1. INDIGENOUS EMPLOYMENT PROGRAM - PARTICIPANT COMMENCEMENT ADVICE FORM
Provider / Funding Activity or
Griffith University 1811737
Recipient: Contract ID:
Participant Details
Personal Email:
Please tick one or both:  Aboriginal  Torres Strait Islander
Surname: First Name:
Date of Birth: Gender(M/F):
Home Number: ( ) Mobile Number:
House/Unit number” Street Address:
Suburb: Postcode:
What activity is the participant Commencing in? Please attach appropriate Form/s (For Office Use)
Employment X
 Training  Cadet 
Mentoring  Note: a Mentoring commencement form is not needed at this time
Participant Declaration Parent/Guardian Declaration (if Participant is under 18 years
I certify that: of age their parent/guardian must sign at commencement)
• The information supplied above is correct; and • I agree to the participant participating in the activities
• I am of Australian Aboriginal descent and/or Torres Strait described in this form.
Islander descent; and I certify that:
• I identify as an Australian Aboriginal and/or Torres Strait • The information supplied above is correct; and
Islander; and • I understand that giving false or misleading information is a
• I am accepted as an Australian Aboriginal and/or Torres Strait serious offence; and
Islander in the community in which I live or have lived; • I consent to the uses of the Participant’s personal information
• I understand that giving false or misleading information is a described in the privacy notice below
serious offence; and
• I consent to the use of my personal information described in
the privacy notice below.
Name: Name:
Signature:
Signature
Date:
Date:
Provider Declaration: Jenny O’Neill will sign this section:
I certify that:
• I have witnessed the Participant sign the above Declaration; and
• the individual records of the Participant and the Participant’s parent/guardian (where applicable) will be held and produced if required
by the Department;
• I understand that giving false or misleading information is a serious offence; and
• I have documentary evidence to support information contained in this form.
Signature: Name: Jenny O’Neill
Manager, Indigenous Cadetships and Graduate
Position: Date:
Employment
Use of Personal Information of Participant and Participant’s parent/guardian (where applicable) –Privacy Notice
The Department of Education, Employment and Workplace Relations is collecting the Personal Information on this form to be used for the
purposes of monitoring the IEP projects under the contract, verifying claims for payment, program evaluation and/or statistical analysis. In
some instances this may entail sending the Personal Information on this form to the Department of Human Services, Centrelink, and the
Department of Families, Housing, Community Services and Indigenous Affairs.
INDIGENOUS EMPLOYMENT PROGRAM - PARTICIPANT COMMENCEMENT ADVICE FORM
DM1-597121 Effective Date: XX Xxx XX

2. INDIGENOUS EMPLOYMENT PROGRAM
Participant Employment Advice Form
Provider or Funding Activity or
Griffith University 1811737
Recipient: Contract ID:
Participant Details
Date of Birth: Personal Email
Surname: First Name:
Commencement Details
Commencement Date: Industry:
Participant job title/role:
Traineeship:  Yes OR 
X No Apprenticeship:  Yes OR  No
X
Qualification:
Employer Name:
Address:
Contact Person:
Phone Number: Email address:
Employment Status: (FT/PT)
Is this an Australian Employment Covenant (AEC)
commencement?  Yes OR  No
Provider declaration:
I certify that:
• A Participant Commencement Advice Form has been signed by the Participant and Provider.
• All information recorded is accurate; and
• I have evidence to support the information contained in this form.
• I understand that giving false or misleading information is a serious offence.
Signature: Name: Jenny O’Neiill
Manager, Indigenous Cadetships and Graduate
Position: Date:
Employment
INDIGENOUS EMPLOYMENT PROGRAM - Participant Employment Advice Form
DM1-597107 Effective Date: XX Xxx XX