking?
APPLICANT DETAILS (Use Block Letters)
Title: Mr.
Ms.
Mrs. .
Date of Birth:
Marital Status:
First Name:
Surname:
(Optional)
Address:
Suburb:
Post Code:
Email:
Telephone:
Mobile:
EMERGENCY CONTACT DETAILS (Use Block Letters)
Full Name:
Telephone:
Mobile:
Relationship:
AVAILABILITY (Use Block Letters)
Are you eligible for employment in Australia?
YES
NO
.
YES
NO
.
Please note proof of eligibility is required
Are there any Visa restrictions that may affect your ability to work in Australia?
If YES please describe below
Drivers Licence:
C
.
R .
LR
Licence Number:
Days Available: Mon .
MR .
MC
HR
.
.
HC
Do you have your own transport?
Tues .
Wed .
Thurs .
No Licence
.
YES
Fri
.
NO .
.
Sat .
Sun .
Hours Available:
What Time can SCO call you for work?
Notice required in current position?
Time prepared to travel to and from work?
Area prepared to travel to and from work?
City .
Inner West
.
East
West .
North
South .
Minimum Hourly Rate Required:
ADDITIONAL INFORMATION:
Do you wish to identify yourself as an Aboriginal/Torres Strait Islander?
Do you reside in Government or Community Housing?
YES
YES
NO
NO
.
.
Page 1
EMPLOYMENT HISTORY
Please describe your employment history, listing the most recent position first.
Employer
Position
Dates
Primary Duties
Reason for Leaving
REFERENCES
*Please provide three (3) work related references.
If you have no employment history, personal references will be accepted
Company
Position
Contact Person
Contact Number
QUALIFICATIONS / LICENCES
Please list any qualification, tickets and/or professional licences you hold.
Qualification / Ticket / Licence
Institution / Issuer
Year Completed / Received
*Please note that by providing this information you are consenting to SCO Recruitment to conduct reference checks.
Page 2
A BIT ABOUT YOU
Please tell us why you would be a good candidate to represent SCO Recruitment at our client sites?
What do you consider to be your strengths?
Is there any other information you wish to advise us about your suitability or candidature?
EMPLOYEE PAYROLL INFORMATION
“Please note SCO Recruitment has a number of companies that operate in the same group and you may receive multiple PAYGW summaries (Group Certificates)”
BANK ACCOUNT DETAILS:
Name on Account:
Name of Bank:
Branch Location:
BSB Number:
(6 digits)
Account Number:
(Not the number on your ATM card)
SUPERANNUATION DETAILS
I have supplied SCO Recruitment with my own super fund membership details?
I have selected SCO Recruitments’ default super fund – CARE SUPER?
..
I have completed the Choice of Superannuation Fund Standard Choice Form?
.
How did you hear about SCO Recruitment?
SEEK
My Career
Local Newspaper Please specify
Google
SCO Candidate
Please specify
Daily Telegraph
SCO Client
Please specify
Facebook
Other
Please specify
Sports People
Page 3
EMPLOYEE HEALTH QUESTIONNAIRE
Your answers to these questions are important in enabling SCO to place you in work that, as far as practicable, does
not place you at risk of injury and to identify actions that may be required to make the job safer for you.
You must answer the questions truthfully and to the best of your knowledge. The information you provide will be
treated as confidential and its access limited to a “need to know” basis. Please note that providing false or
misleading information is a chargeable offence - answer ALL questions honestly. If you have difficulty answering any
question/s, please ask your consultant for assistance. After you have completed the questionnaire, please sign
where indicated and hand back to the consultant.
HEALTH
1. Do you suffer from asthma or a dry cough? (Please specify)
YES
2. Do you suffer from skin rashes, eczema or dermatitis? (Please specify)
YES
NO .
NO .
3. Are you able to wear safety equipment such as boots, glasses and helmets?
YES
NO .
4. Do you wear or have worn orthotics?
YES
5. Do you or have you suffered from a reaction to any chemicals?
YES
NO .
NO .
YES
NO .
If “NO” please explain why:
If “YES” which chemicals:
6. Do you suffer or have you suffered from ringing in the ears or hearing loss? (Please specify)
7. Do you have vision problems that are not corrected by prescription glasses or contact lenses?
e.g. blurred vision, glare, dazed by lights? (Please specify)
YES
NO .
NO .
8. Have you ever been diagnosed with a heart condition?
YES
9. Have you ever had a mental illness (e.g. anxiety, depression, bipolar disorder)? (Please specify)
YES
10. Do you experience sudden attacks of giddiness, fainting or blackouts? (Please specify)
YES
NO .
NO .
11. Do you smoke?
YES
NO .
12. Do you drink alcohol, if so how many standard drinks per week?
YES
NO .
13. Do you suffer from arthritis, rheumatism, joint pain or swelling? (Please specify)
YES
NO .
14. Have you ever been diagnosed or do you suffer with Repetitive Strain Injury?
YES
NO .
15. Do you suffer or have you suffered from back or neck pain? (Please specify)
YES
16. Do you have full range of movement of all joints (e.g. knee, elbow, shoulders)?
YES
NO .
NO .
17. Have you had a back or neck x-ray or scan? (Please specify)
YES
NO .
18. Do you suffer or have you suffered from epilepsy?
YES
NO .
YES
NO .
If “YES” what and how much?
19. Do you have any other condition that could impact your work, your safety or that of others?
If “YES” please provide details below:
