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Preferred User Information
*Note: Membership to this portal is Private. Once your account information has been submitted, the portal Administrator will be notified and your application will be subjected to a screening procedure. If your application is authorized, you will receive notification of your access to the portal environment. All fields marked with a red arrow are required.

User Name
First Name
Last Name
Display Name
Email Address	(If you do not have an email address please use info@workforceconnections.com.au and we will text you.
PASSWORD
Enter a Password
Confirm Password
CONTACT INFO
Unit
Street Number
Street
City
Region
State
Country
Postal Code
Telephone
Cell/Mobile
Fax
CONTRACTOR DETAILS
Business Trading Name
ABN/ACN/BN:
Business Description
BUSINESS INSURANCES
Do you have Workers Compensation?
Insurer
Policy Number
Expiry Date
Do you have Sickness & Accident Insurance?
Insurer
Policy Number
Expiry Date
Do you have Public Liability Insurance?
Insurer
Policy Number
Expiry Date
PERSONAL DETAILS
Valid Drivers License
Licence Types
Expiry Date
OH&S Construction Induction Card Number
Date of Birth
Own Transport?
Own Tools?
Trade Qualifications, Licenses & Skills
WORK PREFERENCES
Work Occupation
Do you prefer to work as a contractor?
I prefer to work as a Permanent Employee
I prefer to work as a Casual Employee
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Do you accept our Terms & Conditions?

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