Open Education Academy

Programs (Please select one program per enrolment) *

First name *

Middle Name

Last name *

Preferred Name

Have you ever been know by any other name *YesNo

First name *

Middle Name

Last name *

Are you business owner *YesNo

Business Name

ABN/ACN

Business Website

Are you applying for Recognition of Prior Learning (RPL)?* *YesNo

RPL Candidate Declaration *I confirm I have conducted a preliminarily candidate skills assessment with Techskill Academy prior to completing this enrolment form. I am also aware that I can request a copy of this preliminary self-assessment at any time.

Are you applying for Credit Transfer?* *YesNo

Identification Upload (E.g. Front of Drivers Licence) *

No file chosen

Date of birth *

Gender *MaleFemaleOther

Email Address *

Mobile Number *

Work Number

Home Number

Street Address *

City *

State/Province *

ZIP / Postal Code *

Country *

Is your postal address different to your residential address? *YesNo

Postal Address: Street

Postal Address: City

Postal Address: State/Province

Postal Address: ZIP / Postal Code

Postal Address: Country

Employment Status *Full time employeePart time employeeSelf-employed (employing others)Self-employed (not employing others)Employed (unpaid working in a family business)Unemployed – seeking full time workUnemployed – seeking part time workNot employed (not seeking employment)

Job Title *

Are you over the age of 18? *YesNo

Parental/Guardian Full Name *

Parental/Guardian Contact Number *

Parental/Guardian Contact Email *

What is your city (Town) of birth? *

What is your country of birth? *

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

Please specify the language *

Are you an Australian citizen? *YesNo

What best describes your current status *

Are you of Aboriginal origin? *YesNo

Are you of Torres Strait Island origin? *YesNo

English Proficiency *Very WellWellPoorVery Poor

Literacy Proficiency *Very WellWellPoorVery Poor

Numeracy Proficiency *Very WellWellPoorVery Poor

Would you require additional English, Literacy or Numeracy assistance? *YesNo

Are you still enrolled in secondary or senior secondary education? *YesNo

Have you successfully completed any of the following qualifications? *Bachelor degree or higher degreeAdvanced diploma or associate degreeDiploma level (or associate diploma)Certificate IV (or advanced certificate/technician)Certificate III (or trade certificate)Certificate IICertificate IOther education (including certificates or overseas qualifications not listed above)None completed

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

If selected Other: *

Disability Assistance / Advice *YesNo

Do you have a Unique Student identifier (USI)? *Yes, I know my USI and will provide it to the RTO.No, I do not have a USI and give permission to create one on my behalf. I have read the privacy information found at https://www.usi.gov.au/documents/privacy-notice-when-rto-applies-their-behalf and I consent to the collection, use and disclosure of my personal information to apply pursuant to sub-section 9(2) of the Student Identifiers Act (2014) for the purposes of creating a USI on my behalf.

Please enter your USI *

Candidate DeclarationI understand that the information I have provided will remain confidential and will not be distributed to any third party without my consent (either written or verbal).I have received and/or accessed the student handbook as well as information relating to my chosen course of study outlined in the program information and understand my rights and responsibilities as a student.I declare that I have access to the required resources outlined in the program informationI have read, understood and consent to the collection, use and disclosure of my information in accordance with the privacy notice above and the RTO's privacy policy.I am satisfied that I have been provided sufficient information to make an informed decision to proceed with my enrolment.I acknowledge I have read and understood all information provided and I declare that the information I have provided is true and correct.

Signature

By typing your full name into the signature field, this confirms your acceptance of the terms, and conditions outlined in this online enrolment form.

Enrolment

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