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Application for Enrolment
Please note this page is for enrolments only. If you just wish to submit an enquiry,
click here
.
How to enrol? If you are ready to enrol in a course:
1. Complete the form below and click Submit at the bottom of the page or
2. Download the pdf version of the form and return it by email, fax or post
We will contact you within 3 working days to confirm your enrolment
Personal Details
First Name:
Last Name:
Date of birth:
Gender:
Male
Female
Address
Street Number & Name:
Suburb:
Postcode:
Telephone Home:
Mobile:
Email:
Course Name:
Certificate III in Aged Care
Certificate IV in Aged Care
Certificate III in Community Services
Certificate IV in Community Services Work
Certificate III in Home and Community Care
Certificate IV in Home and Community Care
Certificate III in Disability
Certificate IV in Disability
Certificate IV in Frontline Management
Certificate IV in Bookkeeping
Certificate IV in Training and Assessment
Diploma of Community Services Coordination
Start Date (if known):
Do you wish to apply for:
Recognition of Prior Learning(RPL)
Credit Transfer
Not applicable
Government Survey
Your confidentiality is assured as the information you provide us will not be released to any individual without your written consent. However, the College may release your information to Government departments for statistical purposes, program reviews or for an assessment of our performance.
Do you give us permission to release your information for these purposes?
Yes
No
Have you completed any courses since leaving school?
Yes
No
If yes, what is the highest level of education you have achieved?(For e.g. Diploma, Certificate III)?
What is the highest level you achieved at school? (For e.g. Year 10)?
What year did you leave school?
What is your employment status?
Self-employed
Full-time
Part-time/Casual
Unemployed
If you are working, what is your employer's name?
If you are unemployed, are you looking for
Not applicable
Full-time work?
Part-time/Casual work?
Are you...
An Australian Citizen?
A Permanent Resident?
Neither
Do you speak a language other than English at home?
Yes
No
If yes, what is your first language
What is your country of birth?
How well do you speak English?
Very well
Well
Not well
Do you require assistance with English?
Yes
No
Are you of Aboriginal or Torres Strait Island descent or both?
Aboriginal
Torres Strait Islander
Both
Neither
Do you have a disability? If so, please state the nature of your disability
Yes
No
Details:
Do you require assistance?
Yes
No
The College will ask for your feedback during or at the end of your course, do you approve of us seeking this feedback?
Yes
No
Payment options:
Pay in full
Payment plan
Once you submit this application, we will send you a payment form within 3 working days
Conditions of Enrolment
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