Personal Details (including full legal name) Title* Gender* Marital Status* Have you ever been refused a visa to any country?*
Current Residential Address* Current Residential Address*
Overseas Residential Address* Overseas Residential Address*
Emergency Contact Details Name*
First
Educational Background
Select One Or More Of The Following Training Product/s Course Name* Do you accept to pay over 50% of tuition fee?* Do you have a USI?
Applying For Credit Transfer? Do you wish to apply for Credit Transfer (CT)? If yes, please provide a certified copy of an academic transcript certificate or statement of results for these courses/units of competency
you wish to apply for Credit Transfer failure to provide may result in credit transfer disapproval.
Applying For Recognition Of Prior Learning (RPL)? Do You Wish To Apply For Recognition Of Prior Learning (RPL)? If yes, you will be required to complete RPL forms to determine your eligibility to proceed with RPL and certified copies of evidence of
qualifications, work experience, statement of attainment and/or results must accompany your application.
English Proficiency Name of English Proficiency Test
Special Needs Do you have a disability, impairment or long-term medical condition that may affect your studies? If YES, please indicate the area/s of impairment.
Overseas Student Health Cover (OSHC) Do you require OSHC?* If YES*
Pre-Training Review
Skills Recognition Have you any relevant employment or work experience? If Yes, please complete the table below This field is hidden when viewing the form
Do you require accommodation? This field is hidden when viewing the form
Type of accommodation This field is hidden when viewing the form
Do you require airport pick-up?
Goals, Preferred Learning Style and Adjustments Why do you want to do this course?* (Please tick all applicable)
How do you prefer to learn?* (Please tick all applicable)
5. Where do you prefer to learn?* (Tick one or more)
Digital Literacy How would you rate your skills in the use of digital technologies?* Do you regularly use any of the following digital technologies?* (Tick all the applicable option/s)
(Smart phone / Laptop/computer/notebook computer / Applications Microsoft Word, Excel, PowerPoint and / Email Internet / Other)
I am comfortable communicating with others?* I am comfortable problem-solving on my own?* I am comfortable learning something new?* I am comfortable watching videos (YouTube, etc.) & using social media* I am comfortable in creating, editing different documents.* I am comfortable researching on the internet and sending emails.* I am comfortable in using different applications and programs.* Do you have access to a computer at home with a reliable internet connection to study?*
Privacy Statement & Student Declaration Introduction
The purpose of the Disability supplement is to provide additional information to assist with answering the disability question.
If you indicated the presence of a disability, impairment or long-term condition, please select the area(s) in the following list:
Disability in this context does not include short-term disabling health conditions such as a fractured leg, influenza, or corrected physical conditions such as impaired vision managed by wearing glasses or lenses.
‘11 — Hearing/deaf’
Hearing impairment is used to refer to a person who has an acquired mild, moderate, severe or profound hearing loss after learning to speak, communicates orally and maximises residual hearing with the assistance of amplification. A person who is deaf has a severe or profound hearing loss from, at, or near birth and mainly relies upon vision to communicate, whether through lip reading, gestures, cued speech, finger spelling and/or
sign language.
‘12 — Physical’
A physical disability affects the mobility or dexterity of a person and may include a total or partial loss of a part of the body. A physical disability may have existed since birth or may be the result of an accident, illness, or injury suffered later in life; for example, amputation, arthritis, cerebral palsy, multiple sclerosis, muscular dystrophy, paraplegia, quadriplegia or post-polio syndrome.
‘13 — Intellectual’
In general, the term ‘intellectual disability’ is used to refer to low general intellectual functioning and difficulties in adaptive behaviour, both of which conditions were manifested before the person reached the age of 18. It may result from infection before or after birth, trauma during birth, or illness.
‘14 — Learning’
A general term that refers to a heterogeneous group of disorders manifested by significant difficulties in the acquisition and use of listening, speaking, reading, writing, reasoning, or mathematical abilities. These disorders are intrinsic to the individual, presumed to be due to central nervous system dysfunction, and may occur across the life span. Problems in self-regulatory behaviours, social perception, and social interaction may exist with learning disabilities but do not by themselves constitute a learning disability.
‘15 — Mental illness’
Mental illness refers to a cluster of psychological and physiological symptoms that cause a person suffering or distress and which represent a departure from a person’s usual pattern and level of functioning.
‘16 — Acquired brain impairment’
Acquired brain impairment is injury to the brain that results in deterioration in cognitive, physical, emotional or independent functioning. Acquired brain impairment can occur as a result of trauma, hypoxia, infection, tumour, accidents, violence, substance abuse, degenerative neurological diseases or stroke. These impairments may be either temporary or permanent and cause partial or total disability or psychosocial maladjustment.
‘17 — Vision’
This covers a partial loss of sight causing difficulties in seeing, up to and including blindness. This may be present from birth or acquired as a result of disease, illness or injury.
‘18 — Medical condition’
Medical condition is a temporary or permanent condition that may be hereditary, genetically acquired or of unknown origin. The condition may not be obvious or readily identifiable, yet may be mildly or severely debilitating and result in fluctuating levels of wellness and sickness, and/or periods of hospitalisation; for example, HIV/AIDS, cancer, chronic fatigue syndrome, Crohn’s disease, cystic fibrosis, asthma or diabetes.
19 — Other
A disability, impairment or long-term condition which is not suitably described by one or several disability types in combination. Autism spectrum disorders are reported under this category.
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Declaration of Information Accuracy Consent* 
