Contact CRS Australia

Please tell us about yourself *

I have a disability, injury or health condition
I am an employer
I am a doctor / health care professional
I am a CRS Australia job seeker
I am an advocate for a person with a disability, injury or health condition (family member, friend, carer, principal, support worker)
I am interested in working for CRS Australia
I have a general query about CRS Australia

How can CRS Australia help you? *

I need help to find a job
I have been referred to CRS Australia and have a question
I am working but may lose my job due to my condition
I am a parent and need training to get back to work
I would like to provide feedback / make a comment or complaint / request information

I have a vacancy I need to fill
I'm interested in finding out more about employing people with a disability, injury or health condition
I have an employee at risk of losing their job due to their disability, injury or health condition
I want to make sure my workplace is safe
I need help to manage an employee's injury / return to work
I would like to provide feedback / make a comment or complaint / request information

I want to refer a patient / client
I would like more information about CRS Australia services

Make contact with your CRS Australia consultant
I would like to provide feedback / make a comment or complaint / request information

I am a school principal/support worker and would like to refer a student
I want my family member / friend to access your services
I would like more information about CRS Australia services

I have a question about a job that is advertised
I would like to register my interest for future job opportunities

Other

If other, please specify *

Information Required

Type of feedback *

Type of request *

Please read about Eligibility.

First name *

Last name *

Business name *

Practice *

Refer A Patient

General eligibility

14-65 years of age
Australian citizen / permanent resident
Able to work more than 8 hours per week
Not currently in full time tertiary study

Refer A Student

General eligibility

Student is in the last 6 months of school and considering post-school options
A full-time student undertaking a school-based apprenticeship recognised by the Australian Apprenticeship Centre
A full-time student who is interested in working outside school hours
Registered with a DES provider within 12 months of leaving full-time secondary school
Registered with a DES provider by participating in a State or Commonwealth funded transition to work program

Description of disability, injury or health condition *

Patient Details

Name *

Date of birth *

Gender *

Male
Female

Address *

State *

Postcode *

Phone *

Patient has consented to this referral (See the privacy statement) *

Student has consented to this referral (See the privacy statement) *

Yes

Income source *

Centrelink
Other

Compensation claim related to this health condition *

Yes
No

Is your patient currently working? *

Is your student currently working? *

Yes
If yes, how many hours per week? *
No
If no, date ceased working

Is your patient a full-time high school student or has left high school in the last 12 months? *

Is your student a full-time high school student or has left high school in the last 12 months? *

Yes
No

Is your patient already linked with an employment service provider? *

Is your student already linked with an employment service provider? *

Yes
If yes, name of provider *
No
Unsure

Centrelink customer reference number (CRN) if known

Referrer name *

Practice *

School *

Address *

Phone *

Fax *

Email *

State *

Postcode *

Number of vacancies *

Description of job *

Number of employees *

Service you are interested in *

Preferred method of contact *

Email
Phone

CRS Australia office you visit *

Consultant's name *

Position number

Please use the Expression of interest form.

Further information / comments / notes

How did you find out about us? *

If other, please specify *

To help prevent spam please type the number 6065 *

Please see the privacy statement before submitting.

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