Submit an NEIS application online

NEIS places are limited and submitting an application does not guarantee access to the program. To give yourself the best chance please include as much information as possible.

Please note that ABS are only contracted to provide NEIS in Perth North (up as far as Two Rocks) and Perth South (as far as Waroona)

Full Name *

Date of birth *

Address 1 *

Address 2

Suburb *

Post Code

Phone/Mobile *

Email *

Which of the following income assistance are you receiving? *

JobSeeker Payment (Newstart)
Parenting Payment Single
Parenting Payment Partnered
Disability Support Pension
Other
None

Your Jobseeker ID (if known) Help Text

Which DHS office / Centrelink are you registered with? (If applicable)

Who is your Job Active provider? (If applicable)

Who is your contact at the Job Active provider? (If known)

If yes then please provide details.

Brief description of your proposed business: *

If yes then please provide details

Your Market

Who will buy your product/service (your typical customer)? *

If yes then please provide details

How do you intend to market (ie: advertise/promote) your product / service? *

Who is your competition and how will you compare with them (include names & locations)? *

Your Product/Service

How will your product/service be better or different from other existing products/services? *

What price do you plan to charge for your product/service? How does it compare to other suppliers? *

Equipment Needs

Describe the equipment you will need for your business.

List what you already own *

List what you will need to buy or lease *

Finance

NEIS does NOT provide loans, grants or any start up capital assistance. If you require initial funds you will need to have these approved before we can progress with your application. i.e bank loan approval letter

If yes, how much?

If you need funds, where do you expect to obtain these funds?

Location

At what location will you be operating your business? e.g. shop, office, home, leased premises etc *

Management

What training & education (formal qualifications) do you have that could be used in running your proposed business?* *

What skills & experience do you (and your partner if applicable) have that is beneficial for the business? *