Enrolment Questionnaire Order Number All students are to complete this form upon enrolment or commencement of their course. It contains important information and student declarations. What is your full name? * What is your Date of Birth? * How did you hear about Skills Institute Australia? * I am a student here already Another student Friend / family Internet - website or Facebook Agent Other Are you working now? * Yes/ No Yes No Why do you want to study at Skills Institute Australia? * To get a job To gain extra skills To study further Other Have you studied anything since leaving High School? * Yes/ No Yes No Do you have a USI? * Yes/ No Yes No I don't know Are you currently enrolled in another school? * Yes/ No Yes No Privacy Skills Institute Australia in its operations and provisions complies in all ways with the Privacy Amendment (Private Sector) Act 2000. This prevents Skills Institute Australia from providing any student details to any other person other than the student without the express permission of the individual concerned.Student declaration I have read and understood the information contained in the Skills Institute Australia International Student Handbook available on the school website * Yes/ No Yes No I am aware of the restrictions placed on my enrolment as an international student as specified in my Letter of Offer. * Yes/ No Yes No I have been supplied with student information, including: Course information / units of competency, Admission procedure, certificate to be award upon completion Fee structure, refund policy Policies on Code of practice, Access Equity and Diversity, Complaints, Appeals, Anti-discrimination, Sexual harassment, Workplace health and safety, Student counselling and support, Student rules and discipline Recognition of prior learning (RPL), national recognition, Relevant government legislation Assessment, record access dec3 Yes/ No Yes No Use of images I hereby consent and agree that Skills Institute Australia, its representatives and employees, has the right to take photographs of me and my property in conjunction with my training and studies at Skills Institute Australia place of training, or any function or business that may be involved with my training and studies. I authorize Skills Institute Australia, its assigns and transferees to copyright, use and publish the same in print and/or electronic copy or media platforms. I agree that Skills Institute Australia may use such images of me with or without my name, and for any lawful purpose, including for example, such purposes as publicity, illustration, advertising, social media and web content. dec4 Yes/No Yes No Please enter your full name as your digital signature * Date signed *