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Phone 1300 417 006
Suite 245 4/16-18 Beenleigh-Redland Bay Rd
Loganholme
QLD
4129
Australia
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Enrolment Form
Pre-enrolment questionnaire
Enrolment
*
Full course
RPL
Select a qualification
BSB30415 Certificate III in Business Administration
CPC30111 Certificate III in Bricklaying Blocklaying
CPC30211 Certificate III in Carpentry
CPC30318 Certificate III in Concreting
CPC30611 Certificate III in Painting and Decorating
CPC31011 Certificate III in Solid Plastering
CPC31211 Certificate III in Wall and Ceiling Lining
CPC31311 Certificate III in Wall and Floor Tiling
CPC31411 Certificate III in Construction Waterproofing
CPC40110 Certificate IV in Building and Construction (Building)
CPC40808 Certificate IV in Swimming Pool and Spa Building
CPC50210 Diploma of Building and Construction (Building)
CPC50210 Diploma of Building and Construction (Building)
CPC60212 Advanced Diploma of Building and Construction (Management)
Select course(s)
White card
CPCCWHS1001 - Prepare to work safely in the construction industry
Select a date for the "White Card" course
Select a day between
Monday - Friday
.
Date
E.g., 11/27/2020
Select a time slot
- None -
8:00am
1:00pm
Have you undertaken this type of study before? i.e. online; face to face; workplace?
*
Yes
No
If Yes, did you achieve a successful outcome?
*
Not applicable
Yes
No
How do you rate your computer skills out of 1 - 5 (1 Poor through to 5 Excellent)
*
- Select a value -
1
2
3
4
5
Do you have access to reliable internet and email?
*
Yes
No
To confirm your work/life/study balance will be met, have you discussed commencing a program with your partner, family, employer
*
Yes
No
Would you like to discuss any language, literacy or numeracy concerns you may have with National Skills?
*
Yes
No
Student Information
E-mail
*
A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.
First name
*
Surname
*
Date of birth
*
Gender
*
- Select a value -
Male
Female
Residential Address
Country
*
Building / property name
Street Number/lot details
*
Street name
*
Suburb / town
*
State / Province
*
Post code/Zip
*
Postal Address (If different from Residential Address)
Country
Building / property name
Street Number/lot details
Street name
Suburb / town
State / Province
Post code/Zip
Contact Information
Home
Work
Mobile
Emergency contact
Emergency contact name
Phone
Relationship to student
E.g. "mother", "friend", "flatmate"
Required Information
Country of birth
*
Language other than English spoken at home
Proficiency in English
*
- Select a value -
Very well
Well
Not well
Not at all
Indigenous status
*
- Select a value -
None
Aboriginal
Torres Strait Islander
Aboriginal and Torres Strait Islander
Do you have any disabilities?
Highest school level completed
*
- Select a value -
Did not go to school
Completed Year 8 or below
Completed Year 9 or equivalent
Completed Year 10 or equivalent
Completed Year 11 or equivalent
Completed Year 12 or equivalent
Currently in school
Prior qualifications
No previous qualifications
Certificate IV
Certificate III
Certificate II
Certificate I
Bachelor degree or higher degree level
Advanced diploma or associate degree level
Diploma level
Miscellaneous Education
Employment category / status
*
- Select a value -
Full time employee work
Part time employee work
Unemployed – seeking full time
Unemployed – seeking part time
Not employed – not seeking work
Employer
Self-employed not employing others
Unpaid work in a family business
Study reason
*
To get a job
To get a better job or promotion
To develop my existing business
It is a requirement of my job
I wanted extra skills for my job
To start my own business
To try for a different career
Centrelink number (CRN)
Job seeker number
How did you find out about National Skills?
How did you find out about National Skills
*
- Select a value -
Website
Word of mouth
Facebook
Advertising
Onsite Worker
Friend
Trainer/Assessor (please specify below)
Other (please specify below)
Please specify
Identification
Photo ID Type
E.g. "Drivers License"
Photo ID Number
Upload a copy of your photo ID
Files must be less than
32 MB
.
Allowed file types:
pdf jpg jpeg gif png doc docx tif tiff
.
Privacy Statement & Student Declaration
I understand and agree that:
*
National Skills is required to submit data sourced from this enrolment form to the national VET administrative collection as a regulatory reporting requirement. The information contained on my enrolment form may be used by National Skills or the following third parties for administrative, regulatory and/or research purposes:
Employer - if I am enrolled in training paid by my employer.
Government departments and authorised agencies.
I also understand and agree that:
*
I have received access and read the National Skills Student Handbook. Refer www.nationalskills.com.au
I agree to the Refund Policy which appears in the Student Handbook and understand that no refund of fees will be made after the commencement of the assessment/course, if applicable. Refer www.nationalskills.com.au
I may receive a National Centre for Vocational Education Research (NCVER) student survey.
Do you give National Skills permission to email you as needed for the purposes of the course's conduct?
*
- Select a value -
Yes
No
Signature
Signature
Signer Name
*
Signer Title
*
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Contact
First name
*
Last name
*
Your phone number
*
Email
*
Select Qualification
*
- Select -
BSBSMB401A (small business course for contractors)
BSB30415 Certificate III in Business Administration
CPC30211 Certificate III in Carpentry
CPC30611 Certificate III in Painting and Decorating
CPC31311 Certificate III in Wall and Floor Tiling
CPC30318 Certificate III in Concreting
CPC31011 Certificate III in Solid Plastering
CPC31211 Certificate III in Wall and Ceiling Lining
CPC40110 Certificate IV in Building and Construction (Building)
CPC50210 Diploma of Building and Construction (Building)
CPC60212 Advanced Diploma of Building and Construction (Management)
other
Your message
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This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
