ITA Accredited Courses Expression of Interest Form (EOI) Personal Details Which Course Are You Enquiring About? * Certificate IV in Surveying & Spatial Information Services (Surveying) Diploma of Surveying (Must Hold Cert IV. or Equivalent Experience to meet Critiera) Name * First Name Last Name Email * Secondary Email Mobile Phone Number * (###) ### #### Date Of Birth * MM DD YYYY Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Employment Details Company Name * Is Your Employer Aware, and Supportive of you Undertaking this course? * Yes No Not Sure Location of Employment * Address 1 Address 2 City State/Province Zip/Postal Code Country What Position Do you Currently Hold? * Field Hand (Assistant) Field Surveyor (Under Supervision) Field Surveyor (Unsupervised) Surveyor (Field & Office) Other If 'Other' Please Specify Education and Experience How Many Years Have You Worked in the Surveying Industry? * Less than 1-Year 1-3 Years 3-5 Years 5-8 Years 8-10 Years 10-15 Years 15-20 Years 20+ Years What is your highest level of Education? (In Any Discipline) * Undergraduate Degree Diploma Certificate IV Certificate III Year 12 Year 10 Other If 'Other' Please Specify Do you have any Qualifications in Surveying/Spatial Information Services? (You will need to provide your Academic Transcript prior to enrolment) Certificate III Certificate IV Diploma None of These Which Areas of Surveying do you have experience in? Please tick all that apply * Traversing Levelling GNSS Control Setout Precise Hydrographic Mining Drafting Calculations Office Work Construction Infrastructure Scanning Drones No Experience DIPLOMA OF SURVEYING ENQUIRIES ONLY: Would you like to apply for Recognition of Prior Learning (RPL)? You need a minimum of 10 years surveying field experience to be considered for this.You need a minimum of 10 years surveying field experience to be considered for this. Yes No How did you hear about the Industry Training Alliance (ITA)? Do you identify as an Aboriginal or Torres Strait Islander person? * Yes, Aboriginal Yes, Torres Strait Islander Yes, Both No Prefer Not To Say Gender: Female Male Other Prefer Not to Say What is your current visa or residency status in Australia? * Australian Citizen Permanent Resident Temporary Visa Holder (e.g. Student Visa, Working Holiday Visa) Other If Other, Please Specify Thank-you!
