Short Course Enrolment Form | Workplace Training Strategies

1. Personal Details

2. Employment Information

3. Background Information

4. Proof of Identity

5. USI, School History & Previous Qualification

6. Final Document Checklist

7. WTS Student Declaration

Personal Details

Title *

First Given Name *

Second Given Name (Middle)

Last Name (Surname/Family Name) *

Date of Birth *

Gender *

Email Address: * This will be your login for Axcelerate; please use the email you will use for the course.

Phone Number: *

Are you under 18? * NoYes

If you are under 18, we require parent/guardian details:

Parent/Guardian Name *
Phone Number (Mobile) *
Email Address *

What is the Address of your Usual Residence? Please provide the physical address (street number and name not post office box) where you usually reside rather than any temporary address at which you reside for training, work or other purposes before returning to your home.

Building/Property Name (if applicable)
Flat/Unit Number (if applicable)
Street or Lot Number *
Street Name *
Suburb, Locality or Town *
Postcode *
State *
Country *

Is your Postal Address the same as your Residential Address? YesNo

If no, please enter it below

Building/Property Name (if applicable)
Flat/Unit Number (if applicable)
Street or Lot Number *
Street Name *
Suburb, Locality or Town *
Postcode *
State *
Country *

Emergency Contact *

Name of Emergency Contact Person
Emergency Contact Person Relationship
Emergency Contact Phone Number

Employment Information

Are you currently employed? * YesNo

If yes, what is the business trading name? *

Which of the following classifications BEST describes your current or recent occupation? *

Which of the following classification BEST describes the industry of your current or previous employer? *

E.G. BAKER = Accommodation and Food Services (H)

Background Information

In which country were you born? *

Australian Citizenship Status *

Are you of Aboriginal or Torres Strait Islander origin? *

Are there any social or cultural considerations you would like to make us aware of? * YesNo

If yes, what considerations would you like WTS to know? *

Do you consider yourself to have a disability, impairment or long-term condition? * YesNo

Please select any conditions that apply: Hearing/deafPhysicalIntellectualLearningMental IllnessAcquired Brain ImpairmentVisionMedical ConditionOtherNot Specified

Do you have any special needs, that require adjustment to learning material and strategies? * YesNo

If yes, please list additional support or adjustments you may require *

Proof of Identity

Verification of Identity

PLEASE NOTE: You will not be able to complete this course without a valid form of Photo Identification.

Please provide details and a copy of ONE (1) of the forms of photo identity (numbered 1 to 6). Ensure that the name written in the Personal Details section is exactly the same as written in the information you provide below.

Proof of identity must be current and valid.

In the corresponding area below, provide ALL details of the ID document you have selected and upload your photo ID as instructed.

Select the type of ID you will provide *

Medicare Card Example ID