1. Personal Details

Enter your full name *

Enter your birth date *

Gender *

Male

Female

Other

USI Number (click here if you do NOT have one) *

As Above.

Postal Address

Which course are you seeking to enrol ? *

Course to enrol *

Which is your preferred training centre? *

Please select date of booked virtual classroom attendance *

2. Language and cultural diversity

Where you born in Australia? *

Do you speak a language other than English at home? *

Do you feel that you may require assistance with Language, Literacy and/or Numeracy? *

How do you rate your Computer / Online Skills? *

Are you of Aboriginal or Torres Strait Islander origin? *

3. Disability

Do you consider yourself to have a permanent disability, impairment or long term condition? *

If you indicated the presence of a disability, impairment or long-term condition, please select the area(s) in the following list: You may indicate more than one area) Please refer to the Disability supplement for an explanation of the following disabilities located on the last page of the enrolment form *

Acquired Brain Injury

Hearing/Deaf

Intellectual

Learning

Mental Illness

Physical

Vision

Medical Condition

Other

4. Schooling

What is your highest COMPLETED school level? *

Are you still enrolled in secondary or senior secondary education? *

5. Previous qualifications achieved

Have you SUCCESSFULLY completed any of the qualifications? *

Bachelor Degree or Higher

Certificate IV (or Advanced Certificate/Technician)

Certificate I

Advanced Diploma or Associated Degree

Certificate III (or Trade Certificate)

Diploma or Advanced Diploma

Certificate II

Other

6. Employment

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

7. Study Reasons

Of the following categories, select the one which BEST describes the main reason you are undertaking this course/traineeship/apprenticeship *

Participant Declaration & Privacy Statement

I have read the Participant/Client Information Handbook available online; I understand the roles and responsibilities as the participant, including the pathways and options available to me for training and assessment.
I hereby agree to abide by the RTO policies and procedures relating to fees, charges and regulations of the organisation.
I declare that the information supplied on this form is correct and complete.
I agree that personal information and records (this may include written, verbal, photographic and other formats) collected by the Registered Training Organisation (RTO) may be:
- Used by the RTO for research, statistical analysis, program evaluation and internal management purposes.
- Used by government departments for audit, research, statistical analysis, program evaluation.
- Used for promotional and commercial purposes.
I understand that my personal information will only be disclosed to other third parties with the appropriate legal documents or agreement/ permission in writing by myself.

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Virtual Classroom (MM) Enrolment Form

Enrolment: Virtual Classroom (MM) Enrolment Form

1. Personal Details

2. Language and cultural diversity

3. Disability

4. Schooling

5. Previous qualifications achieved

6. Employment

7. Study Reasons

Participant Declaration & Privacy Statement