Stepping Stones Program - Registration Form

By completing this Registration Form, I understand that the Brotherhood of St Laurence will use this information to determine my eligibility for the Stepping Stones program. It will be kept confidential and in accordance with the Brotherhood's privacy policy available here https://www.bsl.org.au/privacy-policy/.

AgreeDo not agree

Unfortunately we need to be able to capture this information to be able to work with you.

Your personal details

First Name *

Surname *

Which gender you identify with? *

FemaleMalePrefer to self-describe

I identify as:

Stepping Stones is a program only offered to those identifying as women. Therefore, you are ineligible.

Day of birth

Month of Birth

Year of Birth *

Your address *

Street address *

Suburb *

State *

Postcode *

What is your email address?

Please confirm your email

What is your phone number? (Please start with +61) *

Tell us a little more about you

Country of Birth *

In which year did you first come to Australia?

Other residency status:

What type of visa do you have?

Other type of Visa

How well do you speak English?

I am confident to speak English all the timeI speak enough English to meet my needsI can understand some, but don't feel confident speaking in EnglishI rely on others to help me speak in English

What is the main languages spoken at home?

Other languages spoken at home (1)

Other languages spoken at home (2)

Other languages spoken at home (3)

Do you need an interpreter?

YesNo

Tell us about your business or business idea:

Are you interested in starting a business or growing your current business? *

Yes, I want to start a businessYes, I want to grow my businessNo, I am more interested in training, study or employment opportunitiesNo, I am more interested in building my confidence and connection

Do you have a business or an idea for a business? If not, we look forward to helping you get started.

I don't have an idea for a business yetI have an idea, but haven't really started my business yetI already started my business

Can you tell us about what is happening with your business today?

I am open for business and am currently selling my products or services.I started my business, but it is on hold or closed now (I am not currently selling my products or services)I started my business, but I am not making money

What is your business or business idea?

About your study or training goals

What is the highest level of education you have completed? *

Other highest level of education

What was the name of your qualification?

Where did you complete this qualification?

Are you currently studying?

Studying full-timeStudying part-timeNot currently studying

Would you like extra tutoring support to help you study during the Stepping Stones training?

YesNo

Would you like for us to help you find study or training options? *

Yes, I want to study or train for a jobYes, I want to study or train to help me open or grow my businessI'm not sure if I want to study or train nowNo

Tell us about your employment

Are you currently working? *

Yes, working for someone elseYes, working for myself or with familyYes, I am a carerNot working

If you have paid work, would you like to

Work more hoursContinue working my usual hoursWork less hours

Would you like help to get a job or to get a better job? *

YesNoUnsure

A few other things...

How many children do you have? If you don't have put "0" *

Are you a single Mum? *

YesNo

Children age (1)

Children age (2)

Children age (3)

Children age (4)

Children age (5)

Children age (6)

Children age (7)

Where did you hear about Stepping Stones program? *

Government agency, business, community service or caseworker (please specify)Individual person (please specify)Self-referral (friend, family or word of mouth)FacebookOther (please specify)Prefer not to say

Other - Where did you hear about Stepping Stones

What else do you hope to do whilst in the program? (Select multiple options)