Enrolment Form Course Details Course Name * Course Date / Location * Dietary Requirements (if applicable) Personal Details Unique Student Identifier (USI) * NOTE: if you don't already have a USI, please apply for one here: https://www.usi.gov.au/ I give Tanabelle Education permission to look up my USI to verify details. * Yes No Title Dr Hon Miss Mr Mrs Ms Prof Rev First Name * Middle Name Surname * Date of birth * MM DD YYYY Gender * Female Male X Email * Phone * (###) ### #### Employment Details Employer Name Job Title AVETMISS Information Study Reason For personal interest or self-development I wanted extra skills for my job It was a requirement of my job Not Specified Other reasons To develop my existing business To get a better job or promotion To get a job To get into another course of study To get skills for community/voluntary work To start my own business To try for a different career Labour Force Status Full time employee /01 Not employed - not seeking employment /08 Not stated /@@ Part time employee /02 Self employed - not employing others /03 Self employed - employing others /04 Unemployed - seeking full time work /06 Unemployed - seeking part time work /07 Employed - unpaid worker in a family business /05 Country of Birth * Town/City of Birth Citizenship Status * Australian Citizenship Permanent Resident New Zealand Citizen Temporary Visa Holder None of the Above & Residing Outside Australia Not Stated Nationality * Indigenous Status - Are you of Aboriginal or Torres Strait Islander descent? * Yes, Aboriginal Yes, Torres Strait Islander Yes, Aboriginal AND Torres Strait Islander No, Neither Aboriginal nor Torres Strait Islander Not Stated Main Language - what is your primary language? * At School - do you still attend school (K-12)? * Not Stated No Yes Highest School Level - what is the highest school level you have completed? * Did not go to school /02 Year 8 or below /08 Year 9 or equivalent /09 Year 10 /10 Year 11 /11 Year 12 /12 Not stated /@@ Year Completed - what year did you complete your highest school level? * Disability - do you consider yourself to have a disability? * Not Stated No Yes Prior Education - have you completed any prior qualifications? * Not Stated No Yes Do you have any learning support needs that you want us to be aware of? Comments (optional) Thank you for enrolling with us. We will send you confirmation shortly.
