Australian Assessment Form

Please complete the following details in full for us to make an
assessment of your needs. Please ensure you answer ALL questions and
attach your CV before submitting.

Level of interest for migrating:    Ideally 2010     Keen     Just looking
Current visa status:	Not started Started utilizing the services of a visa agent      Name of agent:   Started but NOT utilizing the service of a visa agent
Interest services:	Visa assistance Job Search assistance Job Search & Visa assistance Other - e.g. business, investor, family
What type of visa are you looking for:    Student     Work     Permanent     Expat / visa holder
Anticipated / Ideal date of arrival in Australia:
Principal Applicants Family Name:
First Name:		Middle Name:
Date of Birth:		Citizenship:
Place of Birth:
Male     Female             Married     Single
Address:
City:
Post code:
Country:
Phone:		Fax:
Email:
Spouse's Family Name:		Other Names:
Date of Birth:		Citizenship:
Place of Birth:
Male     Female             Married     Single
Children who would be included in your application: (if not AU citizens)
First Child First Name: Middle Name: Date of Birth: Citizenship: Place of Birth: Male     Female
Second Child First Name: Middle Name: Date of Birth: Citizenship: Place of Birth: Male     Female
Third Child First Name: Middle Name: Date of Birth: Citizenship: Place of Birth: Male     Female

Qualifications (Principal Applicant)	Work History (Principal Applicant)
Qualification 1 Full Name of Qualification: Name of Institution: Address of Study: Country of Study: Start Date: Finish Date:   Full Time     Part Time Number of Years Studied: Qualification 2 Full Name of Qualification: Name of Institution: Address of Study: Country of Study: Start Date: Finish Date:   Full Time     Part Time Number of Years Studied: Qualification 3 Full Name of Qualification: Name of Institution: Address of Study: Country of Study: Start Date: Finish Date:   Full Time     Part Time Number of Years Studied: Qualification 4 Full Name of Qualification: Name of Institution: Address of Study: Country of Study: Start Date: Finish Date:   Full Time     Part Time Number of Years Studied:	Job 1 Name of Employer: Job Title: Country of Employment: Start Date: Finish Date: Work Hours: Full Time     Part Time   If part time how many hours a week did you work:         Job 2 Name of Employer: Job Title: Country of Employment: Start Date: Finish Date: Work Hours: Full Time     Part Time   If part time how many hours a week did you work:         Job 3 Name of Employer: Job Title: Country of Employment: Start Date: Finish Date: Work Hours: Full Time     Part Time   If part time how many hours a week did you work:         Job 4 Name of Employer: Job Title: Country of Employment: Start Date: Finish Date: Work Hours: Full Time     Part Time   If part time how many hours a week did you work:
Qualifications (Spouse)	Work History (Spouse)
Qualification 1 Full Name of Qualification: Name of Institution: Address of Study: Country of Study: Start Date: Finish Date:   Full Time     Part Time Number of Years Studied: Qualification 2 Full Name of Qualification: Name of Institution: Address of Study: Country of Study: Start Date: Finish Date:   Full Time     Part Time Number of Years Studied: Qualification 3 Full Name of Qualification: Name of Institution: Address of Study: Country of Study: Start Date: Finish Date:   Full Time     Part Time Number of Years Studied: Qualification 4 Full Name of Qualification: Name of Institution: Address of Study: Country of Study: Start Date: Finish Date:   Full Time     Part Time Number of Years Studied:	Job 1 Name of Employer: Job Title: Country of Employment: Start Date: Finish Date: Work Hours: Full Time     Part Time   If part time how many hours a week did you work:         Job 2 Name of Employer: Job Title: Country of Employment: Start Date: Finish Date: Work Hours: Full Time     Part Time   If part time how many hours a week did you work:         Job 3 Name of Employer: Job Title: Country of Employment: Start Date: Finish Date: Work Hours: Full Time     Part Time   If part time how many hours a week did you work:         Job 4 Name of Employer: Job Title: Country of Employment: Start Date: Finish Date: Work Hours: Full Time     Part Time   If part time how many hours a week did you work:

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