Enrolment Form Applicant DetailsTitleFirst Name *Last Name *Date of Birth *GenderMaleFemaleOtherAre you of Aboriginal or Torres Strait Islander?NoYes, AboriginalYes, Torres Strait IslanderYes, Aboriginal and Torres Strait IslanderNationalityResidency statusExpiry date of visaHome Phone Number *Mobile Phone Number *Home Address *ZIP / Postal Code *Postal Address (if different from home address)ZIP / Postal CodeEmail Address *Course DetailsChoose your courseBSB50120 Diploma of BusinessBSB41419 - Certificate IV in Work Health and SafetyMode of learning *SelectOnlineEmergency contact detailsEmergency contact name *Home Address *ZIP / Postal CodeRelationshipEmergency contact number *English Language ProficiencyDo you speak a language other than English at home? *SelectYesNoIf yes, please specify:How well do you speak English?SelectVery wellWellNot WellNot at allDo you consider that you have adequate language, literacy and numeracy skills to undertake the course?SelectYesNoNot SureEducation detailsWhat is your highest COMPLETED school level?Year 12 or equivalentYear 11 or equivalentYear 10 or equivalentYear 9 or equivalentYear 8 or belowNever attended schoolAre you still attending secondary school?YesNoDo you hold any of these Australian qualifications?Certificate ICertificate IICertificate IIICertificate IVAssociate DiplomaAdvanced DiplomaBachelor Degree or HigherOther Certificate (Please Specify)NoneRPL (Recognition of Prior Learning ) applicationWould you like to make an application for RPL?YesNoNot SureIf yes, please specify the units you are seeking for RPL below:Credit TransferWould you like to make an application for Credit Transfer?YesNoNot SureIf yes, please specify the units you are seeking for credit transfer below:Individual NeedsDo you identify yourself as requiring additional assistance?Yes, hearingNoYes, physicalYes, intellectualYes, learningYes, mental illnessYes, acquired brain impairmentYes, visionYes, medical conditionYou can refer to the Individual Needs Supplement at the end of this form for assistance with answering this question.If yes, please specify:Your Personal StatementHow did you hear about us?GoogleBingFriend / colleague Social media OtherIf other, please specify:Why are you choosing this course?To get a job To develop my existing business To start my own business To try for a different career To get a better job or promotion It was a requirement of my job I wanted extra skills for my job To get into another course of study For personal interest or self-development Other reasonsDo you have a specific career aim or job in mind for the future?Unique Student IdentifierIf you're studying a nationally recognised training in Australia from 1 January 2015, you will be required to have a Unique Student Identifier (USI). Your USI links to an online account that contains all your training records and results (transcript) that you have completed from 1 January 2015 onwards. Your results from 2015 will be available in your USI account in 2016. One of the main benefits of the USI is the ability to provide students with easy access to their training records and results (transcript) throughout their life. You can access your USI account online from your computer, tablet or smartphone anytime. Download the fact sheets here: USI - Student InformationDo you already have a Unique Student Identifier?YesNoNot sureIf no, please create your USI here Consent *I agree to read, sign and submit Student Handbook at the time of enrolment.Submit Now