General Policies

Overview

The information contained in this form is used for enrolment and statistical purposes to assist in research and evaluation by relevant government agencies and College of Dermal Therapies.

Enrollment Details

Course Name (required)

Delivery mode *

Is RPL being sought as part of this qualification? If yes, please contact your trainer for further details

Course Commencement Date

Your Details

First Name *

Middle Name*

Last Name*

Street Address *

Suburb *

State *

Postcode *

Mobile *

Other Phone

Email*

Your Gender

Date of Birth

Unique Student Identifier (USI)

Are You*

Where you born in Australia?*

If no, in which country you born?*

Is English your first spoken language ? *

Do you speak a language other than English at home? *

If yes, what other language do you speak?

How well do you speak English? *

Do you have a disability, impairment or long term health condition? *

If yes, please advise condition.

Do you or your partner/dependant hold a health or pensioner care card with your name on it? *

If yes, please upload a copy of your card.

Your Message

Password *

As part of our commitment to ensuring the privacy of your personal and academic details, please provide us with a password. This password will allow you to access your own student information. Please note that any access by a third party will still require your written consent in each instance.

Next to Kin

Name *

Relationship to you *

Mobile phone *

Other phone

Education details

Are you currently attending high school? *

If yes, what year are you in?

What is your highest completed school level? *

Have you successfully completed any of the following qualification levels? * Please select all that apply. *
Certificate ICertificate IIICertificate IVDiplomaAdvanced DiplomaBachelor Degree or higherNone

Name of highest qualification?

Year completed

Have you started but not completed any qualifications?

If yes, please specify
Please select all that apply.
Certificate ICertificate IICertificate IIICertificate IVDiplomaAdvanced Diploma of Association DegreeBachelor Degree or Higher Degree levelMiscellaneous

Name of Qualification

Year Started

Employment status and details

Of the following, which best describes your current employment status ? *

If working, how many hours per week do you work?

Employer Details

Legal Name *

Trading Name *

Date employment commenced with Employer

Reason For Study


What is your main reason for undertaking this course? *

Traineeships/ Apprenticeships only


Employer details

Please note: applicable for Traineeships/ Apprenticeships only.

Business Trading Name

Workplace Supervisor Name

Street Address

Suburb

State

Postcode

Phone

Fax

Email

Declaration


Student Declaration

Declaration *
I confirm the accuracy of the information providedI have received and read the Student Information HandbookI have read, understood, and agree to the Refund PolicyI consent to the disclosure of my details by the RTO to government agencies as required under the Training and Employment ActIf doing a post school certificate III qualification under the Queensland Certificate III Guarantee Scheme, I understand I extinguish my entitlement to a subsidised training place once it has been successfully completed

Verification

Please enter any two digits *



* These fields are mandatory