Register your interest for a Course or Program Register Your Interest for a Course or Program Thank you for your interest in our course or program. This form is to indicate possible eligibility for training programs at Challenge Employment and Training. Please call us on (07) 3282 8000 if you have trouble filling out the form. Thank you for thinking of us with your next step in your career! Looking forward to working with you in the future! Personal DetailsName* First Last Phone Number*Email* Date of Birth* Date Format: DD slash MM slash YYYY What training would you like to undertake?Skilling Queenslanders for Work Community Work Skills Training*(Vocational placement is included in select programs) Warehousing & Logistics Pathways Engineering Pathways Construction Individual Support (Aged Care) Conservation & Land Management Not Applicable How did you hear about us?* Jobactive Provider or Community Organisation Social Media (Facebook, Instagram) Word of Mouth (e.g. friends, family) Job Search Website (e.g. Indeed, Seek) Radio Newspaper Events Other Jobactive provider if applicable:*Name of Newspaper/ Radio?*Please specify:*NameThis field is for validation purposes and should be left unchanged.