Enrolment Form - Better Outcomes
Use this form to enrol in the Better Outcomes Program.

To be eligible you must be:
 * Australian or New Zealand resident (or hold relevant visa with work permits and pathway to residency) 
 * living on the north side of Brisbane
 * aged 15 years or older
 * not enrolled in school, College, University or TAFE
 * requiring personalised assistance to overcome barriers to learning & employment OR
 * have been unemployed for 6 months or longer OR
 * working less than 25 hours per week

Attendance: 5 days a week 9am to 2:30pm (Monday to Friday)
12 week course
Location: 71 King Street, Caboolture

Watch this Better Outcomes Introduction Video to learn more about our course.


If you prefer to talk, call Kate on 0449 696 558 or email kate@bettertogether.net.au 

Better Together is committed to ensuring that personal information obtained and collected is treated with utmost dignity and confidentiality in line with The Privacy Act 1988 and the Australian Privacy Principles.
Email *
Course start date *
First name *
Middle name(s)
Surname *
Preferred name *
Mobile number *
Date of birth *
Age *
Gender *
Which pronouns do you use? *
Highest grade completed at school *
USI number
Do you have a green Medicare card? *
Are you enrolled at school, college, university or TAFE?
 *
Are you enrolled in any other course? If yes' please provide details
Have you done a Skilling Queenslanders for Work course before?
 *
Have you studied a Certificate II in Retail Services?
 *
Street address *
Suburb and postcode *
Next of Kin (emergency contact) name
 *
Next of Kin (emergency contact) number
 *
Are you Aboriginal or Torres Strait Islander? *
Do you have a disability? If 'yes' please provide details
 *
Are you (or have you ever been) a victim of Domestic and Family Violence? *
Do you receive  *
Required
Are Culturally and Linguistically Diverse? *
Are you a Veteran? *
Are you.... *
How did you find out about the Better Outcomes Program? If 'Facebook' please specify which page/group. (Information used for marketing purposes)
 *
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