Expression of interest form

If you would like more information on the Australian Technical College - Gladstone Region and about commencing Australian School-based Apprenticeship, please complete this form.

Name of Manager:

Supervisor:

Business:

ABN:

Registered for GST?: Yes
No

Business Address:

Business Number:

Mobile Phone:

Email:

Occupation:

Years at occupation:

Trade offerings:

Award Information for School-based New Apprentice

Award Name:

Award Classification?: Federal
State

Site/Certificate/Enterprise Agreements:

Preferred Days for SBNA on-the-job: Monday Tuesday Wednesday Thursday Friday

Number of workers able to demonstrate the relevant competencies available to supervise or train the SBNA:

Number of School-based New Apprentices agreed to employ in 2006:

Number of School-based New Apprentices for consideration in 2007:

YES, I support the Australian Technical College - Gladstone Region (ATC-GR) I am interested in providing a placement for a School-based New Apprentice and would like to be part of the ATC-GR concept. In addition I would like to be kept informed of updates and would like to be included on the mailing list.
NO, I am not interested at this point in time however I support the ATC-GR concept and I would like to be included on the mailing list and to be kept up to date of the ATC-GR's progress.