Course Application Form 

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Personal Details

Please complete all required fields below

Title
Entity Data - Profile - Title
First Name
Entity Data - Profile - First Name
Middle Name
Entity Data - Profile - Middle Name
Surname
Entity Data - Profile - Surname
Known By (Nickname)
Entity Data - Profile - Known By
Birth Date
Entity Data - Profile - Birth Date
Gender
Entity Data - Profile - Gender
Unique Student Identifier (USI)

NOTE: if you don't already have a USI, please click HERE to apply for one now!
Entity Data - AVETMISS - Unique Student Identifier (USI)

Contact Information

Please complete all required fields below

E-mail Address (Personal)
Entity Data - Contact - Home - E-mail Address
Mobile Number (Personal)
Entity Data - Contact - Home - Mobile Number
Phone Number (Personal)
Entity Data - Contact - Home - Phone Number

Residential Address

Please complete all required fields below

Street Number
Entity Data - Address - Home - Street Address 1
Street Name
Entity Data - Address - Home - Street Address 2|These fields have been deprecated as they didn't properly feed the address information. Please use the newly added fields: Unit/Flat Number, Street/Lot Number and Street Name.
Suburb
Entity Data - Address - Home - Suburb
State
Entity Data - Address - Home - State
Post Code
Entity Data - Address - Home - Post Code
Country
Entity Data - Address - Home - Country

AVETMISS Information

Please complete all required fields below

Labour Force Status
Entity Data - AVETMISS - Labour Force Status
Country of Birth
Entity Data - Profile - Country of Birth
Town/City of Birth
Entity Data - Profile - Town/City of Birth
Citizenship Status
Entity Data - Profile - Citizenship Status
Nationality
Entity Data - Profile - Nationality
Indigenous Status - Are you of Aboriginal or Torres Strait Islander descent?
Entity Data - AVETMISS - Indigenous Status
Main Language - what is your primary language?
Entity Data - AVETMISS - Main Language
At School - do you still attend school (K-12)?
Entity Data - AVETMISS - At School
Highest School Level - what is the highest school level you have completed?
Entity Data - AVETMISS - Highest School Level
Year Completed - what year did you complete your highest school level?
Entity Data - AVETMISS - Year Completed (Highest School)
Disability - do you consider yourself to have a disability?
Entity Data - AVETMISS - Disability Flag
Disability Type
Entity Data - AVETMISS - Disability Type
Prior Education - have you completed any prior qualifications?
Entity Data - AVETMISS - Prior Education Flag
Prior Education Type
Entity Data - AVETMISS - Prior Education Type

Declaration

Please complete all required fields below

Terms and Conditions

Please read our Terms and Conditions HERE.
Basic - Checkboxes
Digital Signature
Basic - Digital Signature
Date
Basic - Date

Payment

Payment Options
Open Reg Course Fee 		$750.00
$750.00
$0.00
$750.00