Empowerment through Employment

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* 1. What is your first name?

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* 2. What is your last name?

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* 3. Are you looking to work, study or volunteer?

Work

Study

Volunteer

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* 4. Do you have work experience?

Yes

No

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* 5. If you answered yes to question 4, what is your previous experience?

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* 6. What areas of work and/or education would you be interested working in? Tick as many as you like.

Accounting

Administration

Construction

Cleaning

Design

Healthcare

Hospitality

Computers (Information and Communications Technology)

Marketing

Science

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* 7. What are your interests, hobbies and/or passions?

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* 8. Are you living with a disability?

Yes

No

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* 9. Do you have dependents? (Children or a carer of a family member)

Yes

No

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* 10. Do you identify as Aboriginal or Torres Strait Islander?

Yes

No

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* 11. Do you have trouble understanding English?

Yes

No

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* 12. What is your best contact number?

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* 13. Would you like a mentor to support your employment journey?

Yes

No

I want to learn more