Candidate Registration Form Fill out some info and we will be in touch shortly! What position are you applying for? * Permanent Temp Both How did you hear about RE Talent? Name * (Legal Name) First Name Last Name Nickname / Preferred Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone (###) ### #### Date of Birth MM DD YYYY I'm an Australian Citizen? * Yes No If no, please advise your Visa Eligibility Do you have a Drivers Licence Yes No Do you own a car? Yes No Do you rely on public transport? Yes No Do you have any medical conditions that you are aware of that could affect your work performance? Professional Qualifications Highest Level of Education Do you have a Certificate of Registration? Yes No Do you have a Real Estate License? Yes No Is your Certificate of Registration / Real Estate License currently valid? When did you last complete your CPD points? Are you currently undertaking any qualifications or courses & projected completion dates? Base Salary Superannuation Car Allowances Yes No Amount Bonuses / Commission Structure Advanced leave arrangement Pre-booked Holidays Salary Expectation in next role? Languages spoken other than English Availability for work: *Monday to Friday *Saturday Next of Kin Name, Mobile and relationship Are you registered with other recruitment agencies? * Yes No If yes, please list * Do you have a criminal record? * Yes No If yes, please disclose * Have your ever been Bankrupt or agreed to the Bankrupt Act? Yes No Terms & Conditions * I have provided truthful & accurate information at the time of signing. I understand that false or misleading information can result in the potential termination of application or employment. Option 1 Option 2 Thank you!