condition? Bachelor Degree or Higher Degree Advanced Diploma of Associate Degree YES Diploma ( or Associate Diploma) NO Certificate IV( or Advanced Certificate / Technician) If yes, please indicate the area of disability, impairment or Certificate III ( or Trade Certificate) long-term condition. Certificate II (You may indicate more than one area) Certificate I Hearing / Deaf Certificates other than above (please Physical specify) Intellectual None Learning Mental illness Have you enrolled in a similar course elsewhere? Y / N Acquired Impairment Yes No Vision (If you have, you may be eligible for a credit transfer or Recognition of Prior Medical Condition Learning contact the Training Manager for further information) – Have you been employed in the area covered by the course Other applied for? Y / N Special Requirements (If you have you may be eligible for Recognition of Current Competency – Do you have any medical conditions we should know about? contact the Training Manager for further information) Employment Which of the following best describes your current employment status? Food Allergies / Restrictions Full-time employee Part-time employee Self-employed (not employing others) I consent to The Centre seeking medical assistance if required? Employer Yes No ⃝ ⃝ Schooling Employed unpaid worker in a family business – Unemployed seeking full-time work Are you still attending secondary school? – YES Unemployed seeking part-time work – NO Not employed not seeking employment – (including retired and 16 years of age) What is your highest COMPLETED school level? (Tick ONE box only) Which of the following classification best describes your Completed Year 12 current or recent OCCUPATION? Completed Year 11 Managers Completed Year 10 Professionals Completed year 9 or Equivalent Technicians and Workers Completed Year 8 or Lower Community and Personal Service Workers Never attended school Clerical and Administrative Workers Sales Workers In which YEAR did you complete that school level? Operators and Drivers Labourers Other Previous qualifications Which of the following classifications best describes the Have you SUCCESSFULLY completed a post-secondary INDUSTRY of your current or previous Employer? qualification/s? YES Agriculture, Forestry and Fishing NO Mining Manufacturing If yes, please enter one of this Prior Education Achievement Electricity, Gas , Water and Waste Services Recognition- Construction Wholesale Trade Retail A Australian E Australian Equivalent I International – – – Accommodation and Feed Services A E I
condition? YES NO If yes, please indicate the area of disability, impairment or long-term condition. (You may indicate more than one area) Hearing / Deaf Physical Intellectual Learning Mental illness Acquired Impairment Vision Medical Condition Other Special Requirements Do you have any medical conditions we should know about? Food Allergies / Restrictions I consent to The Centre seeking medical assistance if required? Yes ⃝ No ⃝ Schooling Are you still attending secondary school? YES NO What is your highest COMPLETED school level? (Tick ONE box only) Completed Year 12 Completed Year 11 Completed Year 10 Completed year 9 or Equivalent Completed Year 8 or Lower Never attended school In which YEAR did you complete that school level? Previous qualifications Have you SUCCESSFULLY completed a post-secondary qualification/s? YES NO If yes, please enter one of this Prior Education Achievement Recognition- A – Australian E – Australian Equivalent I – International A E I Bachelor Degree or Higher Degree Advanced Diploma of Associate Degree Diploma ( or Associate Diploma) Certificate IV( or Advanced Certificate / Technician) Certificate III ( or Trade Certificate) Certificate II Certificate I Certificates other than above (please specify) None Have you enrolled in a similar course elsewhere? Y / N Yes No (If you have, you may be eligible for a credit transfer or Recognition of Prior Learning – contact the Training Manager for further information) Have you been employed in the area covered by the course applied for? Y / N (If you have you may be eligible for Recognition of Current Competency – contact the Training Manager for further information) Employment Which of the following best describes your current employment status? Full-time employee Part-time employee Self-employed (not employing others) Employer Employed – unpaid worker in a family business Unemployed – seeking full-time work Unemployed – seeking part-time work Not employed – not seeking employment (including retired and 16 years of age) Which of the following classification best describes your current or recent OCCUPATION? Managers Professionals Technicians and Workers Community and Personal Service Workers Clerical and Administrative Workers Sales Workers Operators and Drivers Labourers Other Which of the following classifications best describes the INDUSTRY of your current or previous Employer? Agriculture, Forestry and Fishing Mining Manufacturing Electricity, Gas , Water and Waste Services Construction Wholesale Trade Retail Accommodation and Feed Services
2016_Enrolment_Form_Final.docx