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Short Courses Booking

Short Courses Booking Form

NOTE: Payment is required to process your enrolment and confirm the booking. Short Courses staff will contact you by the following business day to obtain credit card details.

Required fields are indicated with *

Have you previously enrolled in a course at the Gordon Institute of TAFE?

Yes >> Gordon Student ID Number (Supply if known):

Course Details

1st Course

Course Title*

Course Class*

2nd Course

Course Title

Course Class

Personal Details

Privacy

Please be assured that your personal and enrolment information will not be divulged to any person or agency without your written consent, except where the Gordon Institute of TAFE is legally obliged to do so, eg Centrelink, Court Order or other statutory requirement.

Title

Given Names*:

Family Name*:

Date of Birth*:

Address Details

Current Address Details

Home Address*:

Suburb*:

State*:

Post code*:

Postal Address Details

If same as home address check this box

Address:*:

Suburb:*:

State:*

Post code:*

Contact Details (must be supplied)

Contact Phone*:

Work Phone*:

Mobile Phone*:

Email*:

Residency/Citizenship/Family Background

In which country were you born?*

What year did you arrive in Australia?

Status of citizenship/residency?*

Which language do you mainly speak at home?*

Please specify the language*

If English is not your first language, how well do you speak English?

Are you of Aboriginal or Torres Strait Islander origin?*

Are you...

Medical Details (statistical purposes only)

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

Hearing/Deaf Mental Illness

Physical Acquired Brain Impairment

Intellectual Vision

Learning Mental Condition

Other

Assistance at the Gordon

Assistance is available for students with disabilities - Further information can be obtained from disability support services on (03) 5225 0835

Prior Educational Achievement

What was your highest educational participation/completion prior to commencement of this course? (Please tick any applicable boxes)

Participated but Incomplete

Incompleted Higher Ed Course An incomplete VET Course

No prior educational attainment Other qualification incomplete

Literacy or Numeracy

Was your course part of a program related to Language, Literacy or Numeracy? If so, please provide the course Name:

Incompleted Higher Ed Course An incomplete VET Course

No prior educational attainment Other qualification incomplete

Which year was the highest level achieved

Employment Status

Which best describes your current employment status?*

Schooling

Are you still attending secondary school?*

What is your highest COMPLETED school level?*

In what year did you complete this level?

If you finished year 12 this year or last year where were you living?

Employer/Sponsor Details

Employer name

Phone No

Address

Reason for Study

Which best describes your main reason for undertaking this course/traineeship/apprenticeship?*

Declarations I understand that acceptance of this form by the Gordon Institute of TAFE does not imply any commitment to admit me.

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