Enrolment Form and Direct Debit Agreement (Full-Time 10859NAT) - ACWMAH

Enrolment Form and Direct Debit Agreement (Full-Time 10859NAT)

10859NAT Certificate IV in Weight Management

Mode: Full-Time Duration: 6 months at 20-35 hours per week Start: Any Mon

Personal Details

Name(Required)
DD slash MM slash YYYY
Street Address(Required)
Postal Address

Language and Cultural Diversity

Please Note: Enrolment is not available to Student VISA holders
Do you speak a language other than English at home?(Required)
Are you of Aboriginal or Torres Strait Islander origin?(Required)

Disability

Do you consider yourself to have a disability, impairment or long-term condition?(Required)
Please provide this information so our team can support you in the most suitable format for your individual needs. Please be assured this information is kept private and our team treats this information with great sensitivity and care.
If you indicated the presence of a disability, impairment or long-term condition, please select the area(s)

Schooling and Previous Qualificaitons Achieved

What is your highest COMPLETED school level?(Required)
Are you still enrolled in secondary or senior secondary education?(Required)
Have you SUCCESSFULLY completed any other qualifications?(Required)
If YES, tick ANY applicable boxes

Employment and Study Reason

DD slash MM slash YYYY
Please select any Mon between Mon 6th Jan and 3 months time, if you select a date beyond 3 months this will be adjusted to the maximum 3 months from the date you enrol

Consent

Total Course Fees: $1,580

Direct Debit Schedule(Required)
Due to holiday period payment plans will be adjusted to the above upon our return on Mon 6th Jan 2025.
Max. file size: 64 MB.
Voucher will be applied after your enrolment is processed manually by our team
Total Paid today, includes first Weekly Instalment and Course Deposit
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