Enrolment Form

* Required fields

Enrolment Course Options

Please choose one of the options

1 - Enrolment Diploma and Certificate Course

* I am enrolling into one of the following : (required)
Please choose one of the options

Diploma of Beauty Therapy – SHB50115Certificate IV in Beauty Therapy - SHB40115 Option - ICertificate IV in Beauty Therapy - SHB40115 Option - IICertificate III in Beauty Services – SHB30115 Option - ICertificate III in Beauty Services – SHB30115 Option - IICertificate III in Beauty Services – SHB30115 Option - IIICertificate II in Retail Make-up & Skin Care – SHB20115Certificate II in Nail Technology – SHB20215

1 - Enrolment Short Courses

Short Course(s) (Please state)

I would like the following units to be considered for Recognition of Prior Learning (RPL):

* Start Date : (required - Opens a window)

How did you get to hear about us?

Other, please state :

2 - Student Contact Details

* Surname (required)

* Given name (required)

* Date of Birth: (required)
Gender: MaleFemale

Home address:

Suburb:
Postcode:

Home Phone:

Mobile Phone:

* Your Email (required)

3 - Emergency Details

Emergency Contact Name:

* Relation:(required)

* Address: (required)

Suburb:
Postcode:

Home Phone:

* Mobile Phone: (required)

4 - Personal Details

Country of birth: Australia

Other (please specify):

If born outside Australia - What year did you arrive in Australia? :

Are you a permanent Australian Resident? YesNo

Are you an Australian Citizen ? YesNo

Are you an overseas paying student? YesNo

Do you speak a language other than English at home? YesNo

(If Yes, please specify)

How well do you speak English? (please select)

Very wellWellNot wellNot at all

Are you of Aboriginal or Torres Strait Islander origin?

NoYes-AboriginalYes-Torres Strait IslanderYes-Both Aboriginal & Torres Strait Islander

Do you consider yourself to have a disability, impairment or long-term condition?

YesNo

If Yes – indicate the areas of disability, impairment or long-term condition:

Hearing/DeafPhysicalIntellectualMental IllnessVisionAcquired Brain ImpairmentMedical Condition

Other Medical Condition/s:

5 - Academic Level

What is your highest successfully COMPLETED school level?

Completed Year 12Completed Year 11Completed Year 10Completed Year 9 or lower

In what year did you successfully complete that school level?

In which state?

School Name

Are you still attending secondary school? YesNo

Have you successfully completed any of the following qualifications? YesNo

If you answered 'Yes' in the above question – Please tick all applicable boxes below & year successfully completed

Degree or Higher Degree Year:
Advanced Diploma Year:
Diploma Year:
Certificate IV or Advanced Certificate / Technician Year:
Certificate III or Trade Certificate Year:
Certificate II Year:
Certificate I Year:

Have you participated but not completed a degree or diploma course? YesNo

If yes, please state year. Year :

Have you participated but not completed a VET course? YesNo

If yes, please state year. Year :

Other Training course (specify course name & date)

Of the following categories, which best describes your current employment status?(required)
Full-time employeePart-time employeeSelf employed – not employing othersEmployerEmployed – unpaid family workerUnemployed – seeking full time workUnemployed – seeking part-time workNot employed – not seeking employment

6 - * What is your main study reason?

(Required)
To get a jobTo develop my existing businessTo start my own businessTo try for a different careerTo get a better job or promotionIt’s a requirement of my jobTo gain extra skillsTo get into another courseOther reasonsFor personal interest

7 - Important Information – Please read and ensure you understand the following

Privacy Policy
In compliance with the Privacy Act, the information requested on this enrolment form will only be used for the process of enrolment and maintaining the student records at Gold Coast School of Beauty Therapy. All information will be kept confidential and access to this information is only available to you, the Principal and your Trainer(s).
Do not complete below if you feel you have not received sufficient information on courses or School policies and procedures. Please ask the School Staff to explain or provide written information if required.

* Student Declaration: (required)

I, have read, and understand the policies and procedures contained in the STUDENT HANDBOOK and and agree to follow all study instructions and School Rules and Regulations as outlined in the Student Handbook.

8 - Course or Unit Deposit Payment

All non-diploma students are required to pay a course or unit deposit.

Course or unit deposit can be paid by direct bank transfer (BSB: 034215 Account: 437766 please state your name) or by credit card (visa or mastercard) - call the Gold Coast School of Beauty Therapy on (07) 5528 1227.

Enrolment cannot be finalised until the deposit is received.

I declare that the information provided on this enrolment form is true and correct.

* Student Name

Application Date

Gold Coast School of Beauty Therapy

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