Success Resources International

Online Application Form
Online Application for Course Enrolment

Application process summary

This form allows you to apply for enrolment into a course by:

- providing your personal details
- selecting your course
- selecting a payment option

You will be required to upload your proof of identification (photo id) later in the enrolment. Therefore please make sure you have scanned this prior to completing this form.

Having the following information available will ensure your application is processed promptly:

- A valid email address
- Copy of Driver’s license and Medicare card

* Once submitted, you will receive an email confirmation that your Application for Enrolment Form has been successfully received

Our admissions team will process your application and send instructions on what to do next to your nominated email address. These instructions may require further actions to confirm enrolment.

Privacy

The information provided in your application is protected under Australian privacy law and the Australian privacy principles. Details of these principles are available from the Office of the Australian Information Commissioner at www.oaic.gov.au.
Course of Enrolment
You will need a Driver's Licence, Medicare Card and a valid email address to proceed with this enrolment form. Do you have this *

YES NO
Select a course *
Referred By: *
Please select the method in which you would like to complete your course

Face to Face with a Trainer Online Traineeship
Do you have a Sales Registration Certificate?

Yes No
Please upload your Sales Registration Certificate Transcript
Reason for study *
Method of learning

Online Face to face with an Assessor / Trainer Combination
Personal details
Title: *
Full Name *

First Name Middle Name Last Name
Your personal details
Gender *

Male Female Indeterminate/Intersex/Unspecified
Date of birth *

- Day - Month Year Date Picker Icon
Mobile *
Home Phone

- Area Code Phone Number
Work Phone

- Area Code Phone Number
Work E-mail *
Home E-mail
Residential address

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Postal address
Is your postal address the same as your residential address? *

Yes No

Postal address if not the same

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Unique student identifier (USI)
The USI is a reference number issued by the Australian Government made up of numbers and letters. It creates a secure online record of your nationally recognised training that you can access anytime and anywhere, and it’s yours for life.

Please visit www.usi.gov.au and create your USI Number.

If you already have a USI please write it in the box below.

If you have forgotten your USI number, or unsure if you have one. Please visit www.usi.gov.au and click on "Not sure if I have a USI / Find my USI" and follow the prompts.
Please enter your ten (10) character USI *
Emergency contact details
Full Name *

First Name Last Name
Phone Number *

- Area Code Phone Number
Relationship *
Company details
Company Name *
Company legal name
Company ABN Number
Company address
Company suburb *
Company state *
Company post code *
Employer contact *
Employer position *
Employer phone number *

- Area Code Phone Number
Employer email contact
Company
Your position *
Employment Start Date *
Labour force status
Status *

Full time Part time Casual Seeking employment
Citizenship details
Citizenship status *

Australian Citizen Overseas Resident Permanent Resident of Australia New Zealand Citizen Visa Holder (Humanitarian)
Country of birth *
Town of birth *
Schooling and tertiary education
What is the highest level of schooling you have completed? *
Name of high school (as at last year attended)? *
What year did you complete School? *
Do you have any previous qualifications? *

Yes No
If Yes, Please list the qualification names. If No, please write No *
What is your current learning style? *
List your learning characteristics: *

Multi-tasking Self-directed / Motivated Use personal experience as a resource Less open-minded Receptive to change Practical and results-orientated Require direction Other
Demographic questionnaire
Are you of Aboriginal or Torres Strait Islander origin? *
What language do you mainly speak at home? *
If English not spoken at home, how well do you speak English? *
Do you consider yourself to have a disability, impairment or long-term medical condition which may effect your studies? *

No Yes
If you answered yes please provide more details?
Survey Contact Status *

A - Available for Survey Use E-Excluded from Survey Use
Do you wish to apply for Recognition of Prior Learning (RPL)? *

Yes No
If yes - please upload a copy of any prior learning you have accomplished and your detailed resume now or email to admin@successresources.com.au prior to your course start date. You can upload your RPL documents using the buttons below.
RPL document 1
RPL document 2
RPL document 3
Resume
Work History (if no resume)
Please complete requirementsin the boxes provided below:

Company Name

Time with company

Position

Brief details of duties

Online Application Form

Course of Enrolment

Personal details

Your personal details

Residential address

Postal address

Unique student identifier (USI)

Emergency contact details

Company details

Company

Labour force status

Citizenship details

Schooling and tertiary education

Demographic questionnaire

Work History (if no resume)

Proof of identification

Method of payment

Declaration