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 * (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country 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 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? * Country of Birth * Town/City of Birth Prior Education - have you completed any prior qualifications? * Not Stated No Yes Main Language - what is your primary language? * Disability - do you consider yourself to have a disability? * Not Stated No Yes Do you have any learning support needs that you want us to be aware of? 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 Citizenship Status * Australian Citizenship Permanent Resident New Zealand Citizen Temporary Visa Holder None of the Above & Residing Outside Australia Not Stated Nationality * Language, Literacy, Numeracy Proficiency and Digital Literacy As part of your training, we want to make sure you feel confident with the basic skills needed. Please answer the questions below: Do you need any help with reading or understanding written English? * No Yes Do you need any help with writing in English (e.g. sentences or short paragraphs)? * No Yes Do you need help with basic maths (e.g. adding, subtracting, using numbers)? * No Yes Do you need support with using a computer or phone for learning? * No Yes Do you need support using Microsoft Word or online learning platforms (e.g., Moodle)? * No Yes Please rate your confidence using digital tools for learning (1 = Not confident, 5 = Very confident): * 1 2 3 4 5 Comments (optional) Thank you for enrolling with us. We will send you confirmation shortly.
