-Traineeship Eligibility Assessment-
Given Names: *
Surname: *
Date:
Other Name(s):
Your USI (Unique Student Identifier) is your individual education number for life. It also creates an online record of your Australian training achievements. To get or check a USI visit: https://www.usi.gov.au/
My Unique Student Identifier (USI) is: *
Driver's Licence number: *
Date of Birth: (DD/MM/YYYY) *
What is your residency status? *
In which country were you born? *
What is the main language spoken at home? *
Do you consider yourself to have a disability, impairment or long-term condition? *
Residential Address: *
Suburb: *
State: *
Postcode: *
Email address: *
Mobile Phone: *
Prior qualifications obtained (if known):
Are you currently undertaking any other study, if yes name of course?
Employment
Which category best describes your current employment status? *
Minimum hours worked per week? *
Employment start date: *
Workplace name: *
Workplace address: *
Workplace suburb: *
Workplace state: *
Workplace postcode: *
Workplace supervisor/manager name: *
Workplace supervisor/manager email address: *
Workplace supervisor/manager mobile or phone number: *
Qualification Details / Title
Course / Australian Apprenticeship Name *
Course National Qualification Code: *
RTO Funding Source: Please select the only option presented for this question. *
Occupational Outcome: Please select the only option presented for this question. *
I have read and understand the Privacy Collection and Consent WVI and I consent to the collection, use and disclosure of my Personal Information in the manner outlined in the Privacy Collection and Consent WVI *