Community Foundation Skills Program Participant Intake & Expression of Interest
Share your details, eligibility, and support needs so LV&DCC can assess interest and contact you about the program.
Participant details
Full name
*
First Name
Middle Name
Last Name
Preferred name
Date of birth
*
/
Day
/
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Phone number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email address
*
example@example.com
Suburb
*
Postcode
*
Preferred contact method
Phone
SMS
Email
Basic SQW eligibility check
I am 15 years or older
*
Yes
No
I live in Queensland
*
Yes
No
I am eligible to participate in Skilling Queenslanders for Work
*
Australian citizen
Australian permanent resident
Temporary resident with necessary visa and work permits on the pathway to permanent residency
New Zealand citizen permanently residing in Queensland
Other
I am not currently enrolled at school
*
Yes
No
I am not currently undertaking another Skilling Queenslanders for Work program
*
Yes
No
I understand LV&DCC may need to confirm my eligibility before I can be offered a place
*
Yes
No
Program suitability and goals
What would you like help with?
*
Reading and writing
Forms and paperwork
Maths and money skills
Digital skills
Confidence
Job readiness
Communication
Study preparation
Other
What are your goals after the program?
*
Get a job
Volunteer
Further study or training
Improve confidence
Manage everyday tasks
Help family/community
Other
Any previous education, training, work or volunteering experience you would like us to know about?
Do you have reliable transport to attend sessions?
*
Yes
No
Unsure
Do you have access to a phone or device for program communication?
*
Yes
No
Limited access
Emergency contact
Emergency contact full name
First Name
Last Name
Relationship to participant
Please Select
Parent
Guardian
Spouse/Partner
Sibling
Relative
Friend
Other
Emergency contact phone number
Please enter a valid phone number.
Format: (000) 000-0000.
Consent and privacy
Consent to collection and use of my information by LV&DCC
*
I agree
Consent to share relevant information for program administration and support
*
I agree
Acknowledgement of separate enrolment and assessment process
*
I understand
Media consent
Consent for photos, videos or comments to be used by LV&DCC for program promotion, social media, newsletters, reports or funding acquittals
*
Yes
No
Please ask me each time
Declaration
Declaration
*
I declare that the information I have provided is true and correct to the best of my knowledge
Participant signature
*
Date
*
/
Day
/
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Submit Expression of Interest
Submit Expression of Interest
Should be Empty: