We've detected that Javascript is not enabled. It is required for an optimal survey taking experience.
Please check your browser's settings and make sure Javascript is turned on. Learn how to enable Javascript.

Skip survey header

Youth IT Careers referral form

Refer an applicant to Youth IT Careers

Thank you for your interest in Youth IT Careers. You can provide your details and those of your client below. The information you provide will be available to Youth IT Careers Staff from Infoxchange and the training organisation involved in the recruitment and support of participants in the program.

1. Applicant *This question is required.

Space Cell	Given name	Surname
Name	Name: Given name	Name: Surname

2. Applicant location (suburb) *This question is required.

3. Support worker *This question is required.

Space Cell	Given names	Surname
Name	Name: Given names	Name: Surname

4. Referral organisation *This question is required.

5. Support worker position within organisation *This question is required.

6. Suport worker Phone *This question is required. This question requires a valid number format.

7. Support worker Email address *This question is required. This question requires a valid email address.

8. How did you find out about Youth IT Careers? *This question is required.

Please enter an 'other' value for this selection.

9. How long have you worked with the applicant? *This question is required.

Years
Months

10. What support is currently being offered to the applicant by your organisation? *This question is required.

11. Please comment on the applicant's interest in IT and in pursuing a career in the IT industry *This question is required.

12. Please comment on the young person's willingness to learn and work with others. *This question is required.

13. Please comment on the applicant's capacity to commit to the full program *This question is required.

14. What additional support would the applicant require to participate in Youth IT Careers? *This question is required. e.g. learning or language support

15. Would you recommend the applicant for Youth IT Careers? *This question is required.

16. Do you have any further comments?