Dress for Success Adelaide

Personal Details

Title:*

First Name:*

Surname Name:*

Preferred Name:

Gender:*

Date of Birth:*

Postcode:*

Contact Details

Home Phone:

Mobile Phone:*

Work Phone:

Email Address:*

Employment Services Provider Details

Are you currently with an Employment Services Provider?*

Employment Services Provider*

Location*

Employment Consultant*

Statistical Data

At Dress for Success we are committed to offering support services to women in need, we collect statistical data to assist in the development of future programs and services to ensure we are meeting all client needs. All information provided is kept strictly confidential.

Have you accessed any Dress for Success services before?*

How did you find out about Dress for Success online workshops?*

Are you of Aboriginal or Torres Strait Islander origin?*

In which country were you born?*

Of the following, which best describes your employment status?*

Your major reason for study:*

Additional Information

Marital Status

Are you a parent?:

Number of Children:

Are you a victim of domestic abuse (physical, emotional, financial)?:

Are you an immigrant or refugee?:

Have you ever been to jail?:

Student Declaration and Consent

Dress for Success (DfS) is committed to protecting your personal information and does so in accordance with the Australian Privacy Principles. All personal information collected by DFS is confidential and used for statistical purposes only. DfS collects this information for primary purpose of supporting your employment journey and goals. By signing below you hereby consent to DfS contacting you to collect feedback to support the continual development of our in person and online services. DfS will not disclose or publish information that identifies individuals without consent.

Career Support Workshops

Developing skills to succeed in your job searching journey