| Name
: Mr./Ms/Mrs/Miss |
|
| Contact
Address |
|
| Telephone
Number |
|
| Date
of Birth |
|
| Age |
|
| Male
/ Female |
|
| Marital
Status |
|
| Ethnic
Group |
|
| Next
of Kin, name, address,phone |
|
|
ACADEMIC
ACHIEVEMENT
|
| Secondary
School Attended & Years |
|
|
Check
Qualifications Gained to Date
|
|
None
|
|
University
Entrance
|
|
|
School
Cert. 1-2 passes |
|
Bursary,
HSC, Scholarship
|
|
|
School
Cert. 3+ passes |
|
Trade
Cert.
|
|
|
6th
Form Cert. 1-2 passes |
|
Degree
|
|
|
6th
Form Cert. 3+ passes |
|
Other
|
|
|
Do
you have a NZ Qualifications "Hook-On" number ?. Yes
No
|
|
If
Yes please write your NZQA "Hook-on" number
|
|
Are
Unemployed and registered with WINZ, Yes
No
If yes then how long for?
|
| Why
do you want to come on the Commercial Fishing and Processing Course? |
|
| Have
you had any previous experience in the fishing industry? |
|
| Please
list your work history in the last 6 months. |
|
| Please
list Sport and Community involvement. |
|
| Do
you own a vehicle? |
|
Do
you have a current drivers License
|
|
|
Do
you have any criminal convictions, face pending charges, or are
you completing P.D.?
|
| If
YES please give a brief description of date and nature of offense. |
|
|
I
authorize the Westport Deep Sea Fishing School to release my name,
contact address , details of my course of study and my academic
qualifications to companies, or the Seafood Industry Training Organization,
who may wish to approach trainees about sponsorship, employment,
or further training opportunities.
|
| Your
e-mail address |
|
| |
|
