Skilling Queensland for Work Application Form

Date of application

Which traineeship are you interested in?

Certificate I in Conservation & Ecosystem Management (18 weeks full time traineeship) Certificate I in Construction (18 week full time traineeship)

This program primarily targets people who are:

Ineligible for Australian Government Employment Services or assistance (Job Active or Disability Employment Services providers); or
Require complementary services because they have significant barriers to learning and employment; or
Have accessed Australian Government Employment Services (through Job Active or Disability Employment Services) for more than 6 months and remain unemployed; or
Parents returning to the workforce; or
Job seekers that do not receive Centrelink benefits

Eligibility

I have not been enrolled in any other SQW funded program I am at least 15 years of age I have been unenrolled from school for at least 6 months I am an Australian citizen, an Australian permanent resident (including a humanitarian entrant), a temporary resident with the necessary visa and work permits on a pathway to permanent residency, or a New Zealand citizen)

Name

First Name Last Name

Address

Street Address

Street Address Line 2

City State

Post Code

Phone Number

Area Code Phone Number

Email

example@example.com

Date of birth

Gender

Male Female

Residency status

Australian citizen Australian permanent resident Australian temporary resident Bridging visa holder New Zealand citizen

Visa subclass number

If applicable

Do you identify as Aboriginal or Torres Strait Islander?

Yes No

Were you born in Australia?

Yes No

Country of origin

Language spoken at home

Do you have a current driver licence?

Open Provisional Learners None

If on your learners, how many hours have you completed?

Do you own or have regular access to a reliable vehicle to get to and from work?

Yes No

Are you currently employed?

Yes No

If you are not working, how long have you been unemployed?

What best describes your employment status?

Full time Part time Casual/contract Volunteer

How many hours do you currently work?

If you were successful in obtaining the traineeship, how many weeks notice would you have to give your current employer?

Who was your last employer and what was your position?

What is your highest level of schooling and what year did you finish?

(Year 10, 2005)

Are you currently receiving Centrelink benefits?

Yes No

Are you currently registered with a Job Active provider?

Yes No

Are you currently registered with a Disability Employment Services provider?

Yes No

What certificates/qualifications have you completed and when?

Provide First Aid, 2020

Have you got any industry related tickets/cards?

White Card, Working At Heights Ticket, Chainsaw Ticket etc.

Do you have any previous experience in this industry?

Why are you applying for the traineeship?

What are your employment goals?

What assistance do you feel you require to help you find employment after completion of the traineeship?

What barriers do you feel you have that might prevent you from completing the traineeship?

Do you have any pre-existing medical conditions that would limit your ability to perform manual tasks (lifting, bending, twisting, repetitive movements etc.) ?

No Yes

If yes, please describe medical condition.

Reference (work references are preferable)

Name, phone, email & relationship to you

Reference (work references are preferable)

Name, phone, email & relationship to you

How did you hear about us?

Website Facebook/social media Indeed Gumtree Advertising Employment provider Friend/family member Community organisation

I understand and commit to:

Working 38 hours per week Starting work early (possible 7:00am starts) Notify my supervisor 1 hour prior to start time if I'm unable to attend due to illness/injury Notify my supervisor if I am running late to work Provide a medical certificate if I am absent from work due to illness/injury Attending Employability Skills training each week Acting respectfully and professionally at all times Completing all of the units in the Certificate I qualification

Declaration:

SANDBAG Inc. collects the above requested information for the sole purpose of delivering the SQW program and will keep this information and any additional information and/or supporting documentation you my be asked to provide, to meet the requirements of its SQW services agreement with the Queensland Government. SANDBAG Inc. will treat your personal details confidentially and store them securely in line with organisational policies and proceedures. It will not share any of your information, except for program progress report to the Department of Employment, Small Business and Training or as otherwise required under its service agreement or with your direct approval to provide you with job search and other relevant assistance. By signing this form you declare that the information provided by you is true and accurate.

I understand that:

Failure to provide the requested information my lead to my expression of interest not being further considered or delayed pending further consideration and possible discussion with me
If I am selected for this position but have provided false or misleading information, my employment may be instantly terminated
My submission of this expression of interest does not guarantee me a place for participation in the SQW program
I may be asked to provide additional information and/or supporting documentation to SANDBAG Inc. during the selection process
I must contact SANDBAG Inc. upon commencement of employment after completing my traineeship for SQW reporting requirements

Signature

Clear

Date

Skilling Queenslanders for Work (SQW)