Online Enrolment Select a Course Diploma of Nursing (HLT54115)Certificate IV in Mental Health (CHC43315)Diploma of Mental Health (CHC53315)Certificate IV in Aboriginal and/or Torres Strait Islander Primary Health Care Practice (HLT40213)Diploma of Counselling (CHC51015)Certificate II in Hospitality (SIT20316)Diploma of Alcohol and Other Drugs (CHC553215) Student Details Title MrMissMrsMs If you do not have a USI please create one at the following website. USI Webpage Link http://www.usi.gov.au/create-your-USI/Pages/default.aspx What Are Your Reasons for Doing This Course? Please tick your reasons for doing this course on the boxes below (tick all that apply) To get a jobTo develop my own businessTo try a different careerTo get a promotionIt is part of my job requirementsI want extra skillsFor personal interest/ self-developmentOther reasons (write reasons below) Previous Enrolments Is this the first time you have enrolled in a course at Marr Mooditj? YesNo Language Literacy and Numeracy Please tick the boxes that apply to your level of English language, literacy and numeracy (LLN). We need this information to identify whether you need LLN support. Please select... I can speak/understand English ---Very WellWellNot very wellNot at all I can read English ---Very WellWellNot very wellNot at all I can write English ---Very WellWellNot very wellNot at all I can do maths ---Very WellWellNot very wellNot at all Educational Background Please tick the boxes below to show your secondary (school) and post-secondary (university/vocational) education. Secondary (choose highest attended) ---Year 12 or equivalentYear 11 or equivalentYear 10 or equivalentYear 10 or equivalentYear 8 or equivalentNever attended school Year completed (e.g. 1961) Post Secondary (tick all that apply) DoctorateMaster's DegreeBachelor's DegreeAdvanced DiplomaDiploma or Associate DiplomaCertificate IVCertificate III or TradeCertificate II Please attach a copy of your Year 12 Certificate of Education. If you do not have Year 12 you will have to sit an approved Literacy and Numeracy Assessment. Attach a copy here Support Needs Do you have any disability, impairment or health condition that might affect your studies or require special support? YesNo If YES, please provide details of the disability/condition(s) and support needed. Employment History Please choose the option that best describes your current employment status ---Full timePart timeEmployerUnemployed, seeking full time employmentUnemployed, seeking part time employment Employer contact details Please specify employer name, contact person, address, email and phone number How Did You Hear About Us? NewsletterRadioWord of mouthFamily/FriendFacebookWebsiteOther If other please specify Course Fee Information Click here to view latest course fees and charges. To be eligible for concession rate, YOU MUST provide the following with this application form: Youth Allowance, Pension or Current Health Care Card. Please Note: If no evidence is provided with this application, a non-concession will apply to your enrolment into this course. Attach a copy here I have attached evidence that I am eligible for concessional rate Enrolment Requirements Below are listed the requirements for the enrolment at Marr Mooditj Training. I have been provided the fees and charges - View fees and charges I have attached a certified copy of my Police Clearance for a Criminal History Check and Working with Children Check or an application receipt Attach your Police Clearance here Attach your Working with Children Check here I am an Abstudy approved student and have provided a certified evidence of my away from base address and Abstudy statement (students who require away from base funding) Attach a copy here To access travel and accommodation you must be an Abstudy approved student. You must provide the Abstudy statement to Marr Mooditj Training before any travel and accommodation can be arranged. Student Declaration I am currently living in Western Australia. I am of Aboriginal descent and older than 17 years. I am of Torres Strait Islander descent and older than 17 years. I have read and accept the Privacy Notice & Declaration Policy I agree to adhere to Mar Mooditj Training's policies and procedures and student code of practice. I hereby declare that all of the information provided in this application is accurate and true. Please leave this field empty.