ENROLMENT FORM

To enrol, complete the following form. Once you hit Submit, you will be taken to our Payments page where you can make your payment. Alternatively, you may wait a couple of hours until our Accounts people have sent you an invoice with details of how to make your payment. Once your payment is received, we will activate your online Dashboard and be in touch with details of how to get started. If you would like to talk about anything, call us on 1300 141 994.

Your Course Selection

1) Course

2) Product

3) Start Month

4) How did you find us?

Who were you referred by?

5) Would you like to stay connected via Linkedin and/or facebook?

Personal Details

6) Family Name (Surname)

7) Given Names

8) Birth Date

9) Gender

10) Email Address

11) Phone Number (10 digits exactly)

12) Unique Student Identifier (USI)

(*** Note: if you do not have a USI, or do not have it handy, you can provide it after enrolment.)

Residential Address

13) Building/Property Name

14) Flat/Unit Number/Street Number

15) Street Name

16) PO Box or Roadside Delivery Box

17) Suburb, Locality, or Town

18) State/Territory

19) Postcode

20) Country

Postal Address

21) Building/Property Name

22) Flat/Unit Number/Street Number

23) Street Name

24) PO Box or Roadside Delivery Box

25) Suburb, Locality, or Town

26) State/Territory

27) Postcode

28) Country

Language and Cultural Diversity

29) Where were you born?

 

30) What language do you prefer to speak?

 

31) How well do you speak English?

32) Are you of Aboriginal or Torres Strait Islander origin?

Disability

33) 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 indicate more than one area.)

Hearing/Deaf

Physical

Intellectual

Learning

Mental Illness

Acquired Brain Impairment

Vision

Medical Condition

Other

Support

34) Is there anything related to your learning that you would like support with?

Schooling

35) What is your highest COMPLETED secondary school level?

36) In which YEAR did you complete that school level?

37) Are you still attending secondary school?

Previous Qualifications Achieved

38) 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

Certificates other than the above

Employment

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

Reason for Study

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

Other Details

41) Would you like to do a short evaluation of your LLN standard to ensure that it is sufficient for the level of study you are hoping to undertake?

42) Would you like further information about Recognition of Prior Learning/Credit Transfer for this course?

43) Are you a qualified/registered teacher?

44) Number of years teaching

Testimonials

45) I give permission for any testimonial comments to be used for marketing purposes for 12 months following my completion of the course

46) Print advertising

47) Online advertising

Payment Options

48) I would like the invoice to be made out to

 

49) I would like the invoice to be emailed to

 

50) Is there anything else you'd like us to know? If you are part of a group, then please put your group's name here.

Terms and Conditions

All Programs

I have completed the Suitability Self-Assessment and am satisfied that this program of study is suitable for me and that I have access to the resources and environments that it will require. [Click here for the Self-Assessment]

I acknowledge that I have read, understood and accept the fees associated with commencing, extending and withdrawing from this course, as outlined in Section 8 of the Student Handbook. [Click here to view Section 8]

I acknowledge that I have read the Student Handbook and am aware of my rights and obligations. [Click here to view Student Handbook]

Acknowledgement

I have read all the terms and conditions above. I fully understand each and every item. I agree to all terms and conditions.

Signature

Applicant's name

Date