ࡱ> #` N#bjbj 2Nnnnnnnn1111D.2?x33333333 ? ? ? ? ? ? ?$AhlCL1?n):33):):1?nn33F?:::):"n3n3 ?:): ?::nn:33 fh'1K::/;\?0?:Ca:pC:Cn:H35X:6 83331?1?:333?):):):):&&nnnnnn Australian College of Commerce and ManagementNational Registered Training Provider ID 1441 ABN 42 073 576 315 Enrolment Application (Mail or Fax this form with Payment or Credit Card details)Training Course / Qualification Name: Code: Course Qualification level: Delivery Method: Distance Start Date: Completion Date:Personal and Contact DetailsTitle:  First Name: Surname: Residential Address: Suburb:State: Postcode:Phone Numbers: (H): ( ) (W): ( ) (Mob): (F): ( )Date of Birth:Postal Address (if different to Residential Address): Suburb: State: Postcode:E-mail address (1): E-mail address (2):Preferred Address for College Mail: (Home (WorkPrevious College Student ID: Employment DetailsEmployer: Work Site Address:Suburb: State: Postcode:Your Job Title/ Role: Start Date with Employer: Course Tuition Fee Payment Details( Credit Card Please debit my: (VISA (Mastercard (Bankcard Cardholders Name:Amount: Card Number: __ __ __ __ / __ __ __ __ / __ __ __ __ / __ __ __ __Expiry Date: __ __ / __ __Cardholders Signature:Date: ( Cheque or Money Order To be made out to Australian College of Commerce and Management Cheque Number: Bank / Branch or BSB: Drawer:Authorisation to EnrolI authorise enrolment and payment of the Course Tuition Fees. I acknowledge that my enrolment is valid for one year from enrolment. I acknowledge that the Australian College and related training providers will use the above details to contact me about my training course and to provide me with details of other course and training opportunities that may be relevant. I agree with the Australian Colleges policies, which are available to me through their Website or on hard copy upon request.Signature:  Please Complete the Statistics Page Overleaf Student Statistics The Australian College uses the information below to determine whether you require additional assistance with the course you are enrolled in, and also for marketing and statistical purposes. Some of the information is sent in statistical format to the relevant Government Training authorities. Your co-operation in completing this material is appreciated.1. Sex: ( Male ( Female2. Country of Birth: ( Australia or ( Other:_________3. Citizenship: (if not one of the listed please advise): ( Australian Citizen ( New Zealand Citizen ( Permanent Australian Resident ( Temporary Australian Resident (__________________________ 4. Are you of Aboriginal or Torres Strait Islander origin?: ( No ( Yes, Aboriginal ( Yes, Torres Strait Islander5. Do you speak a language other than English at home? ( No English only ( Yes Please specify either language: _________________________________6. How well do you speak English? ( Very well ( Well ( Not well ( Not at all7. Do you consider yourself to have a disability, impairment or long-term condition? ( Yes go to Q8 ( ( No go to Q9 (8. 8. If yes to Q7 indicate the area/s of disability, impairment or long-term condition: ( Hearing / Deaf ( Physical ( Intellectual ( Learning ( Mental Illness ( Vision ( Medical Condition ( Acquired Brain Impairment ( Other: _____________________________9. Highest School level completed: ( Yr 12 or equivalent ( Yr 11 or equivalent ( Yr 10 or equivalent ( Yr 9 or equivalent ( Year 8 or below ( Never attended school10. In what YEAR did you complete this level of schooling: 19______ or 20_____11. Are you still attending school: ( Yes ( No12. Have you successfully COMPLETED any of the following qualifications: ( No (Yes (( applicable) ( Bachelor or Higher Degree ( Advanced Diploma or Associate Diploma ( Certificate IV or Advanced Certificate ( Certificate III or Trade Certificate ( Certificate II ( Certificate I ( Certificates other than the above 13. Which of the following categories best describes your current employment status: ( Full Time ( Employed - unpaid worker in family business ( Part Time ( Unemployed (seeking full time work) ( Self Employed not employing others ( Unemployed (seeking part time work) ( Employer ( Not employed (not seeking employment)14. Which of the following best describes your main reason for undertaking this course/ traineeship: ( To get a job ( To develop my existing skills ( To start my own business ( To try for a different career ( To get a better job or promotion ( It was a requirement of my job ( I wanted extra skills for my job ( To get into another course of study ( For personal interest or self-development ( Other reasons15. Please self-rate your reading skills: ( above average ( average ( below average16. Please self-rate your numeracy skills: ( above average ( average ( below averageMarketing Statistics 17. How did you hear about the Australian College: ( Advertisement please specify which newspaper and day of advertising: ( I am a prior Australian College Student ( Friend ( Work Colleague ( Employer ( Web page ( Other Please specify:18. Why did you choose the Australian College as your training provider: ( High quality of materials ( High quality of Training and Assessing staff ( Excellent service when I enquired about a course ( Most suitable course available ( Distance Delivery mode (correspondence course) ( Other:19. Who is paying for the course: ( Self ( Employer ( Government Body ( Other:Return completed form to: Australian College of Commerce & Management Locked Bag 8804, WOLLONGONG NSW 2500 OR Fax: 02 4225 1400 Office Use only: Enrol Auth:SID No.Materials Sent: ./4 5 6 . / O P m n W x W \ ȿȯȣȗȯqcqcqOqOqKhq& jhhqCJOJQJ^JaJhqCJOJQJ^JaJ hhqCJOJQJ^JaJ hh1-CJOJQJ^JaJhBhBCJOJQJ^Jh=CJOJQJ^Jh=B*CJOJQJ^Jphh=5CJ\h=h=CJOJQJ^Jh=CJOJQJ^JaJ#h=B*CJ$OJQJ^JaJphh=CJ$aJ./5 ywq$If]vkd$$Ifl'7(   07(64 l` a%p $If]N#5 6  PP$Ifvkd$$Ifl>((   0(64 l` a%p  .  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