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Facilitating skills development through the employment and training of apprentices and trainees to service the needs of our community. Servicing Central Qld industry from offices at the following locations Gladstone | Rockhampton | Blackwater and Biloela

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	Title
	First Name *
	Last Name *
	Email Address *
	Date of Birth *
	Home Address *
	City *
	State *
	Postcode *
	Country *
	Home Phone Number *
	Cell Phone Number *
	Attach File (100Mb Limit *)
	Apprenticeship or Traineeship *	Apprenticeship Traineeship
	1st Preference *
	2nd Preference *
	Next of Kin *
	Relationship *
	Telephone *
	Mobile *
	Drivers Licence *	Yes No
	Learners Licence *	Yes No
	Current Situation *	Student Unemployed Employed
	Are you a registered Job Seeker? *	Yes No
	If yes, what is your Job Seeker Number?
	Preferred Employment *	Part Time Full Time School Based
	Have you previously been an Apprentice/Trainee with the Gladstone Area Group Apprentices Ltd? *	Yes No
	If yes when? Gladstone
	In what capacity? Gladstone	Apprentice Trainee
	Have you previously been employed as an apprentice/trainee with any other employer? *	Yes No
	If yes when? other employer
	In what capacity? other employer	Yes No
	Have you COMPLETED certificates of any type?	Yes (not partial completions) No
	Certificate Level
	In what qualification?
	Do you have a Construction Industry Blue Card?	Yes No
	Have you completed any industry inductions? *	Yes No
	Where?
	Were you born in Australia?	Yes No
	If no, do you hold Australian Citizenship?	Yes No
	If no, do you hold Permanent Residency?	Yes No
	If yes, please advise when your permanent residency was granted *
	An Aboriginal or Torres Strait Islander? *	Yes No
	An Australia South Sea Islander? *	Yes No
	Long term unemployed? (12 months minimum) *	Yes No
	A woman re-entering the workforce after 12 months or more? *	Yes No
	From a non-English speaking background? *	Yes No
	Do you have a disability? *	Yes No
	How did you hear about us? *
	I have Read GAGAL's Privacy Statement (this is a required field) *	Yes
	Enter Word Verification in box below *

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