Y•Skills for Work Expression of Interest Form

Thanks for your interest in our Y•Skills for Work workplace literacy and numeracy programme. Just fill out the form below, hit send, and we’ll be in touch soon.

In accordance with section 234B of the Education Act 1989, The National Council of YMCA’s of NZ has no known material conflicts of interest of any of the governing members of the establishment.

(Educational programmes are delivered under sub-contracted agreement with the National Council of YMCAs of New Zealand (NZQA Registered PTE).)

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* 1. Your Details

Full Name

Date of Birth - DD/MM/YYYY

Home Address

Contact Phone Number

Alternate Phone Number

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* 2. Gender

Female

Male

Gender Diverse

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* 3. Ethnicity

NZ European

Maori

Pacific Island

Asian

Other

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* 4. Name of current employer

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* 5. I would like help with

Reading

Writing

Maths

Filling out forms

Other (please specify)

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* 6. What day(s) suit you best for lessons?

Any

Monday

Tuesday

Wednesday

Thursday

Friday

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* 7. What time(s) suit you best for lessons?

Any

9-10am

10-11am

11am-12pm

1-2pm

2-3pm

3-4pm

4-5pm

5-6pm

6-7pm

7-8pm

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* 8. How did you find out about us?

Website

Facebook

Work

Word-of-mouth

Other (please specify)