Application Details 1. STUDENT DETAILS Name * First Name Last Name Date of Birth * MM DD YYYY Gender * Female Male Not Specified Email Address * Contact Number * RESIDENTIAL ADDRESS * Address 1 Address 2 City State/Province Zip/Postal Code Country 2. EMERGENCY CONTACT DETAILS (This is required for face to face classroom applications.) Name First Name Last Name Relationship to you Contact Number 3. CITIZENSHIP DETAILS Please select from list * Please Select Australian citizen Australian permanent resident Humanitarian visa holder New Zealand citizen None of the above (please fill in details below) If 'None of the above' selected, please fill in visa details. Are you on a Student Visa or will you require a Student Visa? * Yes No 4. LANGUAGE How well do you speak English on a scale of 1-10 * 1 = poorly 10 = very well Please Select 1 2 3 4 5 6 7 8 9 10 5. INDIGENOUS STATUS Do you identify as Aboriginal or Torres Strait Islander * Yes No 6. DISABILITY Do you have a disability, impairment or long term medical condition which may affect your studies? * Yes No 7. EMPLOYMENT Do you have any previous work experience? * Yes No Please indicate employment status: Full Time employee Part time employee Self-employed (not employing others) Employer Employed – unpaid worker in family business Unemployed seeking full time work Unemployed seeking part time work Unemployed not seeking employment 8. PRIOR EDUCATION Highest level of school completed? * Year 9 or lower Year 10 Year 11 Year 12 In which year did you complete school? Have you previously studied at a tertiary level * Yes No Would you like to pursue any RPL or Credit Transfer? * Yes, I would like you to contact me regarding RPL or Credit Transfer. No RPL or Credit Transfer required for now. 9. UNIQUE STUDENT IDENTIFIER Do you have a unique student identifier (USI)? * Yes No Not sure 10. ENROLMENT DETAILS Delivery Method * Self paced with online support Course Name * Business Admin Essentials Certificate III Upgrade (BSB30120) Business Essentials Certificate IV Upgrade (BSB40120) 11. STUDENT DECLARATION I declare that... * The information I have provided is true and accurate in every detail. 12. PARENT OR GUARDIAN DECLARATION (IF STUDENT IS UNDER 18 YRS) I declare that... The information I have provided is true and accurate in every detail. Name of Parent or Guardian (if applicant is under 18 yrs) First Name Last Name Relationship to Applicant Residential Address Email Contact Number Thank you! Don't forget to email your proof of identification (e.g. Medicare Card, Passport, Driver Licence, Birth Certificate) to admissions@williams.edu.au or if you have the documents ready you can also upload them here upload Thank you!Thank you! Don't forget to email your proof of identification (e.g. Medicare Card, Passport, Driver Licence, Birth Certificate) to admissions@williams.edu.au
