Personal Details
*required fields
*Applicant Name:
*E-mail Address:
*Phone Number:

Eligibility Criteria  
*Are you at least 16 years of ages?:
*Are you receiving the Disability Support Pension?:
*Are you willing to work?:

Type of Work  
*Which is your preferred type of work?: (tick more than one if you wish)
assembly & processing
wood products
mowing & gardening
other (please specify)

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