Registration

Language

Do you speak a language other than English at home? No, English onlyYes
If yes, please specify?

How well do you speak English?

Is English language assistance required?
(Please contact AEATS to seek assistance)

Mobile Phone

Home Phone

Work Phone

Street Address

City/Suburb

Postcode

Is your postal address the same as your street address?YesNo

Are you living in NSW Social Housing? NoYesN/A

Employment (if applicable)

Occupation

Employer

Contact

Address

City/Suburb

State

Postcode

Phone

Fax

Of the following categories, which best describes your current employment status?

Please provide details of any supplementary welfare (if applicable)

Have you been unemployed for longer than 6 months? NoYes

Employment Service Provider name (if you have one)

Employment Service Provider Client ID (if you have one)

USI (Unique Student Identifier)

I DO HAVE a USI and my number is

I DO NOT have a USI. I will apply for my USI and provide it to AEATS prior to commencing my course. www.usi.gov.au

By completing this enrolment form, you consent to AEATS using your personal information to verify your USI.

Media Release

I authorise AEATS, to use or reproduce material that may include my image for the purpose of:

Reporting ‘Good News’ stories to Government and funding bodies

Promotion of AEATS as a business, services and projects

The use of photographic material, student statement or information that includes or makes reference to, whole or in part, my personal information is restricted to use by AEATS, and such use will be in accordance with current privacy legislation and the company’s Privacy Policy and will not be used by third parties without my consent.

YesNo

Identification

Please upload a photo of your drivers licence or Passport

Please upload a photo of your Medicare card

Please upload a photo of your Concession Card (if applicable)

Alternatively, you may email or text these items to the program coordinator

Declaration

By completing this on-line enrolment application form, I certify that the particulars herein are true and correct and agree to the following:

The terms and conditions located in the AEATS Student Handbook. Inclusive of all policies, procedures, funding and fee requirements.
The program structure and the items listed within the Course Guide.
Agree to complete a Tuition Fee Payment Plan.
Provide evidence of Identification, and any & all additional requested items such as concession evidence.
Have been provided the relevant USI Privacy Notice.
Have been provided the Privacy Notice relevant to my studies.
Consent to AEATS utilising information for the purposes of the Smart & Skilled Calculator (NSW Students Only)

If you are under the age of 18 the signature of your Parent/Guardian is required. Please see student forms on our website for the Parental Approval form or contact AEATS on 1300 360 366.

Electronic Signature Consent

By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. I agree to the Student Declaration as stated on the AEATS Enrolment Form

Aged Care

Early Childhood Education

Business & Leadership

Registration

Student Details

Language

Employment (if applicable)

Schooling

Previous Qualifications Achieved

USI (Unique Student Identifier)

Media Release

Identification

Declaration

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