Name *

Company Name *

Member Number

Contact Number *

Email *

Brief description of your issue *

Have you been a member of the Master Builders SA previously?

Severity of Injury

Upload any photos of injury

Who is your Field Officer?

Do you have a current drivers license? *

Trade Preference 1 *

Trade Preference 2 (optional)

I am looking for: *

When are you available to start?

Have you previously been employed as an apprentice and are now seeking to complete the apprenticeship: *

If you answered Yes above, how many years of your apprenticeship have you completed?

Please supply copies of termination paperwork:

Previous construction study undertaken: *

If you answer "Other" above, please specify:

Do you have a Construction Training Board Number (CITB): *

CITB Number:

CITB Expiry Date:

Have you completed a Construction Industry Safety Induction Course (White Card)?

Which training organisation issued your White Card?

Do you identify with any of the following groups? Please select at least one option. *

Upload Resume: *

Upload Cover Letter:

Upload other documentation:

Contact Name *

Contact Email *

Contact Mobile *

Company Name

Company ABN/ACN

Please select the box below if you have *

Builders Licence Number

Builders Licence Expiry Date:

Are you a current Master Builders SA member? *

Trade Required *

Industry Sector *

Preference of Apprentice Experience Level *

Anticipated Hiring Period *

Anticipated Start Date *

Have you previously hosted an apprentice with Master Builders SA? *

Have you previously hosted an apprentice with another organisation or through direct employment? *

Region where the majority of your work is based *

Is any of your work regional? *

If yes, please specify the regional area(s) you work in below

Have you been shown what to do in an emergency and identified the location of? *

Have you been shown and explained? *

Have you been shown where the amenities (including toilets and drinking water) are located? *

Has it been explained to you the procedures for reporting incidents, injuries and accidents? *

Type of Leave:

Field Coordinator:

Comments from Apprentice (If required)

Upload any attachments required

Field Coordinator:

Has your host completed TAKE5/Prestart documentation today?

Have you been a member of the Master Builders SA previously?

Have you been a member of the Master Builders SA previously?

What type of mentorship are you expressing your interest in?

Are you a member of Master Builders SA?

How long have you worked in the building & construction industry?

Have you been a member of the Master Builders SA previously?