Personal Details
* Required fields
Passport number *
Passport Expiry Date *
Country of birth *
Visa Number
Visa Expiry Date
Nationality
First Name *
Middle Name
Surname *
Date of birth *
Title ( Mr /Mrs / Miss /Ms /Dr )
Home phone
Work phone
Mobile *
Email *
Unique Student Identifier (USI), If known
What is the address of your usual residence?
Building/ property name
Flat/unit details *
Street or Lot Number *
Street name *
Suburb, locality or town *
State/Territory (If applicable) *
Postcode *
Country *
Postal address same as the above?
YesNo If yes, please make sure the required address fields are filled up
What is your postal address (if different from above)?
Do you already have an Australian Visa that allows you to study here?
YesNo
If yes, what type of visa?
Enrolment Details
Qualification/Course
ICT40120 - Certificate IV in Information TechnologyBSB40120 - Certificate IV in BusinessICT50220 - Diploma of Information TechnologyBSB50120 - Diploma of BusinessBSB50420 - Diploma of Leadership and ManagementICT60220 - Advanced Diploma of Information TechnologyBSB60120 - Advanced Diploma of BusinessBSB60420 - Advanced Diploma of Leadership and ManagementBSB80120 - Graduate Diploma in Management (Learning)BSB80320 - Graduate Diploma of Strategic LeadershipCertificate of RegistrationCPP41419- Certificate IV in Real Estate PracticeCPP51119- Diploma of Property (Agency Management)
Please select your Additional Study Interest below:
Preferred start date:
JanuaryFebruaryAprilMayJulyAugustOctoberNovember 20222023202420252026202720282029203020312032
Delivery mode: (If applicable)
Face-to-Face LearningOnline Learning
1. Gender
MaleFemaleOther
2. Do you speak a language other than English at home? If more than one language, indicate the one that is spoken most often
No, English only - Go to question 5Yes, other
If yes please specify:
3. How well do you speak English?
Very wellWellNot wellNot at all
4. Have you completed a test of English Language Proficiency?
IELTSTOEICTOEFLOTHER
If other please specify:
When:
Score:
5. Are you of Aboriginal or Torres Strait Islander origin?
NoYes, AboriginalYes, Torres Strait IslanderYes, Aboriginal and Torres Strait Islander
6. Do you consider yourself to have a disability, impairment or long-term condition? If yes, please indicate the area of disability, impairment or long-term condition. (Tick as many as apply)
YesNo – go to question 7 Hearing/deafIntellectualMental illnessVisionPhysicalLearningAcquired brain injuryMedical conditionOther
7. What is your highest COMPLETED school level (tick one box only)
Year 12 or equivalentYear 11 or equivalentYear 10 or equivalentYear 9 or equivalentYear 8 or belowNever attended school – Go to question 11
8. In which YEAR did you complete that school level?
9. Are you still attending secondary school?
10. Have you SUCCESSFULLY completed any of the following qualifications?
Yes – indicate belowNo – Go to Question 12
Please list any qualifications you have completed and the year of completion.
11. Do you wish to apply for Course Credit? If YES, certified copies of transcripts from previous qualifications must be provided with this form.
12. Do you wish to apply for Recognition of Prior Learning? If you indicate yes, you will be contacted to discuss this further
No. of months required to cover
Employment
Of the following categories, which BEST describes your current employment status? (tick one box only)
Full-time employeePart-time employeeSelf-employed – not employing othersEmployerEmployed – unpaid worker in a family businessUnemployed – seeking full-time workUnemployed – seeking part-time workNot employed – not seeking employment
Study Reason
Of the following categories, which BEST describes your main reason for undertaking this course?
To get a jobTo develop my existing businessTo start my own businessTo try for a different careerTo get a better job or promotionI wanted extra skills for my jobTo get into another course of studyFor personal interest or self-developmentIt was a requirement of my jobOther reasons
Employer’s legal name
Your position
Business address
Postcode
Postal address: (if different from above)
Phone
Email
Fax
Supervisor
Position
Name *
Relationship to you *
Address
Valid visa (if you have one)
High School certificate or other relevant certificates
Passport copy/ Identification Card
Proof of English Language Proficiency
Any other relevant documents to support your application e.g. resume
Centrelink or NSW housing commission certificate (If Applicable)
Agreement
In signing this Enrolment Form you agree:
Student Signature:
Draw signature below
Printed Name:
Date:
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