New Horizons

1

Applicant Details* This field is required.Please complete all fields below

First Name

Last Name

Phone Number

Email

Suburb

Postcode

Age Bracket

2

Are you currently employed?* This field is required.Please select your answer

YESNO

3

If yes, are you employed Full Time, Part-Time, Casual?

4

What is your current Job Title?* This field is required.Please answer below

5

Have you been unemployed for more than 6 months?* This field is required.Please select your answer

YESNO

6

What is your highest Qualification Achieved? * This field is required.Please answer below

7

Do you have any additional certifications or training?Please answer below

8

What are your main goals for joining this program?* This field is required.Select all that apply

Secure employment

Change careers

Improve confidence and job readiness

Gain new qualifications or skills

Explore entrepreneurship

Other (please specify)

9

"OTHER" - Please specify* This field is required.What are your main goals for joining this program?

10

What industries are you interested in working in?Please answer below

11

What challenges have you faced in securing employment? Please answer below

12

Do you have any other information you would like to provide us at this time?Please answer below