Enrolment Form

Personal Details

Given Name (required)

Family Name (required)

Your Email (required)

D.O.B (required)

Gender (required)
MaleFemale


Is your usual residence the same as
your postal address? (required)
YesNo


Address

Building/property name (required)

Unit/street no (required)

Street name (required)

Suburb/town (required)

State/territory (required)

Postcode (required)

Work Phone

Mobile

Email (required)

Emergency Contacts

Contact One (required)

Name (required)

Phone (required)

Contact Two

Name

Phone


Language And Cultural Diversity

In which country were you born?
AustraliaOther

What is your citizenship status?
(please tick the box that relates to you)
I am an Australian citizen
YesNo


I am the holder of a permanent
humanitarian visa and I will be a resident in
Australia for the duration of the VET unit(s)
of study for which I am applying for VET
FEE-HELP assistance
YesNo


Do you speak a language other than
English at home? (Required)


How well do you speak English? (Required)
Very WellWellNot wellNot well at all


Are you an Aboriginal or Torres Strait
Islander? (Required)
Non Indigenous

Aboriginal but not Torres Strait Islander

Torres Strait Islander origin but not Aboriginal

Both Aboriginal and Torres Strait Islander

Disability

Do you consider yourself to have a
disability, impairment or long term
condition? (Required)
No -Skip the next questionYes


If yes, then please indicate the area of
disability, impairment or long term
condition? (Required)
Hearing

Learning

Mobility

Vision

Medical Condition

Other - Please Specify


Schooling