Hobart Technology

Enrolment Form

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Enrolment Form

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Enrolment Form

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Enrolment Form

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Gender:	Male Female
Family/Last name:
Given/First name:
USI (Unique Student Identifier):
D.O.B (Day/Month/Year):
Country of citizenship:
Your current address:
Home county address: (if different to above):
Phone number:
Mobile number:
Email:
Facebook ID/Facebook Email:
Emergency Contact name:
Telephone/mobile:
Are you of Australian Aboriginal and/or Torres Strait Islander origin?	Yes, Australian Aboriginal No Yes, Torres Strait Islander
Current English level: (tick and attach evidence)	Have never studied English formally English test score (IELTS preferred): _______ have completed are enrolled in ELICOS
What course/s are you applying for:
Course start date:
Study Location:
Do you have a medical condition or disability?	No Yes
Details:
What is your highest level of education? (Please attach evidence)
Have you had any work experience?	No Yes (Please attach evidence)
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 work Student - Full time
How did you find Hobart Technology?	Agent Advertisement Relative/Friend HT Website Newspaper Radio Television Other
Reason for study?	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 is requirement of my job I wanted etra skills for my job To get into another course For personal Interest or self-development Other
Message/Notes:

	Send

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Enrolment Form

Enrolment Form

Enrolment Form

Enrolment Form