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Full Name
Postal Address
Please rate your current stress level:
Feeling great!
Feeling okay
Moderate
Struggling
Feeling overwhelmed
Please rate your current stress level:
How quickly do you need our services?
Within 1 week
Within 1-2 weeks
Within 2-3 weeks
4 weeks +
Please list all hobbies and interests, including involvement with community or sports activities (include absolutely anything!)?
Please list ALL training you have completed (if not listed on resume):
Please list ALL awards and achievements (if not listed on resume):
Do any of the following apply to you? Please select all that apply:
Drivers licence
Reliable vehicle
Working with children card
Defence Security clearance
Construction white card
First aid certificate
Dependent children
Current Police clearance
None of the above
What type of employment are you looking for?
Full time
Part time > 20 hours per week
Part time < 20 hours per week
Casual
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