University of New South Wales Agency Labour Hire – Panel Qualification Program Schedule 1: Application Form INSTRUCTIONS: 1. Only those Applicants who satisfy all requirements listed in section Error! Reference source not found. of the Program conditions may apply. 2. Applicants must include copies of all requested documents with reference made to the corresponding section number in the application form. 3. Applications should be submitted via email to: agencylabour@unsw.edu.au 4. Documents must be in MS Word format. APPLICATION DETAILS A. ORGANISATION DETAILS If a Company, the Company Name If a Partnership, the Partnership Name If an Individual, the Individual’s Full Name Trading Name Australian Business Number (ABN) Australian Company Number (ACN) Registered Office Address(if a company) Site Address (principal place of business) Postal Address (principal place of business) Alternative Address (if any) Representative Name Representative Telephone Number Representative Email Address Chief Executive Officer’s Name (CEO) Main Switchboard Telephone Number: Company Email Address Website Address: Program Conditions pg. 1 University of New South Wales Agency Labour Hire – Panel Qualification Program B. CATEGORY OF APPLICATION (Please indicate from the list below the categories of Agency Staff that your agency provides) Refer to Schedule 6 of the UNSW Master Agency Agreement for detailed descriptions of these Categories. Agency Staff: Administration Personnel Finance Personnel Specialist Personnel Technical Personnel IT Personnel Academic Personnel Other/s (please specify) ____________________________________ C. CAPABILITY Please provide a brief statement demonstrating your capability to provide Agency Labour Hire services for each Category. Please include a copy of your organisational structure and detail the experience and qualifications of your staff in managing these categories. D. ACCEPTANCE OF UNSW TERMS AND CONDITIONS Please advise your acceptance of the clauses in the ‘UNSW Master Agreement – Agency Labour Hire’ (Schedule 2). Agencies must describe and give reasons for any proposed exceptions and state any effect on their Application (including commercial terms) if the proposed exception is rejected by UNSW. E. REFERENCES For Agencies who have not provided services to UNSW during the previous 12 months, please provide two (2) references for each of the categories covered. Use the example table below in your response. Preference will be given to those Applicants who have relevant experience in the tertiary education sector. Category: Company Name: Referee Name Referee’s Title: Referee’s Contact Number: Number of years providing this service: Permanent – IT ABC Company Mr. John Smith HR Director +0401 999 999 5 years F. COMMERCIAL Please provide your proposed fees below for each category indicated. Important Note: Proposed fees must be sufficient to ensure top quality (including ‘cream of the crop’) candidates are offered to UNSW at all times. It should be noted that Qualified Agencies who, upon review, are deemed by UNSW to have repeatedly offered sub-standard candidates may risk being disqualified from the Program (and subsequently denied the ability to re-apply for 12 months, if at all). Agency Staff Fees Gross Margin is defined as the percentage (%) applied to a candidate’s Total Remuneration Package (base rate plus superannuation & benefits) to determine the agency’s fee (ie: the rate that UNSW is liable to pay your Program Conditions pg. 2 University of New South Wales Agency Labour Hire – Panel Qualification Program agency). The Gross Margin should include all other applicable statutory costs (workers compensation and payroll tax), agency operating costs, agency profits, and any other applicable costs (e.g., professional indemnity insurance etc). Insert Gross Margin rates (as a percentage % and/or fixed dollar amount $) next to each category of labour provided Type & Category (refer Schedule 6 for classifications) Agency's Gross Margin (as a percentage % of TRP) Administration Positions Finance Positions Specialist Positions Technical Positions IT Personnel Academic Personnel Other (please specify): Other (please specify): Other (please specify): Quoted Gross Margin should exclude GST. Temp-to-Perm Fees: (refer clause 3.3 of Schedule 2) Please indicate your proposed ‘Temp to Perm’ fees as a percentage (%) of TRP. Temp-to-Perm fees will be governed by the terms and conditions listed in the UNSW Master Agency Agreement. Period of Assignment Agency Fee (as a % of TRP) 0-1 Month 1-3 Months 3-6 Months 6+ Months No Fee Payable Bulk Discounts: Please indicate any bulk discounts that may apply for the assignment of multiple candidate Assignments. Bulk discounts should be expressed as a Percentage (%) off the proposed Gross Margin: Number of Personnel Discount Off Agency Fees 10+ 20+ 30+ Program Conditions pg. 3 University of New South Wales Agency Labour Hire – Panel Qualification Program 40+ 50+ G. REGISTRATION/MEMBERSHIP Provide evidence (copies) of registration with other NSW government procurement panels or Membership to RCSA or other industry-specific recruitment bodies. H. EVIDENCE OF INSURANCES Provide evidence (copies) of appropriate insurances held, including Public Liability, Workers Compensation and Professional Indemnity. I. EXISTING TEMPORARY STAFF CONTRACTS If your Agency has existing contracts in place for individuals whose assignments at UNSW are likely to continue past 1st October 2011, please provide details and copies of relevant contract/s. Program Conditions pg. 4 University of New South Wales Agency Labour Hire – Panel Qualification Program Schedule 2 – UNSW Master Agreement Refer attached document titled “UNSW Master Agreement – Agency Labour Hire”. Program Conditions pg. 5