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Building Women’s Careers
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Home
- About Us
Work Placement
Yakka Introduction to Work program
Schools
Events
Get Back in the Game
Building Women’s Careers
Contact

APPLICATION FORM AND REFERRAL FORM -

APPLICATION FORM AND REFERRAL FORM

URL

This field is for validation purposes and should be left unchanged.

REFERRAL CONTACT NAME

REFERRAL CONTACT POSITION

REFERRAL CONTACT EMAIL

REFERRAL CONTACT PHONE NUMBER

PARTICIPANT NAME

PARTICIPANT PREFERRED NAME

AGE

DATE OF BIRTH

DD dash MM dash YYYY

PARTICIPANT'S ADDRESS

PARTICIPANT’S PHONE NUMBER

PARTICIPANTS EMAIL

PARENT/CARER NAME (Under 18)

PARENT/CARER CONTACT NO

PARENT / CARER EMAIL

REASON FOR APPLICATION OR REFERRAL

Any other information that may be useful for the team to know (e.g., barriers or issues preventing work or study)

Is the Participant interested in Careers Guidance? Support to identify a suitable role.

Yes

No

Not Sure

Is the Participant in agreement with this referral? (If required):

Yes

No

Not Sure

Does the Participant have a preferred industry or career path? If so, does she have a role in mind?

Clean Energy

Advanced Manufacturing

Construction

Digital & Technology

Is the parent / carer aware of this referral? (If required):

Yes

No

Not Sure

Please tick as appropriate: (Under 21)

Young person is a school leaver

Young person is in some form of post school education or training

Young person is working 8 hours per week or more

Is the Participant enrolled in school?

Yes

No

Not Sure

Please select all that apply to the Participant:

Aboriginal

Torres Strait island

None apply

Is the Participant:

Working and seeking a career change in the 4 key priority sectors

Unemployed and seeking to re-enter the workforce in a new career in the 4 priority sectors

Seeking to start a new career in the 4 key priority sectors

Is the Participant from a non-English speaking background?

Yes

No

Not Sure

If yes, does the Participant have working rights in Australia

Resident

Citizen

Visa type

Is the Participant participating in any Commonwealth or State transition program, or registered with a job active provider?

Yes

No

Not Sure

Does the Participant have any work experience?

Yes

No

Not Sure

If yes, please provide summary

How did you hear about the Building Women’s Careers:EmpowerHER Pathways?

Facebook

School/TAFE

Job Active

Youth Group

Google

REFERRAL CONTACT NAME

REFERRAL CONTACT POSITION

REFERRAL CONTACT EMAIL

REFERRAL CONTACT PHONE NUMBER

CANDIDATES NAME

CANDIDATES PREFERRED NAME

AGE

DATE OF BIRTH

CANDIDATE’S ADDRESS

CANDIDATE’S PHONE NUMBER

CANDIDATES EMAIL

PARENT/CARER NAME (IF REQUIRED)

PARENT/CARER CONTACT NO

PARENT / CARER EMAIL

REASON FOR APPLICATION OR REFERRAL

Any other information that may be useful for the team to know (e.g., barriers or issues preventing work or study)

Is the candidate interested in Careers Guidance? Support to identify a suitable role.

Yes No Not Sure

Is the Candidate in agreement with this referral? (If required):

Yes No Not Sure

Does the Candidate have a preferred industry or career path? If so, does she have a role in mind?

Clean Energy Advanced Manufacturing Construction Digital & Technology

Is the parent / carer aware of this referral? (If required):

Yes No Not Sure

Please tick as appropriate:

Young person is a school leaver Young person is in some form of post school education or training Young person is working 8 hours per week or more

Is the Candidate enrolled in school?

Yes No Not Sure

Please select all that apply to the Candidate:

Aboriginal Torres Strait Islander None apply

Is the Candidate from a none English speaking background

Yes No Not Sure

Is the Candidate:

Working and seeking a career change Unemployed and seeking to re-enter the workforce in a new career Seeking to start my career

Is the candidate participating in any Commonwealth or State transition program, or registered with a job active provider?

Yes No Not Sure

Does the Candidate have any work experience?

Yes No Not Sure

If yes, please provide summary

How did you hear about the Building Women’s Careers:EmpowerHER Pathways?

Facebook School/TAFE Job Active Youth Group Google Media Business/organisation Word of Mouth Career Links Website

Young People, Bright Futures

Get In Touch

Please contact us for further information on our products and services by calling 02 4967 1050 or complete the form and we will be in contact within the next 48 hours.

Contact Details

402/161 Maitland Rd, Mayfield NSW 2304
mail@careerlinks.nsw.edu.au
02 4967 1050
02 4968 8424
PO Box 212 Mayfield NSW 2304

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