Heiniger Academy Enrolment Form

Heiniger Academy Enrolment Form

Personal Information
Full Name*

First NameLast Name
Phone Number*

Area CodePhone or Mobile No.
Email*
example@example.com
Date of birth*

DayMonthYear
Date
Gender*

MaleFemaleNon BinaryPrefer not to sayOther
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Postal Address (if different)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Language & Cultural Diversity
In which country were you born?*

AustraliaOther
Do you speak a language other than English at home?*

No, English only (skip next question)Other
10. How well do you speak English?*

Very wellWellNot wellNot at all

How well do you speak English?

	1	2	3	4	5

1 is Not at all, 5 is Very well

Are you of Aboriginal or Torres Strait Islander origin?*

NoYes, AboriginalYes, Torres Strait IslanderYes, both Aboriginal and Torres Strait Islander
11. Are you of Aboriginal or Torres Strait Islander origin? (select multiple if applicable)*

NoYes, AboriginalYes, Torres Strait Islander

Unique Student Identifier (USI)
As of 2015, the Australian Government requires all students to have a USI which is a unique number that will allow you to track your studies with various educational providers (both TAFE and private providers) nationwide.

Please click on the link below to apply for a USI:
https://www.usi.gov.au/students/get-a-usi
Please provide your USI (Universal Student Identifier)
If you don’t have one, please create one using the link above. We cannot process your enrolment without one.
If the name you enrolled with differs from the name registered on your USI, please provide the registered name

First NameLast Name
20. If you do NOT have a USI, would you like assistance in obtaining one?

YesNo

Payment Details

Select Relevant Course Payment & Learner's Kit Options*

Standard Course

Standard Course Deposit$500.00AUD

Secure your spot and pay the deposit for your chosen course. Deposit will be deducted from the total fees required for your chosen course or RPL. IMPORTANT: You will need to complete a Direct Debit Form prior to the processing of your enrolment. This will be sent to the email address you have provided.

Short Course

Short Course Payment$410.00AUD

Secure your spot and pay the total fees required for your chosen Heiniger Academy (Short Course).

Short Course Option

Optional: Heiniger Learner's Kit

Heiniger Learner's Kit - with Opal 2 Speed$725.00AUD

Includes Opal 2 Speed Cordless Clipper; Heiniger #5F A5 Blade; Heiniger 7” Straight Scissors; Heiniger 7” Thinning Scissors; ProGroom Medium Comb; ProGroom Large Slicker Brush; ProGroom Everyday Shampoo 500ml; ProGroom Coat Care Conditioner 500ml; Wahl #4 Extension Comb; Resco Small Nail Clippers; Resco Kwik Stop Powder 14g

Heiniger Learner's Kit - with Saphir Style$650.00AUD

Includes Saphir Style Cordless Clipper; Heiniger #5F A5 Blade; Heiniger 7” Straight Scissors; Heiniger 7” Thinning Scissors; ProGroom Medium Comb; ProGroom Large Slicker Brush; ProGroom Everyday Shampoo 500ml; ProGroom Coat Care Conditioner 500ml; Wahl #4 Extension Comb; Resco Small Nail Clippers; Resco Kwik Stop Powder 14g

Optional: Heiniger Learner's Kit - with Saphir Cord$550.00AUD

Includes Saphir Style Cord Clipper; Heiniger #5F A5 Blade; Heiniger 7” Straight Scissors; Heiniger 7” Thinning Scissors; ProGroom Medium Comb; ProGroom Large Slicker Brush; ProGroom Everyday Shampoo 500ml; ProGroom Coat Care Conditioner 500ml; Wahl #4 Extension Comb; Resco Small Nail Clippers; Resco Kwik Stop Powder 14g

Total $0.00AUD

Payment Details

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Should be Empty: