Enrolment Form

Personal Details
Course of Enrolment & USI Number
Emergency Contact Details
VET Related Details

First Name *

Last Name *

Street Address *

Suburb *

State *

Postal Code *

Phone Number *

Email *

Date of birth *

City of Birth *

Gender *

In Which Country Where you born *

How well do you speak English? *

Do you speak a language other than English at home? *

Please specify Which Language

Are you of Aboriginal or Torres Strait Islander origin? *

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

If yes, then please indicate the areas of disability, impairment or long-term condition: (you may tick more than one)

What is your highest COMPLETED school level? *

In which YEAR did you complete that School level? *

Are you still attending secondary school? *

Have you successfully completed any of the following qualifications? *

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

Of the following categories, which BEST describes your main reason for undertaking this course/ traineeship/apprenticeship? *

By ticking this box you agree to the Terms and conditions

Date / Time

Phone

Personal Details
Course of Enrolment & USI Number
Emergency Contact Details
VET Related Details