Enrollment Form

Student Information

First/Given Names*

Surname*

Previous OR other names (if applicable)

Street Address*

Town*

State*

Postcode*

Mobile

Home

Fax

Your email

Date of Birth

USI

I give Training Tailor Made permission to access my USI records to verify the number I have provided, or to locate and verify my USI.

USI (Unique Student Identifier) if you do not have one go to https://www.usi.gov.au/

Registered Training Organisations are legally bound to collect and verify USIs from all students enrolling in Nationally Accredited Training. Applications for enrolment can only proceed if appropriate authorisation is provided.

How did you hear about us?
InternetIn the shops/postersWord of MouthSocial MediaChild Care or Aged Care centre

Do you have a valid concession card? (not medicare card)

Do you identify as
AboriginalTorres Strait IslanderNon-English Speaking BackgroundDisability, Impairment or Long Term Condition (please give details below)

I identify as being:

Are you a permanent resident or Australian Citizen?

I am an Australian Citizen or Permanent Resident and I have provided evidence of this

Please upload evidence

Australian Passport

Naturalisation Certificate

Green Medicare Card