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?
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
Gold Coast and Tweed Head Residents please select below:
Please send me a NEIS Information Pack and NEIS Application Forms
Please select your preferred Mid North Coast NEIS information session
Zoom session, Thursday, August 13th @ 2:00pm, the zoom link will be sent to you via email on the day of the session.
Zoom session, Thursday, August 20th @ 2:00pm, the zoom link will be sent to you via email on the day of the session.
Zoom session, Tuesday, August 18th @ 10:00am, the zoom link will be sent to you via email on the day of the session.
Please register for the New England NEIS information session
Thursday, August 13th 2:00pm @ Zoom Session - The link will be sent to you on the day of the session via email & text message. Please ensure your device is charged and in good service.
Tuesday, August 18th @ 10:00am via Zoom Session - The link will be sent to you on the day of the session via email & text message. Please ensure your device is charged and in good service.
Thursday, August 20th 2:00pm @ Zoom Session - The link will be sent to you on the day of the session via email & text message. Please ensure your device is charged and in good service.
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