2020 VETiS STUDENTS COURSE ENROLMENT FORM

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2020 VETiS Students Course Enrolment Form

Student Secondary College / High School

Student Surname *

Given Names *

Date of Birth

Nationality

Gender

Male

Female

Email Address *

Mobile number *

Phone Number 2

Residential Address

(No & Street)

Suburb / City

State

Post code

Is your postal address the same as your residential address

Yes

No

Postal Address

Training Location preference: *

Belmont

Mandurah

Bunbury

Checkboxes *

Certificate III in Dental Assisting HLT35015

Certificate IV in Dental Assisting HLT45015

Certificate III in Individual Support / Disabilities CHC33015

Certificate IV in Ageing Support CHC43015

Certificate II in Health Support Services HLT23215

Certificate III in Health Services Assistance HLT33115

Certificate III in Dental Laboratory Assisting HLT35115

Certificate II in Medical Service First Response HLT21015

Certificate IV in Allied Health Assistance HLT43015

CPCCWHS1001 Prepare to work safely in the construction industry (White Card)

HLTAID002 Provide First Aid