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Accelario Form Integration Testing Page
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Please enable JavaScript in your browser to complete this form.
1. Your personal details
Gender:
*
Female
Male
Indeterminate/Intersex/Unspecified
Title:
Mrs
Miss
Ms
Title:
Mx
Title:
Mr
Legal first name:
*
Legal family name:
*
Legal middle name:
Preferred name:
Residential address (not PO Box):
*
Suburb
*
State / Territory: (copy)
*
Email:
*
Postcode
*
Home phone:
Mobile phone:
*
2. Eligibility Questions
To be eligible, you must be:
an Australian Citizen or Permanent Resident
aged 40 years or over at the date this form is lodged and either:
employed and at risk of entering the income support system, or
Currently unemployed for no more than twelve consecutive months, and who do not have an active referral to, or are not currently registered with a Commonwealth Funded employment services provider as identified in the Department’s IT Systems (such as Workforce Australia Services providers or Disability Employment Services providers).
a. Your age
Age at time of application:
*
Date of Birth:
*
DD
1
2
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5
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25
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31
MM
1
2
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5
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7
8
9
10
11
12
YYYY
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
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2002
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1994
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1991
1990
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1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
b. Your citizenship and residency
Are you an Australian Citizen or permanent resident?
*
Australian Citizen
Permanent Resident
No
c. Previous participation
Have you previously had a Skills Checkpoint assessment?
*
Yes (If Yes, you are not eligible)
No
d. Your employment details
(i) Are you currently employed?
*
Yes
No
If you are employed, are you at risk of being unemployed?
*
Yes
No (you are not eligible)
If you answered Yes above, please list reasons you are at risk of being unemployed
(ii) If you are
unemployed:
Have you been unemployed for more than twelve consecutive months?
Yes (If Yes, you are not eligible)
No
Date of your last paid work:
Are you registered for assistance through an Australian Government employment services program? E.g. Workforce Australia, Disability Employment Service, Community Development Program.
*
Yes (If Yes, you are not eligible)
No
3. Proof of identity
To verify your identity, you must show the Skills Checkpoint Provider
ONE
document from Group A
or
two documents from Group B as detailed below. All documents must be original or a certified copy.
All documents must be original or a certified copy.
One of our team members will be in touch to arrange a time with you to sight your identification.
Group A (note: only one document is required from Group A)
Drivers licence
Current Australian passport
Other form of photo identification from an Australian government department or agency
Group B
Financial institution (bank) documents (account numbers are not copied or recorded) including:
ATM/credit cards showing full name and signature
Bank statement showing your full name and address
Other documents—any of the following:
Medicare card
birth certificate or birth certificate extract
certificate of Australian citizenship
motor vehicle registration papers with current address
Australian marriage certificate
documents showing registration of a change of name
divorce papers
trade certificate
insurance renewal documents showing full name and current address
If you cannot provide information in either Group A or Group B, talk to your Skills Checkpoint Provider about what other forms of documentation are sufficient to prove your identity. For example, documentation that shows your name and address (postal or residential) can be used to confirm your identity. This could include rates notices, mobile phone or other bills. Alternatively, other forms of documentation that contain your name, such as letters of reference, payslips from previous employment, library and other club memberships or education certificates may be used. Where you do not have sufficient documentation, Services Australia may be able to assist.
4. Employment information
If you are employed, are you currently working 15 hours or more per week?
Yes
No
If you are employed, are you currently working full-time or part-time?
Full-time
Part-time
Not applicable (unemployed)
If you are employed, what type of work do you do? If you are unemployed, what was your previous type of work? Please select from the list below.
Accounting
Administration & Office Support
Agriculture, Animals & Conservation
Architecture & Design
Banking & Financial Services
Communications, Advertising, Arts & Media
Community Services
Construction
Customer Service & Call Centre
Defence & Protective Services
Education & Training
Engineering
Executive & General Management
Health & Medical
Hospitality & Tourism
Human Resources & Recruitment
Information & Communication Technology (ICT)
Insurance & Superannuation
Legal
Manufacturing
Mining & Energy
Real Estate & Property
Retail
Sales
Science
Sport & Recreation
Trades & Services
Transport & Logistics
If you are employed, what type of industry do you work in? If you are unemployed, what type of industry did you previously work in? Please select from the list below.
