Client Questionnaire Koala Solutions

This form is intended for skilled workers seeking potential job opportunities. By completing and submitting this form, you will be added to our internal candidate database for future consideration by employers seeking qualified talent.

Important Notes:

Submission does not guarantee employment or job placement.
Do not call regarding your submission status.
We will contact you via email only if a suitable opportunity becomes available.
Incomplete or inaccurate forms will not be processed.

Please complete all required fields accurately. We appreciate your interest.

What is your occupation?*

Are you Currently in Australia?*

YesNo

Date of Arrival on Australia*

DD/MM/YYYY

Current Visa Type/Name/Subclass*

Expiry Date*

DD/MM/YYYY

Name*

Given NamesFamily Name

Date of Birth*

Country of Birth*

Per Birth Certificate or Passport

Email Address*

example@example.com

Mobile*

Country CodeArea CodePhone Number

Current Residential Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Relationship Status*

Single or Never MarriedDivorcedMarried/De FactoSeparated

Date of Marriage/Relationship

DD/MM/YYYY

Date of Divorce/Separation

DD/MM/YYYY

Do you have an English Test Result (Not more than 3 years)*

YesNo

Score

	Listening	Reading	Speaking	Writing	Overall
Score

File Upload -English Language Test

Do you have a Valid Skills Assessment Outcome(s) from Australian Governing Bodies?

YesNo

File Upload - Skills Assessment Outcome

Skill Assessment Details

	Assessing Authority	Occupation	Date of Assesment
1
2

List all of your Qualifications (Diploma/Certificate Level and Higher)*

List your Employments*

Signature*

Skilled Worker Recruitment Form