T90 Trainer Application Form

Please complete this application form if you would like to be considered to deliver the T90 program. This survey is in place of face to face interviews, so please ensure you provide answers to all questions. If you have any questions, please call the T90 Team on 03 5571 9001. The estimated time to complete this application is approximately 30-60 minutes.

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* 1. Trainer Details

Name

Address

Address 2

City/Town

State

Post Code

Country

Email Address

Phone Number

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* 2. Company, job role & key responsibilities

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* 3. Business name (For contract)

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* 4. ABN

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* 5. Qualification

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* 6. Year of graduation

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* 7. Area serviced (i.e. 200kms around Dubbo)

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* 8. Why do you want to become a T90 Trainer?

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* 9. Please outline your experience delivering industry programs that support the Australian sheep industry

Please provide 2 referees that will be happy to be contacted regarding previous program delivery:

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* 10. Referee One details:

Name

Phone Number

Relationship to you

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* 11. Referee Two details:

Name

Phone Number

Relationship to you

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20% of survey complete.