New Student Registration Form

* Compulsory fields

Title: Ms   Mr   Miss   Mrs   Dr  
First name: *
Surname: *
Date of birth:
DD/MM/YYYY
Gender: Female   Male  
Email: *
Confirm Email: *
Password: *
Confirm Password: *
Address: *
Town/Suburb: *
State: *
Postcode: *
Preferred phone: *
Other phone:  
Concession No:  
Email me information about new courses? * Yes   No  
Do you consider yourself to have a disability? Yes   No  
If yes, please specify your disability
(Hold ctrl or mac key to select/deselect multiple)
Your first language:
Country of birth:
Are you of Aboriginal or Torres Strait Islander origin?
Your current working status is
What is your highest completed school level?
Are you still at secondary school? Yes   No  
If you have completed school, in what year was that?
Have you completed a TAFE or university course? Yes   No  
If yes, at what level?
(Hold ctrl or mac key to select/deselect multiple)
 
     
The Government requires all education organisations to collect these statistics to aid with educational planning. Statistics are passed on without your name or address.
 
CASWEB developed and supported by Omnia Corp International