TAFE Open Learning : Learning Seat - Learning Seat Enrolment

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Note: Labels with asterisks (*) denote mandatory fields.
1. Student details. Please use BLOCK letters
TAFE Student Number(if known)
Family name *†
Given name/s *†
(† The name recorded above is used for all official purposes such as fee concession validation, and will appear on results/awards issued).
Prefered name
Gender	Male Female
Date of Birth *	Day / Month / Year

2. Citizenship * (please mark one box)
Citizenship or visa type	Australian Citizen New Zealand Citizen Australian Permanent Resident Student Visa Temporary Resident Visa Visitor's Visa Business Visa Holiday Visa Other Visa: Please specify
If entry to Australia on Visa, what is your country of citizenship?
3. Cultural Diversity *
Were you born in Australia?	Yes No If no, in which country were you born?
Are you of Aboriginal or Torres Strait Islander origin? (For persons of both Aboriginal or Torres Strait Islander origin, mark both 'Yes' Boxes.)	No Yes, Aboriginal Yes, Torres Strait Islander

4. Contact Details
Daytime Phone*
Home Fax

Work Fax

Email *

Home Address
Mail Address(Please state "AS ABOVE" if same as home address)
5. Language
Do you speak a language other than English at home? (If more than one language, indicate the one that is spoken most often.)	No, English only. Go to Question 6 Yes, other - Please specify:
How well do you speak English?	Very well Well Not well Not at all

Is English language assistance required?	Yes (Please contact your institute to discuss your needs.) No
6. Schooling
What is your highest completed school level?
In which year did you complete that school level?
Are you still attending secondary school?	Yes No
	Grade If yes, provide name of school
7. Previous Qualifications Achieved
Have you successfully completed any of the following qualifications?	Yes No
If yes, tick any applicable boxes	Bachelor Degree or higher degree Advanced Diploma or Associate Degree Diploma (or Associate Diploma) Certificate IV (or Advanced Certificate) Certificate III (or Trade Certificate) Certificate II Certificate I Certificates other than above
8. Disclosure
Privacy Declaration Educational authorities such as TAFE Queensland and the National Centre for Vocational Education Research, conduct surveys of past and existing students for customer satisfaction, improvement and marketing purposes.
If you have any objection to being contacted, please tick this box.
9. Disabilities (answering these questions will not affect your enrolment)
Disability Type Definitions
Do you consider yourself to have a disability, impairment or long term condition?	Yes No - go to Question 10
If yes, please indicate your disability, impairment or long term condition:	Physical Intellectual Learning Mental Illness Acquired Brain Impairment Vision Medical Condition Other (please specify)
Would you like to receive advice on support services, equipment and facilities which may assist? (if available)	Yes No
10. Identity Verification *
For privacy protection, it is necessary to store a password. This will enable institute staff to verify your identity via the phone.
Password (up to 10 characters)
Password Hint (up to 20 characters)
11. Main Reason for Undertaking this Course *
Of the following categories, which BEST describes your main reason for undertaking this course.	To get a job To develop my existing business To start my own business To try for different career To get a better job or promotion It was a requirement of my job I wanted extra skills for my job To get into another course of study For personal interest For self development Other reasons
Student Declaration * (please read carefully)
I agree to abide by the TAFE Queensland Rules and Regulations and Institute Policy (available from the Institute) and acknowledge that facilities made available for my use will be used only in accordance with the principles of proper use and relevant rules. I confirm the accuracy of the information provided.
I agree to this Student Declaration Date (Day/Mth/Yr) / /
If under the age of 18 years, you must provide your parent's/guardian's name and daytime contact number to complete this enrolment. This includes consent for the student to have access to the Internet throught TAFE Queensland.
Please tick the following and provide your parent's/guardian's details if necessary: Parent/guardian name Parent/guardian contact number Date / /
Related Links
Disability Type Definitions Privacy Declaration

Course Name	Hours	Total Course Fees (AU$)	OSCAR Course Code (Bill of Materials)	Tick Your Choices
Totals

TAFE Open Learning's Learning Seat registration form

1. Student details. Please use BLOCK letters

2. Citizenship *

3. Cultural Diversity *

4. Contact Details

5. Language

6. Schooling

7. Previous Qualifications Achieved

8. Disclosure

9. Disabilities

10. Identity Verification *

11. Main Reason for Undertaking this Course *

Student Declaration * (please read carefully)

Related Links