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Eligibility Form

Company Details
Company Name* ABN*
Street Address  
 
Suburb
Postcode
State
Phone Fax
Email Website

Participant Details

Full Name* Title*
Position*  
 
Phone Fax
Mobile*  
 
Email* Website
Date of Birth*
Gender
 
Course* Which location are you interested in?*

Statistical Information

The information on this form is passed onto an authorised Australian Apprenticeship Centre (AAC) for the initial eligibility check - it must be filled in.

What is your highest completed school level?* In which year did you complete that school level?*
Have you successfully completed any qualifications?*  

 
If Yes, tick the appropriate box below - then specify Specify type of qualification* Year Completed*
Which describes your current employment status?*  






 
Length of time employed with current employment
status?*		  




Were you born in Australia?*

Do you have permanent Australian residency?*  
 
Are you Aboriginal or Torres Strait Islander?*  

 
Do you consider yourself to have a disability,
impairment or long term condition?*

Where did you find out about us?*  
 

TERMS & CONDITIONS:

1. This form is purely to verify if a possible course participant is interested in an Upskilled course and may be eligible for government funding.
2. All above fields are mandatory.
3. By filling this out, you will be under no obligation to enroll for a course with Upskilled.
4. An Australian Apprenticeship Centre will advise of Government funding eligibility.
5. Have read and understood Upskilleds Privacy Policy
6. All information provided must be accurate, complete and filled out by the same person whose name is on the form.