Employment Progress Activities Enrolment Form

Course

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Employment Progress Activities - Financial and Budgeting Basics - Module 2: Financial basics
Available
Employment Progress Activities - Mental Health and Wellbeing - Module 2: Managing the tough stuff
Available
Employment Progress Activities - Financial and Budgeting Basics - Module 1: Budgeting
Available
Employment Progress Activities - Mental Health and Wellbeing - Module 1: Being Well
Available
Employment Progress Activities - Employment Basics - Module 1: Workplace expectations
Available
Employment Progress Activities - Employment Basics - Module 2: Communication in the workplace
Available
Employment Progress Activities - Safety in the Workplace - Module 1: Workplace safety
Available
Employment Progress Activities - Safety in the Workplace - Module 2: Personal Protective Equipment
Available

Student Personal Details

Please complete all fields below.

First Name
Entity Data - Profile - First Name
Surname
Entity Data - Profile - Surname
Date of birth
Entity Data - Profile - Birth Date
Gender
Entity Data - Profile - Gender
Mobile Number
Entity Data - Contact - Home - Mobile Number
E-mail Address
Entity Data - Contact - Home - E-mail Address

Referring Company Details

Referring company:
Basic - Text
Referring company location/suburb:
Basic - Text
Employment consultants name:
Basic - Text
Employment consultants email address:
Basic - Text
Employment consultants phone number:
Basic - Text

Invoice details

Name:
Basic - Text
Email address:
Basic - Text
Purchase order number:
Basic - Text
Declaration:

I am authorised to register the client to undertake the Qualify Program and acknowledge that the course fee will be invoiced to the company specified.

Basic - Checkboxes
Privacy Statement:

Personal information is protected by law, including the Privacy Act 1988 (Cth) and will be managed in accordance with the Qualify Privacy Policy.
Basic - Checkboxes
Signature:
Basic - Digital Signature