Government Funding Evaluation Form

Government Funding
Evaluation Form

 

 

If eligible, Government funding will cover the total cost of a qualification for you or your staff. Fill out the below form to see if you are eligible.

 

Note: ITCC only have a limited number of funded places and we have already had an overwhelming response, fill out the evaluation form now to secure your place. You are under no obligation to enroll by filling out this form.

 

* = Mandatory field

 

PERSONAL DETAILS
First Name *
Please enter your first name
Last Name *
Please enter your Last Name.
Date of birth *
Please enter your Date of Birth. Male Female
Preferred Phone Number *
Please enter a Phone Number.
Alternative Phone Number
Email *
Please enter your Email.Please enter a Valid Email.
Address
Please enter your address.
EMPLOYMENT DETAILS
Employer / Organisation you work for *
Please enter Employer / Organisation you work for.
Approximate date employment commenced
Are you employed full time or part time / casual *
Please make a selection.
If Part-time/Casual –
What are the average total hours per week you work
CITIZENSHIP DETAILS

Australian Citizen or Permanent resident *
Please make a selection.
PRIOR QUALIFICATIONS ( if applicable )
Have you successfully COMPLETED any qualifications in the last 7 years *
Please make a selection.
Date Completed
If Yes, then tick ANY applicable boxes

Pre-Apprenticeship/Pre-Vocational

Certificate I

Certificate II

Certificate III (eg, trade certificate)

Certificate IV

Diploma/Adv Diploma/Bachelor Degree/higher

Qualification other than above
Name of Course

Course of Interest

Which course are you interested in *

Certificate IV in Frontline Management

Certificate IV in Small Business Management

Diploma of Management

Diploma of Business

Not sure, I would like to speak to a education advisor

Please choose a course of interest. Maximum number of selections exceeded.
How did you find us? (optional)
Where did you hear about ITCC?

Google

Linked In

Facebook

Another search engine

Website banner ad

Referral / word of mouth

Magazine

Newspaper

TV

Radio

Direct Mail

Other