Domestic Student Enrolment

Title -- Select -- Mr Mrs Ms Miss Dr

First Name

Middle Name

Last Name

Email

Phone

Mobile

Street Address

Street Address 2

Contact Name

Relationship

Phone

Qualification / Course -- Select a qualification -- BSB60420 - Advanced Diploma of Leadership and Management SHB30416 - Certificate III in Hairdressing SHB30321 - Certificate III in Nail Technology SHB40121 - Certificate IV in Beauty Therapy HLT42015 - Certificate IV in Massage Therapy HLT42021 - Certificate IV in Massage Therapy SHB50121 - Diploma of Beauty Therapy SHB50321 - Diploma of Cosmetic Tattooing HLT50321 - Diploma of Cosmetic Tattooing BSB50420 - Diploma of Leadership and Management HLT52015 - Diploma of Remedial Massage HLT52021 - Diploma of Remedial Massage SHB50216 - Diploma of Salon Management

Highest School Level Completed -- Select -- Year 12 or equivalent Year 11 or equivalent Year 10 or equivalent Year 9 or equivalent Year 8 or below Never attended school

Prior Qualifications -- Select -- Bachelor degree or higher Advanced Diploma or Associate Degree Diploma Certificate IV Certificate III Certificate II Certificate I Certificates other than above None

Language Spoken at Home

English Proficiency

Aboriginal / Torres Strait Islander -- Select -- No Yes, Aboriginal Yes, Torres Strait Islander Yes, Aboriginal and Torres Strait Islander

Citizenship Status -- Select -- Australian Citizen Permanent Resident