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* 1. Full Name:

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* 2. Date Of Birth:

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* 3. Postal Address:

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* 4. Mobile:

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* 5. Email:

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* 6. Please tell us a little about you and why you would like to do this course?

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* 7. What are your goals for the future regarding Employment Pathways?

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* 8. What do you want to achieve from participating in this Program?

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* 9. How can we support you to be successful moving forward?

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* 10. Are you of Aboriginal or Torres Straight Islander heritage? 

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* 11. Do you have a current resume?

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* 12. Are you under 18 years old?

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* 13. Are you currently linked with an Employment Service Provider? If so, name of the provider?

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* 14. Are you double vaccinated?

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* 15. Can you pass a Police check?

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* 16. Are you prepared to get a flu shot?

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