Expression of Interest
SKILLS FOR INDUSTRY
Personal Details
Name
First Name
Last Name
Date of Birth
/
Day
/
Month
Year
Date
Gender
Please Select
Male
Female
Other
Ethnicity
Please Select
111 NZ European / Pākehā
121 British / Irish
122 Dutch
123 Greek
124 Polish
125 South Slav
126 Italian
127 German
128 Australian
129 Other European
211 Māori
311 Samoan
321 Cook Islands Māori
331 Tongan
341 Niuean
351 Tokelauan
361 Fijian
371 Other Pacific Peoples
411 Filipino
412 Cambodian
413 Vietnamese
414 Other Southeast Asian
421 Chinese
431 Indian
441 Sri Lankan
442 Japanese
443 Korean
444 Other Asian
511 Middle Eastern
521 Latin American
531 African
611 Other Ethnicity
999 Not Stated
Iwi Affiliation
If you identified as Māori, please list your affiliated iwi.
Contact Details
Address
Street Address
Street Address Line 2
City
Suburb
Post Code
Contact Number
-
Area Code
Phone Number
Email Address
example@example.com
Work and Income Details
Are you a Work and Income Client
Please Select
Yes
No
Service Centre
Please note your service centre
Work and Income Client Number
Work and Income Benefit
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Terms & Conditions
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By ticking this box, you confirm that all information provided is true and correct.
By ticking this box, you confirm that you agree to be contacted by a member of Social Labour Supply, to discuss your interest in our Skills for Industry programme.
By ticking this box, you agree Social Labour Supply has permission to share personal information with the Ministry of Social Development to confirm your eligibility for the programme.
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