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Enrolment Form

Course Details

Select the choice that best applies to you
Adult Learner
High School Student
What course do you wish to study?
Mode of Study
Have you previously completed any qualifications?
Yes
No

Learner Details

Date of Birth
Day
Month
Year
What is your employment status?
Employed
Looking for work
Unemployed
Are you an Aboriginal or Torres Strait Islander?
Yes
No
Is English your first language?
Yes
No

Emergency Contact Details

Do you have any medical conditions we need to be aware of?
Yes
No
Are you over or under 18 years old?
Over 18
Under 18

Privacy notice

We collect this information to enrol you, to report your training to government as required for nationally recognised training, and to support you during your course. It is stored securely and handled in line with our Privacy Policy, which you can read on our Complaints, Appeals and Policies page. By signing below you confirm the details you have given are true and correct.

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