Employer Registration Form - An Eye to the Future Program
Blind Citizens Australia's An Eye to the Future program aims to assist businesses to diversify and expand their workforce by employing someone who is blind or vision impaired in short, medium or long term paid employment. If you would like to know more about our program, or discuss opportunities within your organisation, please complete the following form and a team member will be in contact with you.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Business Name / Organisation
*
Industry
*
Which State or Territory does your business operate?
*
ACT / NSW
Central Australia
Queensland
Northern Territory
South Australia
Victoria
Western Australia
Fully Remote / work from home
Are there roles in your organisation you are currently looking to fill?
*
Yes, looking to fill a particular role.
No, seeking more information only at this stage.
If yes, please provide details including role, location and hours. You can also attach a position description below.
Attach position description or job details file below (Word format only, please).
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How did you hear about Blind Citizens Australia's An Eye to the Future program?
*
Referral / word of mouth
An Eye to the Future Business Workshop or Event
An Eye to the Future website
Blind Citizens Australia website
Direct email or newsletter
LinkedIn
Twitter
Other
If other, please specify:
Any further comment or details to support your enquiry:
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