DSR - Prelim Application Form

Preliminary Application Form

Course Details

Program

Intake

General

General Details

Lead Source

Intake

Title

First Name

Last Name

Date of Birth (DD/MM/YYYY)

Important: Consent MUST be provided by parents / guardians to applicants under the age of 18. This will need to be provided at the time of signing the Enrolment form.

Which of the following best describes your Residency status?

Are you of Australian Aboriginal or Torres Strait Islander origin?

What brought you to our website?

Have you SUCCESSFULLY COMPLETED any qualifications?

NoYes

Bachelor Degree or Higher Degree

Advanced Diploma or Associate Degree

Diploma or Associate Diploma

Certificate IV or Advanced Certificate

Certificate III

Certificate II

Certificate I

Certificates other than the above

Contact and Residential Address Details

Unique Student Identifier

Email address is invalid or contains special characters

Mobile Phone

Invalid contact number

Search Residential Address

Enter address manually

NoYes

Address validated

NoYes

Building name

Unit/Flat Number

Street/Lot Number

Street Name

Suburb

State

Postcode

Country

Address full