EmailMe Form - Apprentice Nomination Form

Apprentice's Name *

First Last

Apprentice's Email *

My nomination category is: *

Light Vehicle Mechanical (3rd/4th year)

Heavy Diesel (3rd/4th year)

Auto Electrical (3rd/4th year)

Mobile Plant (3rd/4th year)

Indigenous apprentice or trainee

Yes

Employer's business name

Employer/Supervisor's name *

First Last

Employer/Supervisor's Email *

Confirm

Employer's Work Number *

Employer's Mobile Number

Employers/Supervisor - rate the nominee by clicking on one box for each of the following skills and attributes *

	Fair	Good	Very Good	Excellent
Customer service skills - A natural tendency to relate well with internal and external customers and exceed customer expectations.
Communication skills - A natural tendency to listen, follow written/verbal instructions and convey or share ideas.
Diagnostic skills - A natural tendency to identify a particular problem, define it via diagnostic experience; training and experimentation.
Problem-solving skill - A natural tendency to determine real problems, not symptoms and solutions, to difficult or complex issues.
Work Ethic - A natural tendency to work hard, pushing themselves to complete tasks, not requiring others to intervene.
Technical - An innate ability in the use of a variety of technical tools and or understanding of new technology practices.
Leadership - An innate ability to consistently influence peers/customers in realising a positive contribution towards your business.

By entering these awards, I understand that my photograph may be used by the MTA SA/NT and TIO in promoting this and future awards. *

I understand

I also understand that my details may be given to the awards partners for promotional use. *

I understand

I, (name) *

of (employer business name) *

have read and understood all information in this form and have provided accurate details as required. I acknowledge by ticking yes. *

Yes

that the action of submitting this completed form electronically satisfies the electronic signature provisions set out in section 10 of the Electronic Transations Act 1999. Dated (please write the date) *

MM / DD / YYYY