Works Program Registration of interest

REGISTRATION OF INTEREST

Renewal SA Works Program
Name*

First nameLast name
Telephone / mobile number*
e.g. (04) 12345678Format: (00) 00000000.
Email address*

Confirmation Emaile.g. example@example.com
I am*
I am (select one option):*

A studentA jobseekerA teacherAn employment services providerA community organisationA business
I am (select one option):*

A studentA jobseekerA teacherAn employment services providerA community organisationA business
Institution name *
Organisation / business name*
Role*
What suburb or region does your organisation support?*
What cohort do you work with? (e.g. Students, Employment Services, Career Transition, Disability Services, Transition to Work, Parent Pathways, First Nations, Community Development, Skills for Education and Employment, other)*
Suburb*
I am (select all that apply)*

Looking for work experience opportunities for myselfLooking for work experience and employment opportunities for myselfLooking for training opportunities for myself
I am interested in receiving updates about (select all that apply)*

Work experience opportunities for my studentsWork experience and employment opportunities for my studentsTraining and employment programs for my students
I am interested in receiving updates about (select all that apply)*

Work experience opportunities for my clientsWork experience and employment opportunities for my clientsTraining and employment programs for my clients
I am interested in receiving updates about (select all that apply)*

Work experience opportunities for our membersWork experience and employment opportunities for our membersTraining and employment programs for our members
I am looking to connect with the Works Program*

To offer work experience opportunitiesTo offer work experience opportunities for employmentTo partner on training and employment programsTo partner in offering educational activitiesTo explore synergies and partnership opportunities
Where are you currently enrolled?*
Date of birth*

DayMonthYear
Date
What is your gender?

MaleFemaleNon-binary/non-conformingPrefer not to answerOther
Are you:

Aboriginal or Torres Strait IslanderA migrant
Do you have a disability?

YesNo
What suburb do you live in?*
What subject(s) are you studying?*
I'm interested in these fields (select all that apply):*

Civil constructionGeneral constructionLandscaping and horticultureAdministrationMarketingReal estateEngineeringOther
Note: Some work experience opportunities will require a pre-commencement alcohol and drug screening. Some opportunities may also require a National Police Check and/or a Working with Children Check.
Do you hold any licences or tickets? (select all that apply)*

Driver's licence (full or provisional)Driver's licence (learner's)White card - Prepare to work safely in the construction industryWorkzone Traffic ManagementWorking at HeightsCurrent National Police CheckCurrent Working with Children CheckSenior First AidForklift licenceSkidsteer licenceOther
Do you have access to a reliable vehicle or method of transport to travel to and from a work experience placement, employment or training program?*

YesNo
What is your highest level of education*

Year 9Year 10Year 11Year 12Certificate ICertificate IICertificate IIICertificate IVDiplomaTertiary
How did you hear about the Works Program?*

On a Works Program tourFacebookLinkedInSchoolTraining programEmployment services consultantCareer expoOther
Registrations for consideration for work experience, work experience and employment opportunities and advice about training programs will be deleted 12 months from submission.
Contact: renewalsa.worksprogram@sa.gov.au to unsubscribe.
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REGISTRATION OF INTEREST