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Enrolment Form

Enrolment Form

Personal details - Step 1 of 4

Name *

First

Middle

Last

Date Of Birth

Gender *

Male
Female
Other

Phone

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Is your postal address the same as above *

Yes
no

Postal Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Email *

Unique Student Identifier *

A USI - Unique Student Identifier is a reference number that creates an online record of your training and qualifications attained in Australia. If you are a new or continuing student undertaking nationally recognised training, you need a USI in order to receive your qualification or statement of attainment. Please visit usi.gov.au to obtain a USI ** If you dont know your usi or dont have one we can look it up or help you create one later, leave it as 0000000000

In which country were you born? *

Australia
Other

Country of birth *

Language spoken at home *

English
Other

Language spoken at home *

Are you of Aboriginal or Torres Strait Islander origin *

Aboriginal
Torres Strait Islander
Neither of the above

For persons of both Aboriginal and Torres Strait Islander origin, mark both boxes

Do you consider yourself to have a disability, impairment or long-term condition *

No
Yes

If you indicated the presence of a disability, impairment or long-term condition, please select the area(s) in the following list

Hearing/deaf
Physical
Intellectual
Learning
Mental illness
Vision
Medical condition
Other

Other Medical Condition

What is your highest COMPLETED school level *

Year 12 or equivalent
Year 11 or equivalent
Year 10 or equivalent
Year 9 or equivalent
Year 8 or below
Never attended school

If you are currently enrolled in secondary education, the Highest school level completed refers to the highest school level you have actually completed and not the level you are currently undertaking. For example, if you are currently in Year 10 the Highest school level completed is Year 9.

Are you still enrolled in secondary or senior secondary education *

Yes
No

14. Have you SUCCESSFULLY completed any of the Following qualifications

Bachelor degree or higher degree
Advanced diploma or associate degree
Diploma (or associate diploma)
Certificate IV (or advanced certificate/technician)
Certificate III (or trade certificate)
Certificate II
Certificate I
Other education (including certificates or overseas qualifications not listed above)

16. Of the following categories, which BEST describes your current employment status *

Full-time employee
Part-time employee
Self employed – not employing others
Self employed – employing others
Employed – unpaid worker in a family business
Unemployed – seeking full-time work
Unemployed – seeking part-time work
Not employed – not seeking employment

For casual, seasonal, contract and shift work, use the current number of hours worked per week to determine whether full time (35 hours or more per week) or part-time employed (less than 35 hours per week).

17. Of the following categories, select the one which BEST describes the main reason you are undertaking this course/traineeship/apprenticeship (Tick ONE box only) *

To get a job
To develop my existing business
To try for a different career
To get a better job or promotion
It was a requirement of my job
I wanted extra skills for my job
To get into another course of study
For personal interest or self-development
Other reasons

Email

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