Kowanj. Expression of Interest Form

Expression of Interest Form

Where did you hear about Kowanj?

WorkSkill

Please choose the service:

Are you looking for employment or to complete a course?

Personal Information

Name:

First NameLast Name

Gender:

Please select your gender

Date of Birth:

Day / Month / Year

Address:

Street Address

City:

Post Code:

State:

Mobile Number:

E-mail Address:

example@example.com

Job Service Provider Name & Location

What are your hobbies/interest?

E.g. Playing Sport

Qualifications

1. What is the highest level of study completed

e.g I've completed a Certificate III in Aged Care

2. Are you currently Studying

3. I am currently studying?

What are you currently studying

Employment

1. Are you eligible to work in Australia

2. Are you currently working?

Cultural Background

Were you born in Australia

What is your country of birth?

Which African country are you from?

How long have you been living in Australia?

e.g. 6 Months or 5 years

Which best describes you?

Other

What languages do you speak?

What is your level of English?

Please Select Your Level of English

What cultural background do you identify with?

Activities Kowanj may be able to support under the WDP Scheme

Work and Development Permit (WDP) – Fines Victoria
If you have unpaid fines, you may be eligible for support through the Work and Development Permit (WDP) Scheme. Please complete the questions below so we can assess whether we may be able to support you.

Are you seeking support for unpaid fines through the WDP Scheme?

Do any of the following currently apply to you? (Select all that apply)

Which activities would you be interested in as part of WDP support? (Select all that apply)

Are you currently connected with a service or worker?

If yes, please provide details.

Are you under 25 years old?

Please briefly tell us about your situation and what support you are seeking.

General

Do you consider yourself to have a disability, impairment or any ongoing medical condition?

If Yes, List below?

List any disability, impairment or ongoing medical condition you have

Do you have a valid drivers license?

Do you have a car or vehicle?

Upload Resume:

Upload a File

Prinvacy & Confidentiality