2020 VETiS STUDENTS COURSE ENROLMENT FORM

If you are human, leave this field blank.

COURSE SELECTION

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Training Location preference: *

Belmont

Mandurah

Bunbury

Personal Details

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Student Secondary College / High School *

Are you applying through a secondary school? *

Yes, the one written in my previous answer

No, I am applying on my own

If you answered yes to the previous question, please provide the NAME and CONTACT DETAILS (email or phone) of your VET Coordinator (the person at your school who is helping you to arrange your studies with DNA Kingston Training). *

If you answered no to the previous question, please write 'N/A'.

Gender *

Male

Female

Student Surname *

Given Names *

Date of Birth *

Email Address *

Residential Address *

(No & Street)

Suburb / City *

State *

Post code *

Is your postal address the same as your residential address

Yes

Postal Address

Phone number 1 *

Phone Number 2

Nationality *

How did you find this form * How did you find this form

Student USI

Unique Student Identifier

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MUST be recorded here before certificate can be issued *

https://www.usi.gov.au/students

USI Transcript (Available for download when you log into the student portal on the USI web site) *

Tick if applicable

I do not have a USI number and would like DNA Kingston Training to apply for one on my behalf

Language and Cultural Diversity

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In which country were you born? *

Australia

OtherOther

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

No, English only

Yes, other - Please specifyYes, other - Please specify

(If more than one language, indicate the one that is spoken most often)

Are you of Aboriginal or Torres Strait Islander origin? *

Yes, Aboriginal

Yes, Torres Strait Islander

For persons of both, mark both “yes” boxes

Disability

Do you consider yourself to have a disability, impairment or long-term condition? *

Yes

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If YES, then please indicate the areas of disability, impairment or long-term condition *

(you may indicate more than one area)

Schooling

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What is your highest COMPLETED school level *

Previous Qualifications Achieved

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Please advise if you have SUCCESSFULLY completed any of the following qualifciations

Bachelor degree or higher degree

Certificate III (or Trade Certificate)

Advanced Diploma or Associate Degree

Certificate II

Diploma (or Associate Diploma)

Certificate I

Certificate IV (or Adv. Certificate/Technician)

Certificates other than the above

Employment

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Of the following categories, which BEST describes your current employment status?

Full-time employee

Employed - unpaid worker in a family business

Part-time employee

Unemployed - seeking full-time work

Self employed - not employing others

Unemployed - seeking part-time work

Employer

Not employed - not seeking employment

Study Reason

Of the following categories, which BEST describes your main reason for undertaking this course

To get a job

It was a requirement of my job

To develop my existing business

I wanted extra skills for my job

To start my own business

To get into another course of study

To try a different career

For personal interest or self-development

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Checkboxes

Option 1

Option 2

Final Information

Please complete this form. By completing you agree that you will commit to the training programme enrolled and pay associated fees and follow the policies and procedures outlined by DNA Kingston Training, If under 18 years of age your Parent/Guardian will need to complete on your behalf

Applicants Name

Guardian Name *

Application Date *

Guardian Contact Number *

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