Escolar Documentos
Profissional Documentos
Cultura Documentos
Please complete all sections on both pages using block letters and ticking the appropriate boxes
Return form to: Email info@ramsdentraining.edu.au
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Student Details
Mrs
Ms
Miss
Male
Female
Company Details
No Cabling License
Australia
Very well
Not Well
Yes, Aboriginal
No
Yes
No
October 2013
Disability
Do you consider yourself to have a disability, impairment or long term condition that may affect your training?
Yes
If yes, please indicate the area of disability, impairment or long-term condition (you may indicate more than one area)
Hearing/Deaf
Physical
Intellectual
Medical Condition
Mental Illness
Acquired Brain Impairment
No
Vision
Learning
Other
Schooling
What is your highest completed school level? (Tick one box only)
Year 12 or equivalent
Year 11 or equivalent
Year 10 or equivalent
Year 9 or equivalent
Year 8 or below
Never attended school
Yes
No
Previous Qualifications
Have you successfully completed any of the following qualifications?
If yes, please tick any applicable boxes:
Bachelor Degree or Higher Degree
Advanced Diploma or Associate Degree
Diploma (or Associate Diploma)
Yes
No
Certificate II
Certificate I
Other
Employment Status
Which of the following categories best describes your employment status? (Tick one box only)
Full time employee
Part time employee
Employer
Study Reason
Of the following categories, which best describes your main reason for undertaking this training? (Tick one box only)
To get a job
To develop my existing business
To start my own business
Yes
No
Payment Type
Direct Deposit
Credit Card:
Cheque
Student Declaration
I have read and understood the full terms and conditions available to me as a student in the student handbook. I certify that all information has been
provided by me personally and is true and correct. I consent to the release of my personal information for the purposes outlined in the privacy policy
above. I hereby acknowledge and accept the terms and conditions for enrolment and cancellation:
Confirmed
Entered
Paid
Student No.