Enrolment Form     This enrolment form is for all courses offered by Stones & Muirden Business College & Training Centre.   Please fill out all relevant portions of this form and click on the 'submit form' button at the bottom to send your enrolment through to us. You will be contacted via the email address you provide with further details of the course.   If you have any questions about your enrolment please contact us on 08 82127070 or email us at enquiries@stonescollege.com.au. 1. Please provide the following contact information:      (* denotes required information) *Title      *First Name *Last Name Organisation   *Mailing Address   City/Suburb   State    eg SA, WA etc Postcode   *Main Phone Number     Alternative Phone number   *E-mail   Date of Birth       Age  Gender Male Female Job Seeker ID       ASVP  Are you an Australian resident? Yes No Do you hold a visa? Yes No Type of visa     Emergency Contact Name of Contact     Relationship     Telephone     Medical For our records and in case of a medical emergency, is there a medical condition the College should be made aware of?  This information will be kept in the strictest confidence. Student Profile Information 1. In which country were you born? Australia Other (specify)   2. Do you speak a language other than English at home? (If you speak more than one language, indicate the one that is spoken most often.)    No, English only (go to question 4) Yes (specify)   3. How well do you speak English?    Very well    Well    Not well    Not at all   4. Are you of Aboriginal or Torres Strait Islander origin? (For persons of both Aboriginal AND Torres Strait Islander origin, mark both Yes boxes)    No    Yes, Aboriginal    Yes, Torres Strait Islander   5. Do you have a disability, impairment or long-term condition?    No (Go to Question 7)    Yes Equal opportunity is concerned with the fair treatment of our students to SMBC&TC and that we apply special learning measures which will remove any disadvantage to a student’s learning.  Is there anything that we can support you with in your learning?   6. Please indicate the areas of disability, impairment or long-term condition (You may indicate more than one area)    Hearing Deafness    Physical    Intellectual    Learning   Mental Illness   Vision    Other, Please specify   7. What is your highest completed school level?    Completed Yr12   Completed Yr11    Completed Yr10     Completed Yr9    8. In which year did you complete that school level?   9. Are you still attending school? Yes    No   10. Have you successfully completed any qualifications since secondary school?    No (Go to Question 12) Yes   11. Please indicate what kind of qualification you have completed.    Bachelor Degree    Adv. Diploma    Diploma    Certificate III   Certificate II   Certificate I    Other   12. Of the following categories, which best describes you current employment status?     Fulltime employee    Part-time employee    Self-employed    Employer       Unpaid worker in family business   Unemployed seeking fulltime work      Unemployed seeking part time work Not seeking employment   13. How did you hear about Stones & Muirden Business College?   Newspaper   Radio   Website   School   Friend   Work   Other (specify)    14. What is your major reason for study?    Get a job or self-employment   Update skills or knowledge   Improve reading and writing      Prepare for further study  Help family or community   Interest or recreation      Get off unemployment benefits   Advancement of career   Career pathway    Other (specify)            Details of Course – Certificate If you are enrolling in a Certificate course, please complete the following details:   Course Title     Total Cost   Starting Date    Finishing Date Enrolment is full-time    part-time   (check one)   Details of Course – Short Course If you are enrolling in a short course, workshop, or selected units of competency from a Certificate course, please complete the following details: Unit Title(s) 1.   2.   3.   4. Starting Date     Enrolment is part-time day    evenings    distance education   Student Declaration I have received and read the terms and conditions of enrolment including the refund policy and agree to abide by the terms and conditions therein. I am aware that the minimum literacy and numeracy for a course is equivalent to the successful completion of Year 10 English and Mathematics and I meet these criteria. I consent to information about my progress, attendance and results being released to my parent(s)/legal guardian(s) or the person responsible for fees listed over the page. Prices quoted for courses are accurate at the time of printing.  I understand that Stones & Muirden Business College & Training Centre reserves the right to change course fees if necessary.    Accept       Date:   Person Responsible for Fees Contact Details *Title    *First Name *Last Name *Mailing Address   City/Suburb   State    eg SA, WA etc Postcode   *Main Phone Number     Alternative Phone number   *E-mail   Person Responsible for Fees Declaration   I have received and read the terms and conditions of enrolment including the refund policy and agree to abide by the terms and conditions therein.   Prices quoted for courses are accurate at the time of printing.  I understand that Stones & Muirden Business College & Training Centre reserves the right to change course fees if necessary.   Accept       Date: