Back to Work Employee Retention Support

Back to Work

Employee Retention Support 

Back to Work is providing tailored assistance through The Harrison Tool for Employee Retention to support Queensland employers to retain their employees.

Employer Details

Business Name*

Employer / Supervisor First Name*

Employer / Supervisor Last Name*

Employer / Supervisor Role Title*

Employer / Supervisor Email*

Business Address*

Business Postcode*

Business Size*

(number of employees)

Select or enter value

Please select the Local Government Area (LGA) where your business is located from the dropdown below..*

Select

Business contact phone number*

Phone

Business Industry*

Select

Employer/Supervisor Harrison questionnaire access

As the employer or direct supervisor on this form, please check this box below, if you would also like to complete the Harrison questionnaire.

Employee Details

Please enter the below requested details relating to the employee for which you are seeking access to The Harrison Tool for Employee Retention.

Do you have more than one employee to register today?*

Select

Employee First Name*

Employee Last Name*

Employee Email*

Employee mobile*

Phone

Employee Current Role in the Business*

Please attach multiple employee details template here:

To register more than one employee, please click the below link and download the excel template. Please add employee details and attach to the form before submitting by clicking the paperclip icon at the bottom of this form.

Click Here to Download Template

Drag and drop files here or

Target Groups

Which of the following BTW target groups does your employee identify with?*

Young people (15-24 yrs)

Aboriginal or Torres Strait Islander peoples

People with disability

Long-term unemployed people (unemployed 52 weeks or longer)

Culturally and Linguistically Diverse (CALD) people

None of the above

Employer consent to participate*

The information you provide on this form will be used by the Queensland Government and TAFE Queensland for the purpose of administering and monitoring the Back to Work program and Harrison Tool for Retention. By completing this online form your are providing your consent for Queensland Government and TAFE Queensland to disclose your information to the Harrison platform and to assist you in provision of advice/opportunities available to you or your employee under the Back to Work Program. You are also providing your consent for representatives of the Queensland Government and TAFE Queensland to contact you regarding your possible involvement in public relations, marketing, promotion, advertising and media in connection with the Back to Work Program. All personal information will be managed in accordance with the Information Privacy Act 2009.

Consent to store data offshore*

This registration form is being provided using Smartsheet which is based in the USA. Information you provide on this form will be transferred to Smartsheet’s server in the USA. By volunteering to complete this registration you agree to this transfer.

Employee consent to participate*

I confirm that my employee (details provided above) has provided consent to me, their employer, to sharing their personal information as part of our obligations under the Back to Work program, including access to the Harrison Tool for Retention. I confirm that I have discussed how my employee's information will be managed as per the above clauses.

Send me a copy of my responses

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