Organisation Registration This form is for Aged Service Providers to complete. By completing this form, you are requesting access to this system as an Aged Care Provider Organisation. Your account will NOT be available UNTIL it has been approved by an Administrator. Once the account has been approved, you will receive a notification from the system to say the account is now active.Organisation Name*Site name*Please enter the site name you are creating this account for. This will be used as your "nickname" which is how others using this system will identify you. For example, if your organisation is called ABC Organisation and you have an office in Hobart and in Launceston, you would put ABC Hobart if you were creating this account for the Hobart office. If you only have one location, just use your organisation name + that location name as the site name (eg: ABC Hobart)Region*Please chooseSouthNorthNth WestContact person* First Last Person's position in the organisation*Contact Phone*Address* Street Address Address Line 2 City ZIP / Postal Code Email*This must be unique and others cannot have used this email address to create an account. Username*Please create a username for your login. Only letters and numbers can be used. Please do not use spaces or other special characters either. You cannot use an email either.Password* Enter Password Confirm Password What roles are you needing?Please choose the role or roles that you need in this system. You can choose more than one. Note that you will not automatically be given these roles. A Workforce Hub administrator will need to approve your request. Once your request is approved, the system will automatically notify you that your account is active. Organisation Profile Manager Access Employment Register Create and Manage Job Listings NameThis field is for validation purposes and should be left unchanged.
