Enrolment Form

Surname:

First name

Date of Birth

Male Female

Address:

Suburb:

State:

Post Code:

Home Phone:

Work Phone:

Mobile:

Email:

ID Type eg. drivers licence

ID Number

Expiry Date

1. Which of the following categories BEST describes your current employment status?

Full-time employee
Part-time employee
Self employed - not employing others
Employer                                                  

Unpaid worker in a family business
Unemployed - seeking full-time work
Unemployed - seeking part-time wok
Not employed - not seeking employment 
                                                                                               

2. Citizenship                                                    

3. In which country we you born?                  

4. Are you still attending school?

5. What is your highest school level completed?

6. Are you Aboriginal or Torres Strait Islander origin?

7. Do you speak a language other than English at home?

8. Do yo consider yourself to have a disability, impairment or long-term condition?

9. If yes, then please indicate the areas of disability or long-term condition

10. Do you require any special assistance with your training?
eg: language, literacy, numeracy assistace, equipment or facilities

11.  Have you successfully completed any nationally accredited or formal qualifications

12. Please indicate which qualifications you have completed?

13. In which year did you complete this qualification?

14. Please name the qualification?                     

15. What is your major reason for study?