ARA HBIA Student, App & Educator Awards 2019

HBIA Nomination Form 2019 Award Category (Please tick) Diploma of Beauty Therapy

Certificate III in Beauty Services (Full-time) Certificate II in Retail Make-up and Skin Care

Certificate III in Beauty Services (Trainee)

Diploma of Screen and Media

Certificate IV Screen and Media

Certificate III in Hairdressing (Apprenticeship) Stage 1 Certificate III in Hairdressing (Apprenticeship) Stage 2 Certificate III in Barbering (Apprenticeship) Stage 1 Certificate III in Barbering (Full-Time Training)

Certificate III in Hairdressing (Apprenticeship) Stage 2 Certificate III in Hairdressing (Full-time Training) Certificate III in Barbering (Apprenticeship) Stage 2

RTO Educator/Trainer Award Certificate II in Salon Assistant

Salon Educator/Trainer Award

Nominee Details: (Please print clearly) Surname _______________________________ GivenName ________________________________ D/O/B _______________ Private Address __________________________________________________________ P/code _______________________ Phone (work) ________________________ Phone (home) ________________________ Mobile _________________________ Email Address _______________________________________________________________________________________ Nominees Training Details (Not applicable for Educator Award) Name of course in full __________________________________________________________________________________ Comp. date of training _____________________ Comp date of training agreement (apprentices/trainees) _______________________ Name of Training provider _______________________________________________________________________________ Apprentice or Trainee registration number_____________________________________________________________________ Employer Details: Organization Name ____________________________________________________________________________________ Postal Address ___________________________________________________________________ P/code _______________ Contact Person _______________________________________________ Position/Title ______________________________ Phone (work) _____________________________ Fax ________________________ Mobile ___________________________ Email Addrss ________________________________________________________________________________________ Name of employer’s representative authorized to release candidate for interviews and or Interstate/overseas travel as necessary. Signature _____________________________________________ Name __________________________________________ Nominator Details Name ________________________________________________ Position/Title ___________________________________ Organisation ________________________________________________________________________________________ Phone (Work ) __________________ Mobile ____________________ Email Address _________________________________

Endorsed by CEO/Director of Training Provider Signature __________________________________________________________________________________________ Name ________________________________________________________________ Date ________________________

I am applying for the Outstanding Student Award Apprentice Trainee Vocational and agree

Signature of nominee __________________________________ Name ___________________________________________ Date _____________________________________________________________________________________________

Closing date for applications: Monday 14 October 2019 Please return your Nomination Form to HBIA Level 1, 112 Wellington Parade East Melbourne VIC 3002

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