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Enrolment Form - Nationally Recognised
Training |
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Personal Details |
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1. |
Family Name (Surname): |
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2. |
Given Names: |
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3. |
Residential Address: |
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Suburb: |
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Postcode: |
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4. |
Postal Address: |
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Suburb: |
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Postcode: |
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5. |
Home Number: |
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6. |
Mobile Number: |
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7. |
Email Address: |
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8. |
Date of Birth: |
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9. |
Gender: |
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10. |
How did you hear about us: |
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Language &
Cultural Diversity |
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11. |
Which country were you born in? |
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12. |
Language mainly spoken at home? |
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13. |
How well do you speak English? |
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14. |
Are you Aboriginal or Torres Straight Islander? |
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Disability |
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15. |
Do you consider yourself to have a disability,
impairment or long term condition? |
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16. |
If yes, please select below (all information will
be treated confidentially): |
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Vision |
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Learning |
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Medical |
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Mental
Illness |
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Intellectual |
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Hearing |
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Physical |
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Other
(please specify) |
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17. |
If yes, is assistance required with your studies? |
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Schooling |
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18. |
What is your highest COMPLETED school level?
(please tick ONE only) |
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Year
12 or Equivalent |
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Year
11 or Equivalent |
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Year
10 or Equivalent |
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Year
9 or Equivalent |
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Year
8 or Equivalent |
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Never
attended school Go to Q21 |
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19. |
In which YEAR did you complete the above school
level? |
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20. |
Are you still attending secondary school? |
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Previous Qualifications Achieved |
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21. |
Have you SUCCESSFULLY completed any of the
following qualifications? |
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22. |
If Yes, please tick the appropriate boxes: |
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(you may pick more than one) |
Bachelor
Degree or Higher Degree |
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Advanced
Diploma |
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Diploma |
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Certificate
IV |
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Certificate
III |
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Certificate
II |
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Certificate
I |
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Certificates
other than the above |
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Employment |
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23. |
Which of the following BEST describes your current
employment status? |
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(please tick ONE only) |
Full-time
employee |
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Part-time
employee |
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Self
employed - not employing others |
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Employer |
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Employed
- unpaid worker in family business |
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Unemployed
- seeking full-time work |
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Unemployed
- seeking part-time work |
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Not
employed - not seeking employment |
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Reason for Study |
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24. |
Which of the following BEST describes your reason
for undertaking this course / traineeship? |
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(please tick ONE only) |
To
get a job |
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To
develop my existing business |
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To
start my own business |
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To
try for a different career |
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To
get a better job or promotion |
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It
was a requirement of my job |
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I
wanted extra skills for my job |
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To
get into another course of study |
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For
personal interest or self development |
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Other
reasons |
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Course Details |
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25. |
I would like to enrol in: |
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26. |
Preferred method of training: |
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27. |
Preferred classroom schedule: |
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28. |
Which days are you available? |
Monday |
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(you may pick more than one) |
Tuesday |
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Wednesday |
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Thursday |
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Friday |
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29. |
Company Name: |
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(Workplace Training only) |
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30. |
Name of Supervisor / Contact: |
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31. |
Contact Phone Number: |
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Recognition of Prior Learning (RPL) / Credit Transfers
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32. |
I would like to apply for RPL or Credit
Transfer for this course? |
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Skills Summary - answering NO to any of
the questions below will NOT affect your chance of enrolment in
any way. We collect this data to learn about your current
skills & knowledge, as well as to group you with
participants with similar skill levels (when enrolling into our
classroom courses) to make your training
experience more enjoyable. |
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I can type a letter in Microsoft Word (or similar
program) |
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I can design a simple spreadsheet in Microsoft
Excel (or similar program) |
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I can send emails from Outlook, Hotmail, Gmail (or
similar program) |
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I can perform internet searches using Google, Yahoo
(or similar program) |
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I have experience using MYOB |
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I have experience in Accounts Payable |
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I have experience in Accounts Receivable |
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I have experience in Payroll |
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Invoice Details |
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33. |
Please invoice: |
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34. |
Company Name: |
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35. |
Address: |
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36. |
Contact Person: |
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37. |
Contact Phone Number: |
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Additional Comments: |
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Terms & Conditions
of Enrolment |
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38. |
Completing and
submitting this Enrolment Form will secure one 'tentative' place in
the qualification you have selected above. If you are booking
in more than one student, an on-line enrolment needs to be submitted
for each individual student.
An invoice will be
generated and emailed to you, or posted when an email address is not
supplied. A deposit of $500 needs to be
paid to secure your place in the course.
Places are offered to students on a "first in" basis.
Vital Training
Solutions accepts payment by Credit Card (Visa or MasterCard), BPAY, PostBillPay, Direct Deposit or Cheque
(provided there is enough time for cheque clearance prior to course
commencement).
Refunds are given as
per our Student Handbook.
Please click here for a PDF copy.
By clicking on
the submit button below, you are declaring that the information
provided in this enrolment form is true and correct.
I have read, understand
and accept the terms outlined above and in the Student Handbook and
understand I must still submit a signed hard copy of the declaration
on the last page of the Student Handbook to Vital Training
Solutions. |
