Skip to content
Multi Trades and Heavy Industries Participant Registration
1.
Participant Details
Name
Address
Suburb
Postcode
Email
Phone Number
Date of Birth
Gender
2.
Are you Aboriginal or Torres Strait Islander Origin
Yes
No
3.
Are you currently at school?
Yes
No
4.
Which program are you applying for? (tick all that apply)
Heavy Industry and Trades Mutli Skills Program (20 weeks)
Engineering Taster (4 weeks)
Electrical/Renewable Energy Taster (4 weeks)
Construction Taster (4 weeks)
Civil/Mining Taster (4 weeks)
5.
Are you currently employed?
Yes
No
6.
If yes, please indicate employment type below:
Full Time
Part Time
Casual
7.
If yes, please indicate hours per week
Less than 15 hours
Greater than 15 hours
8.
Job Seeker Number (if applicable):
9.
Do you have a USI (Unique Student Identification) Number?
10.
Are you registered with an employment service provider?
Yes
No
11.
If yes, please provide details
Sureway
MADEC
YourTown
Other (please specify)
12.
What is the highest level of education you have completed?
Did not attend school
Year 9 or lower
Year 10
Year 11
Year 12/13
Trade/Certificate
13.
What was your main activity before registering for this project?
Working
Studying
Volunteering
Not actively looking for work
Unemployed and looking for work
14.
If you are unemployed and looking for work, how long for:
Less than 3 months
3-6 months
6-12 months
over 12 months
15.
Have you got a drivers licence
Yes
No
16.
Please list any other licences or tickets
Forklift Driving
Welding
Machining
First Aid
Bobcat
Front End Loader
Confined Space
Working at Heights
Other (please specify any others)
17.
Do you have any health problems that may restrict the work you can do?
Yes
No
If yes please specify
18.
Are you currently taking medication for any health concerns?
Yes
No
If yes, please provide brief details:
19.
What are your reasons for wanting to be part of Multi Trades Heavy Industries Program
20.
How did you hear about Multi Trades and Heavy Industries Project
Family Member/Friend
Employment Provider
Television
Jobs Fair
Social Media
From an employer involved in the project
Other (please specify)
21.
Some employment opportunities may require relocation to another city or town or commuting. Are you prepared to (please select if yes):
Relocate
Commute
22.
I give permission for any photographs taken of me whilst in the programme being used for promotional or media purposes
Yes
No
23.
Is there anything else you would like to add?
Current Progress,
0 of 23 answered
