Apprentice of The Year Nomination Form (Applicant) Surname * Given Name * Residential Address * Postal Address * Date of Birth * Phone (Work) * Mobile Email * Employer * Date you started your Apprenticeship: * TAFE/Private Training Provider Information Please provide a list of modules completed and/or a copy of your results from your Training Provider * Other Technical / Trade / Non-trade studies commenced / completed or intended Please provide a list of all that apply * Details of any Awards, Distinctions, Commendations, etc Please List * Details of Trade Training and experience with Employer Please List * Career Goals Please List * Your view on the value of your Apprenticeship. Only A Brief Summary Required * How has the apprenticeship helped in your personal and technical development (eg: Skills and knowledge, Character traits, etc). * Do you implement initiatives, activities or tasks in excess of your normal apprenticeship requirements? Please Explain * What benefits do you think you would gain if you were selected as an Award Winner? Please Explain * CONDITIONS OF ENTRY I agree to comply with the conditions of entry accompanying this application form. I agree to abide by any decision made by the Judging Panel in relation to this Application and these Awards. I agree to make myself available and attend an interview, if successful as a Finalist, before the Selection Panel during September 2015. ** By selecting SUBMIT you agree to the Conditions Of Entry **
