Youth Employment Pathways Program
Registration Form

Thank you for your interest in our Youth Employment Pathways Program (YEPP).

The information you provide in this form about a young person will be used internally by our organisation for program management and evaluation purposes. We may communicate information provided to our funding bodies, but always in a de-identified and aggregated form.  
Young person details
e.g. +61412000000 (substitute first 0 with +61)
e.g. Text message, email, phone call, etc.
We ask for this information so that we can address participants in the most appropriate and respectful manner.


Other Information about the young person
Please tick if you feel any of these descriptions apply to the young person.  *Please note that this section is optional.


Workforce Australia Employment details
e.g. Electrical, Warehousing, Parks and Gardens, Other
e.g. Hospitality, retail
Referring WA Employment Coach Contact Details
e.g. +61412000000 (substitute first 0 with +61)