TOC Australia RTO No. 32407
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Enrolment Application Form – Dance

Enrolment Application Form – Dance

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Please indicate the course in which you wish to enrol:*
- CUA30320 Certificate III in Assistant Dance Teaching
Enroled Dance School*

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Personal Details
Name*
Title First Name Middle Name Last Name
Please write clearly as any error made due to misinterpretation of your writing may attract an Administration Fee of $50.00 for reissue
Date of Birth*

Day
Month
Year
Gender*
- Male
- Female
Company Name if required for invoicing
Unique Student Identifier Number*
If you don’t have a number, go to https://usi.gov.au and create one.
This is a requirement by the Australian Government prior to enrolment.

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Residental / Company Address
Address*
No and Street Suburb State Post Code Country
Are you an Australian citizen?*
- Yes
- No
If your answer is no, please provide a copy of your visa
Accepted file types: jpg, jpeg, gif, tiff, png, pdf, doc, docx, Max. file size: 20 MB.

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Postal Address
- Same As Residental / Company Address
Postal Address
No and Street Suburb State Post Code Country

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Contact Details
Phone Number (Primary)*
Phone Number (Secondary)
Email*
Enter Email Confirm Email
Parent/Guardian Contact Details
Parent/Guardian Name
First Last
Parent/Guardian Phone Number
Parent/Guardian Email
Other Details
In which country were you born*
Main Language spoken at home
How well do you speak English*
- Very Well
- Well
- Not Well
- Not at all
Are you of Aboriginal origin?*
- Yes
- No
Are you of Torres Strait Islander origin?*
- Yes
- No

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Education Background
In what year did you complete High School
Highest Level Completed at school?
Have you completed tertiary studies?
- Yes
- No
If yes, at what level?
- Cert I
- Cert II
- Cert III or Trade Certificate
- Cert IV
- Diploma
- Advanced Diploma
- Associate Diploma
- Bachelor
- Masters

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Disability/Special Needs
Do you consider yourself to have a disability, impairment or long-term condition that could affect your study?*
- Yes
- No
Disability
- Hearing/Deaf
- Physical
- Intellectual
- Learning
- Mental Illness
- Acquired Brain Impairment
- Vision
- Medical Condition
Would you like additional support with any special needs (literacy, numeracy, physical)?*
- Yes
- No
This information is confidential and is only used as a means to provide the best support possible to suit your individual needs. If Yes the CEO or their elected representative will contact you.

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RPL (Recognition of Prior Learning)/Credit Transfer
Do you wish to apply for RPL (Recognition of Prior Learning)/Credit Transfer*
- Yes
- No
Addional Information About Yourself that could Impact on your Studies
Would you like additional support with any special needs (literact, numeracy, physical)?*
- Yes
- No
This information is confidential an is only used as a means to provide the best support possible to suit your individual needs.
If you have ticked yes, please provide a brief description of the sort of support would best suit your individual needs*

TOC Australia is committed to ensuring we offer training opportunities to all people on an equal and fair basis. All participants who meet our entry requirements will be accepted into any of our training programs. Any questions regarding access and equity can be directed to the Chief Executive Officier.

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General
Where our training programs have a limited number of places available, these will be filled in order of completed bookings.
If, for any reason TOC Australia, or any party delivering training and assessment on our behalf, closes or ceases to deliver any part of the qualification in which a client has enrolled, TOC Australia will assist the learning in locating another provider or refund the portion of fees for which training and assessment has not been provided.
Where there are any changes to the services agreed upon, TOC Australia will advise the learner as soon as practicable, any change in ownership, either via email, website or phone.

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Declaration
I confirm that the information provided by me is true and correct. I have been offered the opportunity for Recognition of Prior of Learning relating to this course. I understand that information contained in these forms may be provided to State and Commonwealth Agencies and Research Organisations and I consent to that occurring.*
- I acknowledge that I have read and understood the information provided
Please attached a copy of your photo ID
Accepted file types: jpg, jpeg, gif, tiff, png, pdf, doc, docs, Max. file size: 20 MB.
Phone
This field is for validation purposes and should be left unchanged.

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