Date of Birth (dd/mm/yyyy)*
Postal Address (if different from above)
How well do you speak English?*
Very WellWellNot WellNot at All
Do you speak a language other than English at home? (If more than one language, indicate the one that is spoken most often) (Optional)
Are you of Aboriginal or Torres Strait Islander origin? (For persons of both Aboriginal and Torres Strait Islander origin, mark both ‘Yes’ boxes)*
NoYes, AboriginalYes, Torres Strait Islander
In which year did you complete that school level? (If Applicable)
Are you still attending secondary school?*
Which of the following classifications BEST describes your current or recent occupation? If never employed, skip this question.
ManagersProfessionalsTechnicians and Trade WorkersCommunity and Personal Service WorkersClerical and Administrative WorkersSales WorkersMachinery Operators and DriversLabourersOther
Which of the following classifications BEST describes the Industry of your current or previous Employer? If never employed skip this question.
Agriculture, Forestry and FishingMiningManufacturingElectricity, Gas, Water and Waste ServicesConstructionWholesale TradeRetail TradeAccommodation and Food ServicesTransport, Postal and WarehousingInformation Media and telecommunicationsFinancial and Insurance ServicesRental, Hiring and real Estate ServicesProfessional, Scientific and Technical ServicesAdministrative and Support ServicesPublic Administration and SafetyEducation and TrainingHealth Care and Social AssistanceArts and recreation ServicesOther Services
If you indicated the presence of a disability, impairment or long-term condition, please select the area(s) in the following list: (you may indicate more than one area)
Hearing/DeafIntellectualPhysicalVisionMedical ConditionMental IllnessAcquired Brain Impairment Learning impairmentOther
Of the following categories, which BEST describes your main reason for undertaking this course?
To get a jobTo develop my existing businessTo start my own businessTo try for a different careerTo get a better job or promotionIt was a requirement of my jobI wanted extra skills for my jobTo get into another course of studyFor personal interest or self-developmentOther reasons
Have you applied to be a student at this RTO before?*
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© 2017 CTI - RTO No 7107 - ABN 4906 9758 023 - ACN 069 758 023