REGISTER YOUR INTEREST FOR NEIS
NEIS Registration Form
Mobile phone number
Have you registered for a NEIS information session in the last 3 months?
Are you on a Centrelink benefit?
What Centrelink benefit do you receive?
New Start DES
Disability Support pension
Parenting payment single
Parenting payment partnered
Who is your Job Active provider?
Access Community Services Limited
APM Employment Services
Atwork Australia Pty Ltd
BAMARA PTY. LTD.
BEST Employment Ltd
Enterprise & Training Company Limited
Epic Employment Service Inc
Family Services Australia
Gen Z Employment
Greenlight Human Capital
HELP Employment & Training
Homebase Youth Services
Job Centre Australia Limited
Jobs Australia Enterprises Ltd
Nexus Human Services Incorporated
NORTEC Staffing Solutions
ON-Q Human Resources
Prestige Employment Solutions Pty Ltd
Sarina Russo Job Access
Sign For Work
The Maxima Group Incorporated
The Salvation Army Employment Plus
Vision Australia Limited
Wesley Employment & Training
Wesley Mission Queensland
WISE Employment Ltd
Workways Australia Limited
What is your Job Active providers location?
Other Job Provider
Work Advisers name
Work Advisers Email
Let us know the reasons why you are interested in NEIS and a short description of your business idea
How did you hear about us?
Word Of Mouth
NORTEC team member
Other Job Advisor
Are you currently working?
YES - Full Time
YES - Part Time/Casual
YES - Volunteering
NO - Not Working
Who completed this form
NORTEC call Centre staff
Select your location
Gold Coast - (Tweed Heads to Coomera)
North Coast - (Yamba to Kingscliff/Murwillumbah)
Mid North Coast - (Grafton to Forster)
New England/NSW North West
Please select your preferred North Coast information session
Please select your preferred Gold Coast NEIS information session
Nerang: Friday 17th January, 10am-12pm@NORTEC Nerang, 11 Lavelle St, Nerang
Coolangatta: Wed 29th January, 10am-12pm@Kirra Hill Community Centre, 1 Garrick St, Coolangatta (QLD TIME)
Please select your preferred Mid North Coast NEIS information session
Grafton: Tuesday, February 11th @ 10:00am NORTEC 144 Fitzroy St, GRAFTON NSW 2460
Coffs Harbour: Wednesday January 29th 10:00am - 11:30am @ NORTEC 34 Moonee St, COFFS HARBOUR NSW 2450
Taree: Friday February 7th 10am - 11.30am @ NORTEC 102/1 Pulteney St, TAREE NSW 2430
Port Macquarie: Thursday January 30th 10:00am - 11:30 @ NORTEC 1/8 Short St, PORT MACQUARIE 2444
Please register for the New England NEIS information session
Tamworth: Tuesday 11th February 2pm - 3pm @ Phone Session: This information session will be conducted over the telephone so please ensure you have entered your contact number in correctly.
Armidale: Tuesday 4th February 10:30am - 12:00pm @ Armidale War Memorial Library: 2/182 Rusden Street, Armidale
Should be Empty: