Student Expression of Interest

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Student Expression of Interest

Welcome to Phoenix Learning.

The information collected on this form will be used to assist Help Training Institute (RTO Number 1653) to do a preliminary assessment of the applicant to determine eligibility

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Legal Full Name* This field is required.

Prefix

First Name

Middle Name

Last Name

3

Have you ever been known by another name?* This field is required.

YESNO

4

Please enter your other name you were/are known by

Prefix

First Name

Middle Name

Last Name

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Date of Birth* This field is required.

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Email address* This field is required.

example@example.com

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Phone Number* This field is required.

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Are you an Australian or New Zealand citizen or Australian permanent resident (including humanitarian entrants), or a temporary resident with the necessary visa and on the pathway to permanent residency?* This field is required.

YESNO

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Country of Birth* This field is required.

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City/Town of Birth* This field is required.

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What suburb do you live in?

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What course are you interested in studying?* This field is required.

Qualifications

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How did you hear about the course you are interested in?* This field is required.

Phoenix Learning

Google Search

Letterbox Brochure

A Student of Phoenix Learning

Newspaper Ad

Facebook

Saw Phoenix Building in Bay Terrace Wynnum

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Please sign* This field is required.

Clearsign by using your mouse/touch pad or your finger if you are completing this form on your phone