MIGATE Registration Form
Fields indicated with a * are required to be completed. |
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CONTACT DETAILS |
* Last Name:
* Residential Address:
Postal Address (if different):
Date of Birth:
Home Phone:
* Email:
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* First Name/s:
* Postcode:
Postcode:
* Gender: Male Female
Mobile Phone/s:
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JOB TRAINING CATEGORIES |
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Type of training job wanted: School-Based Full-Time |
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Insert the number 1 to indicate your job training preference in one of the boxes below. If more than one choice, number accordingly with 1 the first choice etc.
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OTHER
If not listed above, insert your preference: |
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PERSONAL DETAILS |
Emergency Contact
Name: Relationship:
Home Phone: Work Phone: Mobile:
Email Address/s:
Are you currently employed: Yes No If NO, Job Seeker ID Number:
If NO, are you attached to a Service Provider: Job Futures Job Find Other No
If Other, please specify:
If YES, position: Type of Employment: PART-TIME FULL-TIME
How long employed: Place of employment:
Brief description of duties:
Do you have a current drivers licence: Yes No
If yes, what type of licence do you hold: Learners P1 P2 Open None
Class/s and State: Type: Manual Automatic None
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HAVE YOU PREVIOUSLY WORKED AS AN APPRENTICE OR TRAINEE? Yes No
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Did you successfully complete your Apprenticeship/Traineeship: Yes No
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If no, how much time did you complete:
Trade/Qualification:
Name of Employer:
Where? (State/Territory/Overseas):
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When did you commence:
Level Achieved:
When Completed:
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EDUCATION DETAILS |
Are you currently at school?: Yes No
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If YES, which level are you studying?: Year due to Complete:
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If NO, what level did you achieve: Year of Completion:
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School/College attended:
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Will you require current or future assistance with: Reading Writing Basic Math No
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CITIZENSHIP |
Australian Citizen or permanent resident: Yes No
If NO, are you a New Zealand passport holder, resident in Australia for 6 months or more: Yes No
If NO, Other; Visa document holder: Yes No
If YES to the above question, details:
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SKILLS AND PERSONAL QUALITIES |
Tell us a little about yourself briefly, the type of job training you are seeking, and why:
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What are your interests and hobbies:
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What personal qualities do you have that you think support your application, including skills you have:
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REFEREES |
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PERSONAL |
Name:
Home No.:
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Relationship:
Mobile No.:
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WORK |
Name:
Work No.:
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Relationship:
Moblie No.:
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EQUAL OPPORTUNITY EMPLOYMENT IDENTIFICATION |
Do you identify yourself as a member of any the following groups?
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Aboriginal or Torres Strait Islander (ATSI): YES NO
Disabled: YES NO
Non-English Speaking Background: YES NO
Female: YES NO
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Do you have any medical condition/s that might affect your ability to complete an Apprenticeship/Traineeship:
Yes No
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If yes, please specify: |
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DECLARATION |
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I'm aware of the content of the information I've supplied in this registration and attachments, and understand that the release of parts of this information to prospective businesses is vital in MIGATE's service to me.
I certify that the information supplied by me for my registration with MIGATE is complete, true, and accurate to the best of my knowledge.
I am aware that after completing registration with MIGATE, any personal information I have provided in relation to my registration will be held for 6 months, during which time my information will be maintained in a secure environment with restricted access.
I can choose to stay registered for a further 6 months by contacting MIGATE, otherwise any paperwork submitted will be destroyed appropriately.
I am aware that my personal information may be supplied to Federal and/or State Government authorities in accordance with MIGATE and other reporting requirements.
* This checkbox must be ticked to confirm that you have read and understood the above declaration. |
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IMPORTANT INFORMATION |
- Please supply a copy of your Résumé with this registration form in order for it to be complete;
- Your registration is kept active for 6 months after which time you will need to reapply;
- Advise MIGATE if you change your contact details
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RÉSUMÉ FILE UPLOAD |
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File to upload:
Your Résumé must be in either in PDF, DOC, DOCX, Publisher or text format.
Allowable file extensions - .pdf, .doc, .docx, .pub, .txt
Files must be less than 2 megabytes in size. |
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Enter the bold letters and/or numbers from the image to prevent robotic spamming |
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