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Please contact the training team on 1800 007 400 if you have any issues completing this form.
First Name *
Last Name *
Postal Address: Street Address *
City *
State *
Postcode *
Your email *
Your phone *
Select your region * —Please choose an option—Gold CoastNorth Coast (Tweed - Casino)Mid North Coast (Grafton - Nambucca)Lower Mid North Coast (Kempsey - Taree)
What ETC course are you interested in enrolling in? *
Are you currently employed? * —Please choose an option—YesNo
Which Industry are you employed in? * —Please choose an option—Business IndustryRetail IndustryHospitality IndustryCommunity Services & Care IndustryChild Care IndustryOther
If Other, please describe:
Where are you currently employed? *
What is your current role in the Community Services / Care Industry? *
How long have you been working in the Community Services / Care Industry? *
Does your employer support you to complete this qualification? * —Please choose an option—YesNo
Have you completed any personal care previously in your role? * —Please choose an option—YesNo
If so, for how long? *
Will your organisation allow you to complete 120hrs of personal care as part of your training if you are currently not conducting personal care in your role? * —Please choose an option—YesNo
Do you have access to a laptop or desktop computer at home? * —Please choose an option—YesNo
Do you have access to the Internet through a broadband or NBN connection at home? * —Please choose an option—YesNo
Do you have access to a digital device with Internet access that you could use to submit evidence such as photographs and videos? * —Please choose an option—YesNo
Do you have any experience in using Microsoft Teams or attending online meetings? * —Please choose an option—YesNo
How confident are you in your Computer Skills? * —Please choose an option—Not ConfidentSomewhat ConfidentVery Confident
Can you please tell us what motivates you to complete this course/qualification? *
Please leave this field empty.
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Your Name *
Your Email *
Phone Number
Select from below * —Please choose an option—I'm an EmployerI'm a Job SeekerI'm interested in a CourseOther
Select your location: —Please choose an option—BallinaByron BayCabooltureCaloundraCasinoChermsideCoffs HarbourCoomeraDeception BayGoodnaGraftonGympieHelensvaleIpswichKempseyKippa-RingLismoreMaroochydoreMaryboroughMiamiMitcheltonMurwillumbahNambourNambucca HeadsNerangNoosavilleNundahPalm BeachPort MacquarieRichlandsSouthportSpringfield CentralStrathpineTareeTuncurryTweed HeadsWauchope
Select your location: —Please choose an option—BallinaByron BayCabooltureCaloundraCasinoChermsideCoffs HarbourCoomeraDeception BayGoodnaGraftonGympieHelensvaleIpswichKempseyKippa-RingLismoreMaroochydoreMaryboroughMiamiMitcheltonMurwillumbahNambourNambucca HeadsNerangNoosavilleNundahPalm BeachPort MacquarieRichlandsSouthportSpringfield CentralStrathpineTareeTuncurryTweed Heads SouthWauchope
Select your location: —Please choose an option—BallinaByron BayCabooltureChermsideCoffs HarbourCoomeraDeception BayGoodnaHelensvaleIpswichKempseyKippa-RingMiamiMitcheltonNambucca HeadsNerangNundahPalm Beach QLDPort MacquarieRichlandsSouthportSpringfield CentralStrathpineTareeTuncurryTweed HeadsWauchope
Select your location: —Please choose an option—ArmidaleBallinaBeenleighBundabergByron BayCabooltureCaloundraCasinoChermsideCoffs HarbourCoomeraDeception BayGoodnaGraftonGympieHelensvaleIpswichKempseyKippa-RingLismoreMaitlandMaroochydoreMaryboroughMiamiMitcheltonMurwillumbahNambourNambucca HeadsNerangNewcastleNoosavilleNundahPalm BeachPort MacquarieRichlandsSouthportSpringfield CentralStrathpineTamworthTareeTuncurryTweed HeadsUpper Mount GravattWauchope
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