Computer Classes Enrolment form

Required fields are marked with *)
Please select a course:*
Please select a course that you wish to enrol into

How would you like to pay for your course?*

Please select your preferred payment method

Full Name:*
Please enter your full name.

Date of Birth:*
/ / Please select your date of birth

Gender:*
Please select one

Country of Birth:*
Please enter your country of birth

 
Language/s spoken at home:*
Please state what language you commonly speak at home

How well do you speak English?*
Please tell us how well you speak English.

Are you Aboriginal or Torres Strait Islander origin?

Please select all applicable boxes

 

Your address:

Street Number:*
Enter you street number

Street Name:*
Please enter your street name

Suburb:*
Please enter your suburb

Postcode:*
Please enter your postcode

 

Your contacts:

Home phone Number (Include Area Code):*
Please enter your home phone number

Your mobile phone Number:
Please enter your mobile number

E-mail:*
Invalid email address.

How should we contact you?*
Please select one

Would you like us to call you in the morning or afternoon:*
Please select one

 

Any disability/imperments

Do you consider yourself to have disability, impairment or long term condition?*
Please select one

If 'Yes' please select all that are applicable to you:

Please select all applicable

 

Education attained

Are you still attending secondary school?*
Please select one

Please select your highest level of schooling completed:*

Please select one

Please write a year when you completed your schooling:
Please enter year of your secondary school completion

Have you successfully completed any of the following qualifications?

Please select all applicable

 

Employment status/Reason for studying

Your current type of Employment:

Please select all applicable

Reason for studying this course:

Please select all applicable

Centrelink Reference Number:
Please enter your Centrelink Reference Number

 

Privacy Statement

I understand that Australian Croatian Community Services is required to provide the Victorian Government, through the ACFE Board, with student and training activity data which may include information I provide in this enrolment form. Information is required to be provided in accordance with the Victorian VET Student Statistical Collection Guidelines (which are available at www.skills.vic.gov.au/corporate/statistics/submit_data). The ACFE Board may use the information provided to it, for planning, administration, policy development, program evaluation, communication, resource allocation, reporting and/or research activities. For these and other lawful purposes, the ACFE Board may also disclose information to its consultants, advisers, other government agencies, professional bodies and/or other organisations. For more information in relation to how student information may be used or disclosed please contact the ACCS Language and Literacy Program Manager on (03) 9791 6000 or education@accs.asn.au
I acknowledge and agree to the terms described in this privacy statement.*
Please select 'yes' or 'no'. If 'no' is selected we will not be able to enrol you.

Select Today's Date on the Calender*
Select today's date

We recommend that you enrol on-line, it takes less time and will ensure that you secure your spot quicker. However, if you would like us to send you the Enrolment Form and you hand it in person, please contact us and we will send you the form ASAP.