Page 4
20. Have you ever suffered injuries as a result of the use of a motor vehicle, motor cycle or bicycle?
If “YES” please specify type of injury and approximate date:
YES
Type:
NO .
Date:
21. Do you use illicit drugs? If “YES” which drugs, how often, and how much?
YES
NO .
YES
NO
If “YES” please specify the type and approximate date:
22. Have you ever had any operations?
.
If “YES” please specify the type and approximate date:
Type:
Date:
WORK HISTORY
23. Have you ever worked with any substances that may have been hazardous to your health?
If “YES” please list which substances:
YES
NO .
24. Have you ever worked in a noisy environment?
YES
NO .
YES
NO .
26. Do you object to a breathalyser or drug test?
YES
27a.Do you have any current or ongoing Workers Compensation Claim(s)?
YES
NO .
NO .
If you answered “YES” to both the questions above please list your previous employer
Employer/s:
Position:
Dates worked:
25. Have you worked in a position that required repetitive work?
If you answered “YES” to both the questions above please list your previous employer/s:
Employer/s:
Position:
Dates worked:
GENERAL
If “YES” please detail and answer Question 28b:
If “NO” go straight to Question 29:
27b. Was a Medical Certificate issued for a return to full duties for the above Workers Compensation Claims?
If NO, please supply details:
YES
NO .
28. Have you ever had a Workers Compensation Claim?
NO .
YES
a. If YES then when and against whom?
b. What was the result of the claim?
c. Date of Injury?
d. Number of claims in the past 10 years?
Page 5
29. Do you have any medical conditions or take medication for any medical condition?
YES
NO
30. Working in hot environments?
YES
31. Working in cold environments?
YES
NO .
NO .
32. Working at heights?
YES
33. Sitting for long periods?
YES
NO .
NO .
34. Climbing ladders?
YES
NO .
35. Standing for long periods?
YES
NO .
36. Crouching?
YES
NO .
37. Kneeling?
YES
NO .
38. Reaching above shoulder height?
YES
NO .
39. Repetitive lifting?
YES
NO .
40. Writing?
YES
NO .
41. Being transported?
YES
NO .
If “YES” please detail:
WORK ENVIRONMENT & ACTIVITIES
Do you have any difficulty in performing the following activities?
Please list anything else that may affect you or your work colleagues:
DECLARATION
I hereby declare all information supplied in this Health and Safety Declaration to be true and correct to the best of my
knowledge. I understand that if I have given false or misleading information that I will be liable for dismissal without
notice.
If engaged by SCO Recruitment I agree to wear hearing or other PPE (Personal Protective Equipment) and/or clothing
as required by SCO Recruitment or its Client’s in accordance with statutory requirements or Company/Clients policy.
Candidate Full Name:
(Please Print)
Candidate Signature:
Date:
SCO Consultant Signature:
Page 6
FORM OF DISCLOSURE PRE-EXISTING INJURIES
Pursuant to the Workers Compensation Act 1987 (NSW) it is requested that you disclose any pre-existing injuries
suffered by you, of which you are aware, and which could be affected by the nature of the proposed employment
offered to you.
I declare that I am aware of the following pre-existing injuries:
Injury Details:
Insurance Company Details:
Employer Details:
OR; I have no such pre-existing injuries (please tick)
Candidate Full Name:
(Please Print)
Candidate Signature:
Date:
The Workers Compensation Act 1987 will apply to a failure to make such a disclosure or the making of a false or misleading
disclosure.
If this section applies, any recurrence, aggravation, acceleration, exacerbation or deterioration of the pre-existing injury and or
disease arising out of or in the course of or due to the nature of employment with the employer does not entitle the worker to
compensation under the Act.
Any information provided on this form will be used for the purpose of the Act only.
CONFIDENTIALITY AGREEMENT FOR CASUAL (TEMPORARY) STAFF;
I understand by accepting an assignment and engaging as a Spectrum Casual Employee to perform that assignment
that I will not during my employment or thereafter, without Spectrum’s prior written consent or as otherwise
required by law, disclose directly or indirectly to any person for any reason other than for the proper conduct of
Spectrum’s or any Spectrum’s customer’s business any trade secrets or confidential information that may come to
my notice during the course of your employment.
Nor will I during my employment or thereafter without Spectrum’s prior written consent or as otherwise required by
law use any part of Spectrum’s or any Spectrum’s customer’s trade secrets or confidential information other than as
required in the proper performance of my duties.
Formally noted and accepted:
Candidate Name:
Witness Name:
(Please Print)
Signature:
Date:
Signature:
/
/
Date:
/
/
Page 7
OFFICE USE ONLY
CONSULTANT NOTES:
Interviewed By:
Date:
Page 8
OFFICE USE ONLY
CANDIDATE DATA INTEGRITY
All candidate files must contain this Checklist. All boxes must be checked or marked N/A. Sections 1 and 2 must be
completed prior to filing as a candidate. A candidate must not commence work unless these sections are complete.
Section 3 must be completed immediately when the candidate commences work as an employee with SCO.
1. CANDIDATE WRAP








