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Course and Date Commencement

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Course Description

Select courses *HLTAID009- Provide Cardiopulmonary ResuscitationHLTAID011- Provide First Aid Including CPRHLTAID012- Provide First Aid in an Education and Care SettingCPCWHS1001- Prepare to work safely in the construction industryCPC31320- Certificate III in Wall and Floor TilingRIISS00054- Traffic Controller Skill SetRIISS00055- Traffic Management Implementer Skill Set

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About Unique Student Identifier (USI Number)

Unique Student Identifier (USI) Number

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Are You Aboriginal or Torress Strait Islander origin?

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Of the following categories, which BEST describes your current employment status?Full time EmployeePart time EmployeeSelf Employed- not employing othersUnemployed- seeking part-time workEmployed- unpaid worker in a family businessEmployerEnemployed- seeking full time workNot employed- not seeking employment

Disability

Do you consider yourself to have a disability, impairment or long-term condition?YesNo

If you indicated the presence of a disability, impairment or long-term condition, please select the area(s) in the following list: (You may indicate more than one area)Hearing/DeafPhysicalLearningMental illnessVisionMedical Condition

If you require assistance for a disability, please advise how we may assist you:

Study Reason

CheckboxOf the following categories, which BEST describes hour main reason for undertaking this course?To get a jobTo develop my existing businessTo start my own businessTo try for a different careerIt was a requirement of the jobI wanted extra skills for my jobTo get into another course of studyFor personal interest or self developmentOther reasons

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Declaration ContactI declare that all information I have provided in this application, including the attached Enrolment Form, is true, accurate, and complete to the best of my knowledge. I acknowledge that I have completed the mandatory Language, Literacy, and Numeracy (LLN) assessment required for successful enrolment and have attached it accordingly. I confirm that I have read and understood the VET Student Enrolment Privacy Notice and I consent to the collection, use, and disclosure of my personal information in accordance with that Privacy Notice. I acknowledge that I have read and understood the Institute’s Fees and Refund Policy. I also declare that I hold the full legal rights and a valid permit to study in Australia. Furthermore, I understand and accept that my enrolment or qualification may be cancelled at any time by the Institute or relevant government authority if deemed necessary.

Read and ticked/signed the declaration ?YesNo

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