2023 MPA Skills Plumbing Apprentice of the Year Application Form
							

                        

                        
Apprentice Details:
First Name*
 
Surname*
 
Home Address*
 
Suburb Postcode*
 
Home Phone*
Email*

                            
                        
Mobile*
Gender*

			

					
					Male
			
			

					
					Female
			
Date of Birth*

                            
                            DD slash MM slash YYYY
                        
                        
Apprenticeship Completion Date*

                            
                            DD slash MM slash YYYY
                        
                        
Which TAFE are you attending?*
 
Are you a third or fourth year apprentice?*
 
Employed by:
Company name*
 
Contact Name*
 
Address*
 
Suburb Postcode*
 
Work Phone*
Mobile*
Email*

                            
                        
If employed by a GTO, please list Host Employer’s details:
GTO Name*
 
Contact Name Field Officer*
 
Mobile Field Officer*
Email Field Officer*

                            
                        
Employer / Host Employer to complete*

								
								I endorse my apprentice's application to enter the 2023 MPA Skills & Galvins Plumbing Supplies Plumbing Apprentice of the Year competition and acknowledge that he/she will be available for a theory assessment online on Thursday 3 August 2023 from 7.30am-9.30am, interviews between Wednesday 9 August and Friday 11 August 2023 and to compete for a full day on Friday 7 September 2023 at MPA Skills Maylands Campus (if he or she is a finalist).
							
Full name*
 
Position*
 
Release Authorisation
This Release Authorisation gives permission for MPA Skills to use non-confidential details from the competition application form, relevant photographs and video vision for any publicity purposes pertaining to vocational education and training.
I, (Insert name of applicant or parent / guardian if under 18) agree to the use of non-confidential details, photographs, digital recordings and video tape vision by MPA Skills.*

								
								I, [Insert name of applicant or parent / guardian if under 18] agree to the use of non-confidential details, photographs, digital recordings and video tape vision by MPA Skills.
							
Name*
 
For more information, please contact Petra Wouters, petraw@mpaskills.com.au, 0439 359 260.
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