Student Enrolment Please fill in the student enrolment form below or alternatively download the enrolment form HERE Please note: The Permission form located HERE must be filled in and signed before Day 1 of the course Student Details Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone Number*Email* Date of Birth*Shirt Size (Uniform)*Sex*MaleFemale Medical Conditions Do you consider yourself to have a disability, impairment or long-term condition?*YesNoIf Yes, please indicate which area Hearing Physical Intellectual Learning Mental Brain impairment Vision Other If other, please let us know whatDo you have any allergies?*YesNoIf yes, please let us know whatHeritageDo you speak English at home?*YesNoIf not, what languages do you speak?What country were you born in?*AustraliaAre you of Aboriginal or Torres Straight Islander origin?*YesNo School Details Current School (if applicable)Year commencing programUSI Number School - Education Details (if applicable) Year commencing the VETIS ProgramYear 11Year 12Current SchoolPhoneVET Coordinator’s NameVET Coordinator’s Email School Results (If Applicable) Please attach a copy of your latest school report. You may include any other information you think necessary to support your application (eg: references)Report AttachedYesNoReferences AttachedYesNoParent/ Guardian Details (This contact will be used for all correspondence)Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Daytime Phone Number*Mobile*Email* Applicant Agreement I certify that the above information is true and correct, that I understand the requirements of this program and I am prepared to commit to participate in this program if selected.* I Agree Applicant Name*Date*Parent/Guardian Agreement I certify that the above information is true and correct, that I understand the requirements for fees payable to participate in this program if our child is selected I Agree Parent/Guardian Name*Date* Reference (To be completed by Principal, Deputy Principal, VET Coordinator or referring organisation) Or please attach reference below We support this application and endorse the student as being "work ready" and meeting the academic requirements of the program.YesNoYes, with reservationCommentsNamePositionDateUpload Reference
