Enrolment Form

Student Id:
   

Course Details

 
Course Name
Course Date
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How did you hear about this course?

Participant Details

Surname   First name
Date of Birth  
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Address   Postcode  
Phone: Home     Work   Mobile  
Email address  
Contact person in an emergency Name Phone  
Organisation Details Name
Contact Person
Address Phone  

Please complete the following question. The information will be used by ETC to further develop our courses to suit your needs. Statistical information from this form will be provided to Department of Education and Training.

In what country were you born?

Citizenship:
Other:
What language do you speak at home?
Do you speak fluent English
Are you?


Do you consider that you have a disability
Do you require any language,
literacy or numeracy assistance?
What type of assistance
Which of the following best describes
your current employment status







Are you still at school?
Highest school level completed


What year did you complete school?
Since leaving school, have you gained
any formal qualifications?		  

Payment and Condition of Enrolment

I realise and accept:

  • That a place on a course cannot be assured unless payment arrangements are in place. For individuals this means that full payment for the course must be made five working days prior to the commencement of the course.
  • Courses may be cancelled or rescheduled if there are insufficient students attending. A full refund will be given.
  • Cancellations with more than 5 working days notice will be accepted and a full refund given.
  • No refunds will be made for cancellations with less than 5 working days notice.
  • If no notice is given and a person does not attend the course. The full fee will be charged.

Please notify us if you are unable to attend.

Payment:



  

Disclaimer:

I understand that by submitting this enrolment form I agree for ETC to release statistical information to DET (Department of Education and Training)