Prospect Form



Please read this information before completing this form.

We are committed to protecting your privacy and maintaining confidentiality, and also to using the information you have provided to help match you to suitable job opportunities.


Important information about your personal details:

  • Sometimes we need to talk to people such as previous employers, job referees, referring agencies and training organisations to help us build a picture of your skills and abilities. We will always get your permission before contacting anyone for this purpose.
  • We may also need to talk to potential employers when looking for suitable work for you. Again, we will get your permission first.
  • The work we do to try to find you suitable employment is generally paid for by another organisation such as the Ministry of Social Development (MSD), ACC or an insurance company. They require us to provide them with information about the services we have provided to you and to notify them if you are employed through our employment service.
  • They may contact you to confirm you have received services from us.
  • We sometimes use independent companies to undertake customer surveys on our behalf.
  • You may be contacted by one of these companies and invited to take part in a survey about the quality of our services. Of course you don’t have to participate, and you can opt out of future contact
  • Your personal information is stored by Workbridge electronically. We have comprehensive security arrangements in place that protect against loss or misuse of your personal information.
  • You can access the information we hold about you at any time, you just need to ask.
  • You can ask us to change any information we hold about you that is not correct.


Eligibility Check
Confirm Eligibility

Exceptions to Eligibility
  • You qualify for vocational rehabilitation from the Accident Compensation Corporation (ACC)
  • You are being provided vocational services by the Ministry of Health.
  • You are enrolled at a secondary school

If you don't meet these conditions, need help with the form, or are unsure if you might qualify, please contact our friendly team on:

Phone: 0508 858 858 (between 8:30am and 6:30pm, Monday to Friday)
Email: registeronline@workbridge.co.nz
Relationship with Work and Income
Please select one of the following statements that apply to you
Personal Details