ACT Government Medical Booking Form for Youth Justice and Adolescent Services Division "*" indicates required fields Applicant DetailsName* First Last Phone number*Date of birth* Email* Preferred Clinic Location*Please select from the drop-down menuQueanbeyanDivision*Bimberi Youth Justice Centre (BYJC)Youth Justice Community Residential Services (YJCRS)Alexander Maconochie CentrePosition title*Medical Components Required:* Standard Pre-employment Medical; Audiometry; Spirometry; Instant Drug and Breath Alcohol; Functional Assessment Please upload your Job Description (JD) in either pdf or word document (NOT the Letter of Offer with salary). If you do not have a JD, please ensure to request one from your recruiter. Without JD, your booking will not be proceeded.*Please upload your Job Description (JD) in either pdf or word document (NOT the Letter of Offer with salary). If you do not have a JD, please ensure to request one from your recruiter. Without JD, your booking will not be proceeded. Max. file size: 2 MB. Appointment Details1st Suitable Date* 1st Suitable Time* Hours : Minutes AM PM AM/PM 2nd Suitable Date* 2nd Suitable Time* Hours : Minutes AM PM AM/PM 3rd Suitable Date* 3rd Suitable Time* Hours : Minutes AM PM AM/PM This field is hidden when viewing the formAvailable dates from:* This field is hidden when viewing the formAvailable dates to:* This field is hidden when viewing the formPreferred appointment times* Monday AM Monday PM Tuesday AM Tuesday PM Wednesday AM Wednesday PM Thursday AM Thursday PM Friday AM Friday PM Please specify any special requirementsUpload filesPlease upload any previous medical records, medical management plans, or any other relevant documentation.Max. file size: 2 MB. Comments
