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Accredited Courses Enrolment

Accredited Courses Enrolmentwsteele2020-06-17T20:34:30+10:00

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20%

PART A
Select a Course
Date
Unique Student Identifier (USI)
Personal Information
Title
- Mr
- Mrs
- Miss
- Ms
- Dr
Name
First Middle Last
Preferred Name
Date of Birth
DD slash MM slash YYYY
Gender
- Male
- Female
Home Phone
Mobile Phone
Email
Enter Email Confirm Email
Home Address
Address
Address Line 1 Address Line 2 Suburb/City or town State/Territory Postcode Country
Is your postal address different from your residential address?
- Yes
- No
Postal Address
Street Address Address Line 2 Suburb/City or town State/Territory Postcode Country
Next of kin / emergency contact
Name
Relationship to you
Contact Phone

PART B
General Information
Have you ever studied with JHI before?
- Yes
- No
Have you undertaken a previous Smart & Skilled qualification this calendar year?
- Yes
- No
In which country were you born?
Country
In which city were you born?
Are you an Australian citizen?
- Australian citizen
- Permanent Australian resident
- New Zealand citizen
- Permanent Humanitarian visa holder
Do you speak a language other than English at home?
- Yes
- No
Please specify
How well do you speak English?
- Very well
- Well
- Not well
- Not at all
Are you of Aboriginal or Torres Strait Islander origin?
- No
- Yes, Aboriginal
- Yes, Torres Strait Islander
- Yes, Aboriginal and Torres Strait Islander
Do you consider yourself to have a disability, impairment or long-term condition?
- Yes
- No
Please indicate the area of disability, impairment or long-term condition.
- Hearing/deaf
- Intellectual
- Mental Illness
- Vision
- Physical
- Learning
- Acquired brain injury
- Medical condition
- Other
Are you currently receiving any Centrelink benefits?
- Yes
- No
Which Centerlink Benefit are you receiving?
Please specify
NSW Social Housing
- I live in NSW social housing
- I, or my household, am on the NSW Housing Register

PART C
Education and Qualifications
What is your highest COMPLETED school level
- Year 12 or equivalent
- Year 11 or equivalent
- Year 10 or equivalent
- Year 9 or equivalent
- Year 8 or below
- Never attended school
In which YEAR did you complete school at that level?
Are you still attending secondary school?
- Yes
- No
Have you SUCCESSFULLY completed any of the following qualifications?
- Bachelor Degree or Higher Degree
- Advanced Diploma or Associate Degree
- Diploma (or Associate Diploma)
- Certificate I
- Certificate II
- Certificate III (or Trade Certificate)
- Certificate IV ( or advanced Cert/Technician)
- Certificates other than these
Please list any other qualifications you have completed and the year of completion.
Qualification
Year
Qualification
Year
Qualification
Year
Do you wish to apply for course credit?
If YES, certified copies of transcripts from previous qualifications must be provided with this form.
- Yes
- No
File
Drop files here or

Accepted file types: jpg, gif, png, pdf, doc, docx, Max. file size: 256 MB.
Are you undertaking this course as part of an apprenticeship or traineeship?
- Yes
- No
Do you wish to apply for Recognition of Prior Learning?
If you indicate yes, you will be contacted to discuss this further.
- Yes
- No
Employment
Of the following categories, which BEST describes your current employment status?
- Full-time employee
- Part-time employee
- Self employed - not employing others
- Employer
- Employed - unpaid worker in a family business
- Unemployed - seeking full-time work
- Unemployed - seeking part-time work
- Not employed - not seeking employment

PART D
Study Details
Of the following categories, which BEST describes your main reason for undertaking this course?
- To get a job
- To develop my existing business
- 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 reasons

By submitting this form you agree to the following

That the information you have provided on this form is true, correct and complete.

That you have been provided with appropriate and sufficient information to make an informed decision about your enrolment in this course. That you have read and understood the John Henry Institute’s Privacy Policy. Information concerning students, including information submitted on the enrolment Application form will be used by the JHI or other authorised organisations or the purpose of general student administration, communication, state and national reporting, program monitoring evaluation. The information may be disclosed to the national Centre for Vocational Education Research (NCVER) and/or other authorised agencies and departments. The provision of this information is necessary for both enrolment and re-enrolment. Information provided will be held securely and disposed of securely when no longer needed. You may access your personal information by contacting the JHI.

To provide the JHI with up to date and accurate contact details and notify them if anything changes.

That you have been provided with detailed information about the about the fees and charges associated with your course enrolment, including information on all fees (tuition, administration and materials), payment terms and the applicable Refund Policy outlined below.

That you have been advised of any applicable subcontracting arrangements.

To be bound by the JHI’s Student Code of Conduct, and other student policies and procedures as well as National and State legislation and regulations including any variations that are made from time to time.
Do you agree to the above?
- Yes, I agree.

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