Completed Candidate Information
Photo Identification Provided
Proof of Work Rights Provided
Resume Provided
Completed Tax File Declaration
Completed Work History and References
Completed Employee Health Questionnaire
Completed OHS Video and Questionnaire








Completed Choice of Super Fund Form
Completed Qualifications and Licences
License copies provided i.e. drivers/forklift
Completed Confidentiality Agreement
Completed Disclosure of Pre-Existing Injuries
Completed Skill Codes/ Matching Form
Fully Completed Wrap
x2 Reference Checks Completed
DIMIA Check Submitted – Copies MUST be included in File
 YES
Visa End Date: ____________
 NO
Reason if No: ____________
 Not Required
If Applicable: Working with Children Checks - Confirmations MUST be included in file



Working with Children Check Completed
Working with Children Check Submitted
Written Confirmation Received
Completed By:


Accepted
Rejected
Signed:
Date:
_____________
2. WORKDESK CANDIDATE RECORD








Correct Candidate Code
Correct Address and Contact Details
Skill Code Entered
Next of Kin/Emergency Contact
Employment History Entered
TFN/Bank Details Entered
Interviewed By
Consultants Notes Entered
Completed By:
Entered in Consultant Comments









Signed:
Availability and Travel
Job and Job Condition Preferences
Restrictions
PPE/Tickets/Licences/Qualifications
Suitability i.e. Client/Job Type
Communication/Presentation
OHS Outcomes
Reference Check Outcomes
Additional Consultant Notes
Date:
_____________
3. WORKDESK EMPLOYEE RECORD



Candidate Entered in Relevant Group/s
Completed Main Screen
(Including; cost category, commencement date)
Completed Taxation Screen
 TFN Received & Correct TFN Confirmed
 Threshold Tax Scale Entered
Completed Allowances & Deductions Screen
 Superannuation Fund Details Entered
MUST be defaulted to Care if other not
provided)
Completed By:
Signed:





Entered Bank Account Details
Bank Details Confirmed with Bank
Updated status entered into WorkDesk 10
HELP Debts checked (if applicable)
Tax File Declaration sent to ATO



Bank Account Details Entered
Super Form sent to Fund Manager
Date:
_____________
Page 9