Pre-Employment Assessment
— Referrer Booking Form—

Thank you for choosing EPSA for your Pre-Employment Assessments. Simply complete the details below and we'll take care of everything — including booking your candidate in at a time that suits them. If you don't have an answer to a question, leave it blank and we'll follow up with you directly.

YOUR COMPANY DETAILS

Tell us about your organisation so we know who to contact.

Company Name *

Primary Contact Name (HR / Manager / Recruitment) *

Contact Phone *

Contact Email *

RESULTS TO BE SENT TO

Who should receive the assessment results? This may be the same person as above — just let us know.

Results Recipient Name *

Role / Position

Phone

Email *

ROLE DETAILS

Help us match the right assessments to the physical demands of the role.

Role / Job Title *

Role Demand Level *

Light — Mostly seated / light tasksMedium — Regular lifting up to 16kgHeavy — Frequent lifting up to 32kgVery Heavy — Sustained heavy lifting / FCE-level work

Not sure? Choose the closest option — we'll confirm with you before booking.

KEY PHYSICAL DEMANDS

Floor → Waist (kg)

Waist → Shoulder (kg)

Above Shoulder / Overhead (kg)

Push / Pull Tasks (kg)

Additional Physical Demands Notes

Upload Physical Demands Analysis

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Accept: PDF, Word, Image

DRUG & ALCOHOL SCREENING

Drug & Alcohol Screen Required?

Saliva — InstantUrine — InstantUrine — Lab-Based (NATA)None required

ASSESSMENTS REQUIRED

Tick all that apply. If you're unsure, leave blank and we'll recommend based on the role demand level.

Upload Assessment Instructions (if any)

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CANDIDATE DETAILS

Tell us about the person being assessed. We'll contact them directly to arrange their appointment.

First Name *

Last Name *

Date of Birth

Email

Contact Number *

Gender

MaleFemalePrefer not to say

Preferred Appointment Date

Preferred Date + Time + Scheduling Notes fields

Morning (8am–12pm) ·Afternoon (12pm–5pm)No preference

Scheduling Notes

PAPERWORK & FORMS

If your organisation uses its own forms or has specific requirements, upload them here.

Paperwork Type

EPSA will provide all formsEmployer / client forms to be used (upload below)Forms will be sent prior to the appointment

Upload Employer / Client Forms

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What happens next?

1. Our team will review your booking request within 1 business day.
2. We'll confirm the assessments and contact you if we have any questions.
3. We'll reach out to your candidate directly to book their appointment.
4. Results will be sent to your nominated contact after the assessment.

Questions? Call us on (08) 8186 2424 or email info@epsa.net.au