Register Expression of Interest

Please note, this is only an expression of interest and not a formal enrolment. The enrolment application will be sent to you shortly by one of our friendly staff.

Course*

In which state are you interested in taking the course?*

Preferred Course Date *

See Comprehensive Schedule Here

Personal Details

Title * *

First Name *

Middle Name

Last Name *

Preferred Name

Date of Birth *

Gender *MaleFemale

Your Phone *

Your Email *

Residential Address

Flat/Unit Number

Street Number *

Street Name *

Suburb *

State/Territory *

Postcode *

Is mailing address different to above?*

Mailing Address

Flat/Unit Number

Street Number

Street Name

Suburb

State/Territory

Postcode


Status of Residency / Citizenship

Were you born in Australia *YesNo

Are you of Aboriginal or Torres Strait Islander Origin? *
NoYes, AboriginalYes, Torres Strait Islander

Are you an Australian Citizen / Permanent Resident? *
Yes-Australian CitizenYes-Australian Permanent ResidentNo

Schooling

Are you attending secondary school?YesNo

What is your highest COMPLETED School Level?*

In which YEAR did you complete the above school level? *

Where did you complete the above *

Emergency Contact

Name *

Relationship *

Mobile *

Alternative Contact Number

Prior Achievements

Highest qualification held*

Year completed*

USI number *
What is a USI number?

Please upload one of the following forms of identification* i.e. drivers licence / passport / National Identification Card.
(Filestypes accepted: gif, png, jpg, jpeg Filesize: max 2MB)

Employment Status

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

Reason of study *

Reason for study*

Do you speak a language other than English?*

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

Agree to terms & conditions and cancellation policy? *Yes

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