Expression of Interest for Retail Ready and Able | Australian Retailers Association

Are you*

A Retailer - Investigating how to employ someone with a disability

A Job seeker - Who identifies as having a disability

Provider of services and supports for those with a disability - Who would like to get involved

About your business

ABN

Trading Name*

Legal Name

Address

Street Address Address Line 2 Suburb State Postal Code

Industry Category

Current no.of employees

How can we assist you employ a person with a disability ?

Key Contact Details

Name*

First Last

Email*

Phone*

Job Title

Participant Details

Name*

First Last

Email*

Date of Birth

Phone

Address

Street Address Address Line 2 City State Postal Code

Gender

Female

Male

Non - Binary

Other

Equity Group*

Indigenous

CALD

Disability

About your service / support

Business Name

Address

Street Address Address Line 2 City State Postal Code

How can we assist you to employ or get employment for a person with a disability?

Key Contact Details

Name*

First Last

Email*

Phone

Job Title

Privacy Statement

Personal Information
The personal information is protected by law, including under the Privacy Act 1988 (Privacy Act).
Personal information is information or an opinion about an identifiable individual. Personal information includes an individuals' name and contact details.

Collection of your information
Information provided on this referral form should only be your own. This form is not to be used by a third party to provide personal information about another individual.

Purpose of collecting your information
The personal information is collected for the purpose of registering your candidate in the specified program and/or related purposes. If you do not provide some or all of the personal information requested, your interest in these positions may not be successfully registered.

Disclosure of your information
The personal information may be disclosed to third parties including but not limited to members of the Australian Retailers Association . The personal information may also be disclosed to other parties for purposes other than the purpose set out in this privacy notification and consent form where you have agreed, or where it is otherwise permitted under the Privacy Act. The personal information is unlikely to be disclosed to overseas recipients.

Privacy Policy
The Australian Retailers Association Privacy Policy, including information about how to make a complaint and access to and correction of the personal information can be requested at training@retail.org.au

I have read the above privacy statement