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Introduction
|
Registration Form
Email address*:
First name*:
Last name*:
Contact phone*:
Mobile:
Farm address*:
Residential address*:
Postal address*:
City / Suburb*:
State*:
Post code*:
Age:
16-25
26-40
41-59
60+
Gender:
Female
Male
Please select
Type of Farm: (Tick all that apply)
Vegetable growing
Dried fruit
Other tree fruits
Dairy
Table grapes
Mixed dryland/ live stock
Livestock
Citrus
Other
Wine grapes
Dryland
Key duties:
Occupation:
Owner
Employee
Years in farming:
Less than 5 years
5-10 years
10-20 years
20 years +
Would you be interested to have your current skills recognised and receive a qualification?
Yes
No
Would you be interested in participating in funded training to get the skills you need?
Yes
No
Preferred off-farm employment: (Tick all that apply)
Full time
Part time
Permanent
Short term (less than 6 months)
Preferred industry: (Tick all that apply)
Transport
Hospitality
Retail
Construction
Machinery Operation
Administration
Welding and Metal Work
Mining
Other
Aged Care/Health
Food Processing
How far are you willing to travel to work?
kms
Would you be prepared to stay overnight for work?
Yes
No
How did you hear about North West Rural Skills Connect?
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PO Box 4146 Mildura Victoria Australia 3502 Telephone: (03) 5022 0722
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Page last updated: 7 July, 2009