Jewish Care Registration Form
Salutation
Mr.
Ms.
Mrs.
Dr.
Prof.
Rabbi
First Name
Middle Name
Last Name
Mobile Phone
Home Phone
Email
Postal Code
Country of Birth
Australia
New Zealand
China
Malaysia
US
UK
Russia
Italy
India
Spain
Netherlands
Lebanon
Israel
South Africa
Ukraine
Lithuania
Poland
Argentina
Zimbabwe
Ethiopia
Hungary
Other
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua & Barbuda
Armenia
Aruba
Austria
Azerbaijan
Bahamas, The
Bahrain
Bangladesh
Barbados
BELARUS
BELGIUM
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia & Herzegovina
Botswana
BRAZIL
British Virgin Is.
Brunei
Bulgaria
Burkina Faso
Burma
Burundi
Cambodia
Cameroon
CANADA
Cape Verde
Cayman Islands
Central African Rep.
Chad
CHILE
Colombia
Comoros
Congo, Dem. Rep.
Congo, Repub. of the
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
EGYPT
El Salvador
Equatorial Guinea
Eritrea
Estonia
Faroe Islands
Fiji
Finland
FRANCE
French Guiana
French Polynesia
Gabon
Gambia, The
Gaza Strip
Georgia
GERMANY
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Iceland
Indonesia
IRAN
Iraq
IRELAND
Isle of Man
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
LATVIA
Lesotho
Liberia
Libya
Liechtenstein
Luxembourg
Macau
Macedonia
Madagascar
MALAWI
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
MEXICO
Micronesia, Fed. St.
MOLDOVA
Monaco
Mongolia
Montserrat
MOROCCO
Mozambique
Namibia
Nauru
Nepal
Netherlands Antilles
New Caledonia
Nicaragua
Niger
Nigeria
N. Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Portugal
Puerto Rico
Qatar
Reunion
ROMANIA
Rwanda
Saint Helena
Saint Kitts & Nevis
Saint Lucia
St Pierre & Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
SINGAPORE
Slovakia
Slovenia
Solomon Islands
Somalia
Sri Lanka
Sudan
Suriname
Swaziland
SWEDEN
SWITZERLAND
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Tunisia
TURKEY
Turkmenistan
Turks & Caicos Is
Tuvalu
Uganda
United Arab Emirates
Uruguay
UZBEKISTAN
Vanuatu
Venezuela
Vietnam
Virgin Islands
Wallis and Futuna
West Bank
Western Sahara
Yemen
Zambia
Date of Birth
Date of arrival in Australia
Visa Status
Australian Citizen
NZ Citizen
Permanent Resident
Temporary Resident
Working Visa
Student Visa
Bridging Visa
Highest level of education
Primary
Secondary(Yrs7-11)
Secondary(Yr12)
Certificate 1
Certificate 2
Certificate 3
Certificate 4
Associate Diploma
Diploma
Degree
Post Graduate Degree
License
Other
Education Name
Maximum Length of 255 Characters
First Language spoken
Arabic
Belarusian
Bengali
Cantonese
Chinese, Mandarin
Czech
Danish
Dutch
English
Finnish
French
German
Greek
Hebrew
Hindi
Italian
Japanese
Javanese
Korean
Other
Persian
Polish
Portuguese
Romanian
Russian
Serbo-Croatian
Spanish
Swedish
Thai
Turkish
Ukrainian
Vietnamese
Yiddish
Do you consider yourself in these categories (can be more than one)?
Aboriginal
COVID – 19
Culturally Diverse
Disability/Special Needs
Disabled
Ex-Offender
Homeless
Long Term Unemployed >1 Year
Long Term Unemployed >6 months
Low Income
Mature Aged
Mature Aged >50
Mature Aged >55
Mental Illness
New migrant
Refugee/Asylum Seekers
Retrenched
Retrenched - from automotive manufacturing
Retrenched - other
Single Parent
Social Housing Resident
Social Housing Tenant
Ultra Orthodox
Unemployed 6-12 months
Unemployed more than 12 months
Veteran or veteran’s family
Woman Returning to Work
Young People aged 15-24
Young people in out of home care
Youth <18
Youth 18-24
Youth Justice Client
Youth Justice system
How many hours per week can you or want to work?
0-8
8-15
15-20
20-30
30+
What types of role are you interested in?
Accounting
Administration
Advertising/Media/Entertainment
Childcare
Call centre
Driver
Education
Engineering
Healthcare
Hospitality
IT
Retail
Sales
Marketing
Tradesperson
Warehouse
Personal Care
Other
Cover letter
Resume
*
Other Document
Note: *.txt, *.doc, *.docx, *.rtf and *.pdf files ONLY (Please keep your files under 3MB)
I authorise for my information to be retained for other positions.