Program Registration

To register a participant for the Skilling Queenslanders for Work program, complete the form below or click here to download the PDF version. Completed PDF forms can be emailed to info@artiusfoundation.com.au or faxed to 07 5519 3425.

Skilling Queenslanders for Work Registration Form
Last Name*
First Name
Participant Date of Birth*
Jobseeker ID or Centrelink Reference Number
Phone*
Email
State*
Skilling Queenslanders for Work Program*
Region*
Referring Agency
Referrer Surname
Referrer First Name
Referrer Phone
Referrer Email