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Rural Workforce Partnership Pilot
Expression of Interest Screening Survey
1.
Full Name
2.
At what email address would you like to be contacted?
3.
Phone number
4.
Organisation Name
5.
Your position at work
6.
What prompted you to express interest in the Rural Workforce Partnership Pilot?
Linkedin post
Referral
Facebook
7.
Briefly describe your current workforce challenges.
8.
Organisation size (number of employees)
Less than 20
20-50
51-200
200+
9.
Which sectors do you operate in?
Healthcare
Professional Services
Agriculture
Retail
Hospitality
Education
Essential Services
Other (please specify)
10.
Have you previously implemented strategies to improve attraction, recruitment, or retention?
Yes
No
Other (please specify)
11.
If yes to question 11 - provide details
12.
Do you have internal resources (staff/time) to support implementation if selected?
Yes
No
13.
If yes to question 13 - provide details
14.
On a scale of 1–10, how confident are you in attracting and retaining a rural workforce?
1 star
2 stars
3 stars
4 stars
5 stars
6 stars
7 stars
8 stars
9 stars
10 stars
15.
What specific outcomes are you hoping to achieve through this pilot?
16.
Why do you believe this pilot aligns with your organisation’s needs?
17.
Are you willing to participate in co-design activities and share feedback during the pilot?
Yes
No
Maybe
Other (please specify)
18.
If selected, can you commit to regular check-ins and implementation steps?
Yes
No
Maybe
Other (please specify)
19.
The pilot includes a discounted fee after assessment (to cover program costs). Does your organisation have the capacity to pay a fee?
Yes
No
Need to discuss further
Other (please specify)
