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Enquiry for Apprenticeships Queensland
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Date of Birth*
Tell us if you fit into any of these categories as you may be entitled to extra support during your apprenticeship/traineeship?
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Australian Citizen or Permanent Resident
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Give details if you fit more than one category
Do you have a disablity?
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Are you currenly enrolled at secondary school
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If yes please give name of school and contact person
What is your highest (completed) school level?
Year 10
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In what year did you finish school?
What subjects did you undertake in your final year of school?
Have you successfully completed any of the following?
Other
Advanced Diploma/Associate Degree
Certificate IV
Certificate III
Certificate II
Certificate I
Pre Vocational or Pre Apprenticship Course
Bachelor Degree or higher
Give details of any other qualifications you have
Do you have a Construction Industry Safety Induction Card
No
Yes
If yes, provide the registration number
Do you have any other licences or tickets?
Do you have a current drivers licence?
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Learners Permit
Provisional
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If you have a Learners Permit, how soon can you get your licence?
Do you have you own transport?
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No
If no give details how you will get to work.
What type of position are you interested in?
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Apprenticeships
Work Experience
Traineeship
If work experience, what is your preferred mode?
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One day per week
One Week
Other arrangements
Start and finish dates
If traineeship list areas of interest
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Aged Care
Child Care
Horticulture
Business
Hospitality
Concreting
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List second and third preferences
If apprenticeships, list areas of interest
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Fitting & Turning
Boilermaking
Carpentry
Tiling
Plumbing
Plastering
Painting
Automotive
Diesel Fitting
Air Conditioning & Refridgeration
Electrical
Other
List second and third preference
List 3 Work References
Provide details of your work history and/ or your work experience.
What are your ambitions and career goals for the next 5 years?
Tell us about your interests and achievements outside of work?
Why are you interested in this apprenticeship/ traineeship?
Have you searched our website?
Yes
No
If yes was the information helful?
Who referred you to Apprenticeships Queensland?
School
Careers Expo
Displays
Queensland Times
Courier Mail
Quest - Ipswich News
Advertisement
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Another Group Training Company
Australian Apprenticeship Centre
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Do you have any suggestions for us to improve our website?
I understand that in registering with Apprenticeships Queensland, I give consent to the release of personal information supplied on this form and the attached resume and/or educational results to potential host employers and others who may assist me to gain employment.
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No
Yes
Do you agree to a medical examination by the company's physician upon request
Yes
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Do you have a known health condition which would compromise the safety of either youself, your fellow employees, the public and/or company's property and limit your work performance and appropriate reference check?
Yes
No
If Yes please give details.
I understand that if I am under 18 years of age parental/guardian consent will be required before entering into any training contract.
I agree
I do not agree
I am over the age of 18 years
Do you understand that if any false information is given in this application or in a medical examination it shall be considered as sufficient cause for dismissal from the employment of this company or withdrawal of my application.
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I understand that the information on this form is collected, used and disposed of in accordance with National Privacy Principles. By lodging this form with Apprenticeships Queensland agree to receiving electronic commercial communications eg. SMS and email
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I certify that the information stated in this application is true and correct in every detail.
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Ipswich
Tradesman's Expo
21 May 2010
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