Student Enrolment Form

TITLE: *

PREFERRED NAME

FIRST NAME *

MIDDLE NAME

LAST NAME *

DATE OF BIRTH *

YOUR GENDER *

Select options

EMAIL ADDRESS *

STUDENT ID (Current/Past Students Only)

MOBILE *

WORK

HOME

BUILDING/PROPERTY NAME

STREET ADDRESS *

FLAT/UNIT DETAILS

SUBURB *

STATE *

COUNTRY *

Country

POSTCODE *

BUILDING/PROPERTY NAME

POSTAL STREET ADDRESS

PO BOX

SUBURB

STATE

POSTAL COUNTRY

POSTCODE

IN WHICH COUNTRY WHERE YOU BORN? *

AUSTRALIA

OTHER

PLEASE SPECIFY - BIRTH COUNTRY

DO YOU SPEAK A LANGUAGE OTHER THAN ENGLISH? *

NO

YES

PLEASE SPECIFY - OTHER LANGAUGE

ARE YOU OF ABORIGINAL OR TORRES STRAIT ISLANDER ORIGIN? *

NO

YES, ABORINGINAL

YES, TORRES STRAIT ISLANDER

DO YOU CONSIDER YOURSELF TO HAVE A DISABILITY, IMPAIRMENT OR LONG-TERM CONDITION? *

NO

Yes

IF YES, THEN PLEASE INDICATE THE AREAS OF DISABILITY, IMPAIRMENT OR LONG-TERM CONDITION? (YOU MAY INDICATE MORE THAN ONE)

HEARING

PHYSICAL

INTELLECTUAL

LEARNING

MENTAL ILLNESS

VISION

MEDICAL CONDITION

ACQUIRED BRAIN IMPAIRMENT

OTHER

ARE YOU STILL ATTENDING SECONDARY SCHOOL? *

NO

YES

WHAT IS YOUR HIGHEST COMPLETED SCHOOL LEVEL? *

YEAR 12 OR EQUIVALENT

YEAR 11 OR EQUIVALENT

YEAR 10 OR EQUIVALENT

YEAR 9 OR EQUIVALENT

YEAR 8 OR BELOW

NEVER ATTENDED SCHOOL

HAVE YOU SUCCESSFULLY COMPLETED ANY OTHER ACCREDITED QUALIFICATION? *

NO

YES

BACHELOR OR HIGHER DEGREE

AUSTRALIAN

AUSTRALIAN EQUIVALENT

INTERNATIONAL

ADVANCED DIPLOMA OR ASSOCIATE DEGREE

AUSTRALIAN

AUSTRALIAN EQUIVALENT

INTERNATIONAL

DIPLOMA (OR ASSOCIATE DIPLOMA)

AUSTRALIAN

AUSTRALIAN EQUIVALENT

INTERNATIONAL

CERTIFICATE IV (OR ADVANCED CERTIFICATE/TECHNICIAN)

AUSTRALIAN

AUSTRALIAN EQUIVALENT

INTERNATIONAL

CERTIFICATE III (OR TRADE CERTIFICATE)

AUSTRALIAN

AUSTRALIAN EQUIVALEN

INTERNATIONAL

CERTIFICATE II

AUSTRALIAN

AUSTRALIAN EQUIVALENT

INTERNATIONAL

CERTIFICATE I

AUSTRALIAN

AUSTRALIAN EQUIVALENT

INTERNATIONAL

OTHER EDUCATION (INCLUDING CERTIFICATES OR OVERSEAS QUALIFICATIONS NOT LISTED ABOVE)

AUSTRALIAN

AUSTRALIAN EQUIVALENT

INTERNATIONAL

OF THE FOLLOWING CATEGORIES, WHICH BEST DESCRIBES YOUR CURRENT EMPLOYMENT STATUS? *

PLEASE SELECT ONLY ONE

OF THE FOLLOWING CATEGORIES, WHICH BEST DESCRIBES YOUR MAIN REASON FOR UNDERTAKING THIS COURSE? *

PLEASE SELECT ONLY ONE

ENTER YOUR UNIQUE STUDENT IDENTIFIER (USI)

If you are an International student studying offshore you do not need a USI. If you are an Australian expat or resident living overseas and have an Australian ID, you need a USI even if you complete the VET course while outside of Australia.

DO YOU HAVE A VICTORIAN STUDENT NUMBER (VSN)? *

YES - PLEASE SPECIFY

YES - BUT I CAN'T REMEMBER THE NUMBER

NO

IF YES PLEASE SPECIFY YOUR VICTORIAN STUDENT NUMBER (VSN)

IF NO, HAVE YOU ATTENDED ANY VICTORIAN SCHOOL SINCE 2009 OR DONE ANY TRAINING WITH A VOCATIONAL EDUCATION TRAINING (VET) REGISTERED TRAINING ORGANISATION OR AN ADULT AND COMMUNITY EDUCATION PROVIDER IN VICTORIA SINCE 2011.

NO, I HAVE NOT ATTENDED A VICTORIAN SCHOOL SINCE 2009 OR TAFE OR OTHER VET TRAINING PROVIDER SINCE THE BEGINNING OF 2011

YES, I HAVE ATTENDED A VICTORIAN SCHOOL SINCE 2009

YES, I PARTICIPATED IN TRAINING AT A TAFE OR OTHER TRAINING ORGANISATION SINCE THE BEGINNING OF 2011