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Student Enrolment Form

Personal Details

Title
Gender
Name
Residential address
Preferred form of contact
Your Unique Student Identification Number
If you do not have a USI do you give Integral Skills permission to apply for one on your behalf?
To raise a USI we will need one of the following proof of Identity evidences
Your Identity expiry date
Are you an Australian or New Zealand Citizen?
Do you speak a language other than English at home?
If yes, how well do you speak English?
Do you have a disability?
What is your highest level of school completed?
Have you successfully completed any of the following qualifications?
Bachelor Degree or Higher Degree / Advanced Diploma or Associate Degree / Diploma or Associate Diploma / Certificate IV or Advance Certificate / Certificate III or Trade Certificate / Certificate II / Certificate I / Certificates - other
If yes, select all the qualifications you have completed
Do you consider that you have the literacy and numeracy skills to undertake the course?
Reasons for study

Emergency Contact

Emergency Contact
How did you hear about us?
We may from time to time send you details about future training opportunities or offers. If you DO NOT wish to be contacted, please indicate below.

Document Upload and Agreement

Drag & Drop Files, Choose Files to Upload You can upload up to 5 files.
Images like .png, .gif, .jpg / Documents such as .doc, .xls, .ppt, .pdf

By signing this form, I certify that the information provided is true and correct. I further certify that:

  • I have reviewed the Learner Handbook supplied to me and have been informed about and accept my rights and obligations.
  • I have reviewed and accept the Schedule of Fees and Payments and have been informed of the
    Refund policy.
  • I have reviewed the Course Brochure and have been informed of and accept the training and assessment services to be provided and the units of competency to be completed.
  • I have reviewed the National VET Data Privacy Policy Notice provided in the Learner Handbook and acknowledge that Commonwealth and State or Territory government departments and authorised agencies will use my personal information in accordance with this notice.
I confirm that I agree to the above declaration.




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