EmployerCompany Name:

Contact Name:

Address:

Business Tel: ( )

Email Address:

ApprenticeSurname:

Address:

Home Tel: ( )

Email Address:

Date of Birth: / /

Commencement date:(of apprenticeship)

Training facility – TAFE or RTO attended:

Achievements:

Eligibility

Applicants must have completed their TAFE or other RTO apprenticeship training, or must have recently completed their apprenticeship (within 12 months from the completion of apprenticeship) .

Applicants must be in their fourth year of their apprenticeship, be employed by a NECA member or a NECA group training apprentice company, or must have been during their apprenticeship.

Applicants may only enter one category and must not have been previously nominated.

Contact your NECA Chapter office for the criteria and closing date for nominations.

Incomplete or late entries will not be accepted and criteria must be adhered to.

Please complete fully and return to the NECA office in your state.

Application FormPlease tick the category you wish to be considered in:

Industrial AwardCommercial / Domestic AwardCommunications Award

Given Name

Post Code

Post Code

Mobile

Mobile

Expected completion date: (of apprenticeship)

Please submit the following with the application:1. Letter of support from apprentice’s employer or supervisor (providing details on

the type of work the apprentice has carried out during his/her apprenticeship)2. Reference from a colleague and client/customer (if possible)3. A copy of the apprentice’s academic results4. A brief statement from the apprentice regarding their ambitions for their career

(one page minimum)5. Profiling details (if applicable)6. On-the-job photograph of apprentice (for use in Awards presentation material)

in high res JPEG format.

2014 NECA APPrENtiCE AwArds