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Fast Track Application Form

Register for Disability Employment Services

Tell us a little bit about yourself via the form below and we’ll call you to get started on your journey to finding the right job for you.

Register for DES

Do you live with a disability, injury or health condition (including a mental health condition)? *

Yes

No

This can include a medical condition that affects the type of work you do or how long you can do it.

Are you interested in finding work for at least 8 hours per week? *

Yes

No

Are you aged between 14 years old and the Age Pension qualifying age? *

Yes

No

Please confirm your residency status in Australia * Please confirm your residency status in Australia

Are you currently registered with a jobactive or Disability Employment Services provider? *

Yes

No

If you are, we can still discuss how we can support you.

Your name *

First

Last name *

Last

Email address *

Phone number *

Please include your area code if providing a landline. We will call you from an 08 number, look out for our call.

Suburb *

Postcode *

How did you hear about us?

If you have a speech, hearing or other impairment and would prefer to communicate via email / text message, please tick here.

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If you are human, leave this field blank.

Register for Disability Employment Services

Tell us a little bit about yourself via the form below and we’ll call you to get started on your journey to finding the right job for you.

Register for DES

Do you live with a disability, injury or health condition (including a mental health condition)? *

Yes

No

This can include a medical condition that affects the type of work you do or how long you can do it.

Are you interested in finding work for at least 8 hours per week? *

Yes

No

Are you aged between 14 years old and the Age Pension qualifying age? *

Yes

No

Please confirm your residency status in Australia * Please confirm your residency status in Australia

Are you currently registered with a jobactive or Disability Employment Services provider? *

Yes

No

If you are, we can still discuss how we can support you.

Your name *

First

Last name *

Last

Email address *

Phone number *

Please include your area code if providing a landline. We will call you from an 08 number, look out for our call.

Suburb *

Postcode *

How did you hear about us?

If you have a speech, hearing or other impairment and would prefer to communicate via email / text message, please tick here.

reCAPTCHA

If you are human, leave this field blank.

Make an enquiry

Tell us a little bit about your needs via the form below and we’ll call you to get started on your journey to finding the right employees free of charge.

DES Employer Enquiry Form

First name *

First

Last name *

Last

Phone number *

Email address *

Suburb *

State *

Business Name

How can we help? *

Please advise how we can help

How would you describe your business in size?

Any other information you would like to tell us?

How did you hear about us? *

Please describe how you heard about us

Would you like to receive news and information from atWork Australia in the future? *

reCAPTCHA

If you are human, leave this field blank.

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