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5 Willaton Street

St Albans VIC 3021


Phone: 1800 233 266
Email: info@advanced.edu.au
Web: www.advanced.edu.au

Student Enrolment Form


(Domestic Students-Victoria)

DISABILITY

Doyouconsideryourselftohave?A disability, impairment orlong-term If Yes, please indicate the areasofDisability, Impairment or long-term condition:
Condition? (Youmay indicate more than onearea.)
No – Skip the next one
Hearing/deaf
Yes
Physical
No
Intellectual

Learning

Mentalillness
Acquired brainimpairment
Medicalcondition
Other________________

EDUCATIONDETAIL

What is your highestCOMPLETEDSchoollevel?(Tick One boxonly) In which YEAR, did youcompletethat school level?
Completed Year12 Please write down
Completed Year11
Completed Year10
Completed Year 9 orEquivalent
Completed Year 8or Lower

Have you SUCCESSFULLY completed any of the following qualifications listed below? Yes No

Yes (if yes, please enter one of these Prior Education Achievement Recognition Note: If you have multiple Prior Education Achievement Recognition Identifiers
Identifiers any applicable qualification level.) for any one qualification, use the following priority order to determine which
identifier to use
A – Australian
E– Australian equivalent 1. A – Australian
2. E– Australian equivalent
I – International
3. I – International

A – Australian E– Australian equivalent I – International

A E I Prior educationachievement
Bachelor Degree or HigherDegree
Advance Diploma or Associate Degree
Diploma (or Associate Diploma)
Certificate IV (or Advance Certificate/Technician)
Certificate III (or Trade Certificate)
Certificate II
Certificate I
Certificates other than the above

EMPLOYMENT STATUS
Are you still enrolled in secondary or senior secondary education? Yes No

Full TimeEmployee Unemployed – notseekingEmployment


Part TimeEmployee
Unemployed – seeking parttimeEmployment
Self Employed – not employingothers
Unemployed – seeking fulltimeemployment
Employer

Employed–unpaidworkerinafamilybusiness

© AdvancED Education & Training/ RTO 41332/ Student Enrolment Form Version 2.1

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