Complete this form to receive updates about the community services industry portable long service leave scheme.

Your details

First name *

Surname *

Email address *

Phone *

Mobile

Why would you like to be kept informed about the community services industry portable long service leave scheme?

-- Please Select --I work in the community services industryI'm an employer in the community services industryI'm an industry stakeholderOther

How long have you worked in the industry?

Who is your current employer?

How long have you worked for your current employer?

Business name

How many workers do you employ?

What services do you provide?

Provide a brief description of your interest in the community services industry

Provide a brief description of your interest in the community services industry