Accommodation, Cafes and Restaurants
Agriculture, Forestry and Fishing
Communication Services
Construction
Cultural and Recreational Services
Education
Electricity, Gas and Water Supply
Finance and Insurance
Government Administration and Defence
Health and Community Services
Manufacturing
Mining
Personal and Other Services
Professional Services
Property and Business Services
Retail Trade
Tourism
Transport and Storage
Wholesale Trade
Other
If Other:
5. Additional questions
Country of birth:
*
Do you identify as an Aboriginal or Torres Strait Islander?
Yes
No
Prefer not to say
Do you have any disabilities or medical conditions that may affect the type of work and training you can do?
Yes
No
Prefer not to say
If yes, please provide details of any additional support that you may need.
*
6. Education level
What is your Highest Education Level? (please select from the list below)
Year 10 or equivalent
Year 12 or equivalent
Vocational Education and Training Certificate I or other industry-specific licence or ticket
Other non-trade Vocational Education and Training Certificates II, III or IV
Tradesperson’s qualification
Diploma, Advanced Diploma, Associate Degree or equivalent
Bachelor Degree or equivalent
Vocational Graduate Certificate, Graduate Certificate or equivalent
Vocational Graduate Diploma, Graduate Diploma or equivalent
Other/unknown
Specify Other/unknown
7. Declaration by applicant
I have been informed about the Program and Incentive including:
- how the Skills Checkpoint Provider will assist me
- what I need to do
- my financial obligation if accessing the Incentive.
I have provided true and correct information.
I am aware that it is a serious offence to provide false or misleading information.
I acknowledge I have read, or have had read to me, the privacy statement and I consent to my personal information, including sensitive information being collected, used, and disclosed as set out in the privacy statement.
My submission includes all 5 pages of this application form, including the privacy statement.
Date:
*
Applicant’s printed name
*
Your personal information is protected by law, including the Privacy Act 1988. (Cth) (Privacy Act).Please
Click Here
to read our
Privacy Statement
Acknowledgement of Privacy Statement
*
I have read and understand the Privacy Statement
Please
Click Here
to read our
Terms and Conditions of the Skills and Training Incentive
Acknowledgement of Terms & Conditions
*
I have read and understand the Terms and Conditions of the Skills and Training Incentive.
Once form is fully completed and signed click the Submit Now button. Please allow 2 business days for processing and acknowledgement of receipt.
Submit
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Hire an Apprentice – Apprenticeship Recruitment Services
Employers A-Z of Apprenticeships and Traineeships
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Workforce Planning
Incentives and Support
Apprentice Employment Incentives for Employers
Workforce Australia Wage Subsidies
Workplace Modifications
Back to Work Employer Support Payments
A present with a future!
Career Placement and Mentoring Support
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Mentoring
Cognisess Career Assessment Tool
Jobseekers
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Self Employment Assistance Program
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Jobs & Skills Centre – Broome
Cognisess Career Assessment Tool
Apprenticeships and Traineeships
A-Z of Apprenticeships and Traineeships
Induction Guide for Apprentices
Mature-Age Apprenticeships
School-based Apprenticeships
Women in Male-Dominated Trades
Find Apprenticeship Opportunities
Apprenticeship Central
Apprentice Financial Support
Gateway Employment Support Services
Mentoring Support
Apprenticeship Services by State
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Skilling Queenslanders for Work Application Form
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Cognisess Career Assessment Tool
Career Development
Skills Checkpoint for Older Workers
Cognisess Career Assessment Tool
Registered Training Organisations
Skill360
One Stop Training
Education
Courses
The BUSY School
Commonwealth Scholarships Program for Young Australians
Early Childhood Scholarships and Incentives
The Canberra School Trip (PACER)
QLD Education Experiences
Commonwealth Regional Scholarship Program
Youth and Community Services
Step Up Program – Townsville
About BUSY
Australian Defence Force Career Transition Support
Mission, Vision, Values
What we do
Partners & Supporters
Leadership Team
Reconciliation Action Plan
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News and Insights
BUSY in Action
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Policies
The BUSY Group
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