Course Selection * Course Selection * VGCCC – Responsible Service of Alcohol (RSA) Certificate II in Hospitality SIT20316 Certificate III in Hospitality SIT30316 Certificate IV in Hospitality SIT40416 Food Safety Courses

Course Delivery Mode * Course Delivery Mode * Classroom Online Apprenticeship Workplace - Based Assessment Only (RPL)

Your Title * Your Title * Mr Mrs Ms Miss Other

Surname *

Given Name *

Gender

Email Address *

Phone No *

Date of Birth - day / month / year *

City & Counrty of Birth

Residential Address ( please include Postcode ) *

Mailing Address if different from above

Indigenous Status ( if applies to you ) Indigenous Status ( if applies to you ) Yes, Aboriginal Yes, Torres Strait Islander Yes, Aboriginal & Torres Strait Islander No, Neither Aboriginal or Torres Strait Islander

Do you have a USI ( unique student identifier ) Do you have a USI ( unique student identifier ) Yes No

If Yes please provide your USI Number

If you do have a USI, please register with below link If you do have a USI, please register with below link https://www.usi.gov.au/students/get-a-usi

Have you completed a course with IVET previously? * Have you completed a course with IVET previously? * Yes No

If yes, previous Course Name

School - Trainer Name *

School - Training Contact Person

School - Trainer Address ( please include Postcode ) *

Phone No *

Email Address *

Your employment status * Your employment status * Full Time Part Time Self Employed Unemployed

How did you hear about us? How did you hear about us? Email Marketing Press Advertising Internet Search Social Media Industry Referral Employer Work Colleague Family / Friend I am a past student Other

Disability Status, Do you consider you have a disability, impairment / long term condition that my affect your participationin the course? * Disability Status, Do you consider you have a disability, impairment / long term condition that my affect your participationin the course? * Yes No

If yes, disability, impairment or long term condition If yes, disability, impairment or long term condition Hearing / Deafness Vision Acquired Brain Impairment Physical Intellectual Learning Medical Condition Mental Illness Not Specified Other

If other please provide details of any additional support needed

Do you require language & literacy support? Do you require language & literacy support? Yes No

Are you an Australian Citizen? Are you an Australian Citizen? Yes No

If no, what is your country of birth

Please state your Visa Classification ( if applicable )

is English your first language? is English your first language? Yes No

If no, what is the language you usually speak?

How well do you speak English

Education - what is the highest level of education completed? Education - what is the highest level of education completed? Did not go to school Completed Yr 8 Completed Yr 9 Completed Yr 10 Completed Yr 11 Completed Yr 12

Year & Month completed

Training - have you completed any other courses / qualifications Training - have you completed any other courses / qualifications Yes No

Discipline / Subject Area

Qualification level Qualification level Certificate 1 Certificate 2 Certificate 3 Certificate 4 Diploma / Adv Diploma Bachelor Post Grad Masters / Doctorate

Reason for study, which of the following statements best describes your reason for enrolling in this course Reason for study, which of the following statements best describes your reason for enrolling in this course Personal reasons To get a job To get a better job or promotion I want extra skills for my job Requirement for my job To start my own business To develop my existing business To try an other career Meet CPD / License / Vocational requirements To gain a qualification Other

If other please identify