Home / Student Enrolment Form

Student Enrolment form

- Step 1 of 3

Personal Details

Title *

Mr
Mrs.
Ms.
Miss
Other:

Name *

First

Middle

Last

Maiden Name (if applicable)

Date of Birth *//

Gender *

Male
Female
Other

Which qualification are you enrolling into?

Workplace Details (if applicable)

Are you currently employed? *

Company Name

Job Role

Workplace Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Manager/Supervisor Name

Employer/Supervisor Email Address

Work Number

Personal Details

Email Address *

Mobile Number *

Phone (home) *

If you do not have a home phone number, please enter your best contact number

Home Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Is your postal address different to your home address? *

Postal Address (if different from above) *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Citizenship/Visa Details

Country of Birth *

City of Birth *

Are you an Australian or New Zealand citizen/resident? *

Visa Type *

Student Visa
Temporary Resident Visa
Business Visa
Permanent Humanitarian Visa
Holiday Visa
No Visa or Citizenship
Visitor's Visa
Other Visa

Other Visa (please specify) *

Visa Number *

Passport Number *

Indigenous Status *

Yes, Aboriginal
Yes, Aboriginal and Torres Strait Islander
Yes, Torres Strait Islander
No, neither Aboriginal or Torres Strait Islander

Employment Status *

Full-time Employee
Full-time Employee
Employed – unpaid worker in a family business
Part-time Employee
Self-employed – employing others
Unemployed – Seeking full-time work
Unemployed – Seeking part-time work
Unemployed – Not seeking employment

What language do you speak most often? *

Do you require English Assistance? *

Proficiency in spoken English *

Very Well
Well
Not Well
Not at All

Schooling

If you are currently enrolled in secondary education, the Highest school level completed refers to the highest school level you have completed and not the level you are currently undertaking. For example, if you are currently in Year 10, the highest school level completed is Year 9.

Highest Level of Secondary Schooling completed *

Never Attended School
Year 8 or below
Year 9 or equivalent
Year 10 or equivalent
Year 11 or equivalent
Year 12 or equivalent

Year of highest level of secondary school completed: (e.g. 1996) *

Are you currently attending secondary school? *

Name of school you are currently attending *

Do you hold any Qualifications? (E.g. Certificate III, IV, Diploma, Bachelor. Masters etc.) *

Qualification Level(s) *

Certificate I
Diploma
Certificate II
Advanced Diploma or Associate degree
Certificate III
Bachelor's degree
Certificate IV
Master's degree or higher

Qualification Recognition *

Australian Qualification
Australian Equivalent Qualification
International Qualification
Other

Recognition of Prior Learning

Are you intersted in RPL? (Recognition of Prior Learning) *

Approximately, how many years/months experience do you have? *

Experience is in relation to the vocation of your qualification you are enrolling into. E.g. Individual Support (Aged Care) or Hospitality

Disability Status

Do you consider that you have a disability, impairment / long term condition that may affect your participation in the course? *

Disability, Impairment, or long-term condition

Hearing / Deafness
Physical
Medical Condition
Vision
Intellectual
Mental Illness
Acquired Brain Impairment
Learning
Not Specified
Other

We are required, by law, to verify your Unique Student Identifier (USI) upon enrolment

What is your USI? ( Unique Student Identifier)

We are required, by law, to verify your Unique Student Identifier (USI) upon enrolment From 1 January 2015, we College Australia can be prevented from issuing you with a nationally recognised VET qualification or statement of attainment when you complete your course if you do not have a Unique Student Identifier (USI). In addition, we are required to include your USI in the data we submit to NCVER. If you have not yet obtained a USI you can apply for it directly at https://www.usi.gov.au/students/create-your-usi/ on computer or mobile device. Enter your Unique Student Identifier (USI) below (if you already have one). You may already have a USI if you have done any nationally recognised training, which could include training at work, completing a first aid course or RSA (Responsible Service of Alcohol) course, getting a white card, or studying at a TAFE or training organisation. It is important that you try to find out whether you already have a USI before attempting to create a new one. You should not have more than one USI. To check if you already have a USI, use the ‘Forgotten USI’ link on the USI website at https://www.usi.gov.au/faqs/i-have-forgotten-my-usi/

Your USI *

I authorise Real Group to create or obtain a USI on my behalf.

(If you do not have a USI, please complete these details) Town/City of Birth

(please write the name of the Australian or overseas town or city where you were born) If you would like us Real Group to apply for a USI on your behalf you must authorise us to do so and declare that you have read the privacy information at: http://www.usi.gov.au/Documents/Student-Identifiers-Registrar-privacy-policy-v1.1.pdf

I have read and I consent to the collection, use and disclosure of my personal information (which may include sensitive information) pursuant to the information detailed at https://www.usi.gov.au/documents/privacy-notice-when-rto-applies-their-behalf.

In accordance with section 11 of the Student Identifiers Act 2014, College Australia will securely destroy personal information which we collect from individuals solely for the purpose of applying for a USI on their behalf as soon as practicable after we have made the application or the information is no longer needed for that purpose.

LUI (QLD School Students Only)

Learner Unique Identifier - usually located on your school ID. Please leave blank if not applicable to you.

Emergency Contact Details

Contact Name *

Contact Number *

Relationship *

Email *

Qualification / Course Details

Which of the following statements best describes your reason for enrolling in this course?

Personal Interest or self-development
To start my own business
To get a job
To develop my existing business
To get a better job or promotion
To try another career
I want extra skills for my job
Meet CPD / licence / vocational requirements
Requirement of my job
To gain a qualification
To get skills for community/voluntary work
To get into another course of study

Fees

Do you hold a concessional Card? (E.g. Pensioner or Health Care Card) *

Who is responsible for arranging payment for your enrolment? *

Self
Employer
Other

• Invoices/receipts will be raised and sent within 7 days of enrolment date. • Payment must be made before commencement of course. • The course fees are payable immediately. If applicable. • Cancellation fees may apply, refer to refund policy.

Do you require a payment plan? *

Yes (student services will contact you for further information)
No

Section Marketing Feedback

How did you hear about us?

Email received
Job Services Agency
Advertisement
My Skills
Internet Search
Employer
Word of mouth
I am a Past Student
Other

Please provide how you heard about us below

File Upload

Click or drag files to this area to upload. You can upload up to 99 files.

If possible, please provide forms of identification - such as Driver licence, Medicare Card, Concessional Card etc. If you are unable to provide these at this point in time, please email a clear, coloured photograph of your identification to info@collegeaustralia.edu.au

Signature *

By signing this form, I agree that all the information provided is true and correct and any untrue information may delay my enrolment process.

Student Enrolment form

Personal Details

Workplace Details (if applicable)

Personal Details

Citizenship/Visa Details

Schooling

Recognition of Prior Learning

Disability Status

We are required, by law, to verify your Unique Student Identifier (USI) upon enrolment

Emergency Contact Details

Qualification / Course Details

Fees

Section Marketing Feedback

Stay in the Loop