Diploma enrolment Diploma Enrolment form CitizenshipPersonal DetailsAddressContact DetailsEmergency ContactUSI/VSN NumberLanguage and cultural diversityDisabilitySchoolingQualificationsEmploymentStudy reasonPrivacy CitizenshipThis application form must only be used by applicants who are: Australian citizens New Zealand citizens Holders of a permanent residency visa If you are not one of the above, please contact the college directlyYour citizenship status Australian citizen New Zealand citizen Permanent Resident of Australia – You hold a Permanent Residency Visa granted by the Department of Immigration and Citizenship Date Permanent Residency granted (refer to your visa e.g. 21/03/08)PreviousNextPersonal DetailsTitleFirst NameLast NamePreferred namePrevious nameDate of BirthAge at 1st JanuaryGender Identity Man or Male Woman or Female Non-binary Agender A gender identity not listed above Prefer not to respondPreviousNextAddressPlease 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. If you are from a rural area use the address from your state’s or territory’s ‘rural property addressing’ or ‘numbering’ system as your residential street address.Residential addressAddress Line 1Address Line 2CityStatePost CodeCountrySelect CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the Congo (Brazzaville)ReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabweIs your postal address the same as your residential address Yes NoPostal addressAddress Line 1Address Line 2CityStatePost CodeCountrySelect CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the Congo (Brazzaville)ReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwePreviousNextContact DetailsEmailPhone/MobileHome PhoneWork PhonePreviousNextEmergency ContactFirst NameLast NameRelationshipPhonePlease advise the office in writing immediately if you change your address or contact details via a Change of Personal Information formPreviousNextUSI Number A Universal Student Identifier number is an Australian government initiative that was implemented in 2015. If you have undergone any study in that timeframe it is likely you already have a USI. It is issued once only, so if you don't recall it you can search for your USI here. If you don't currently one, then click here to obtain a USI number.USI NumberVictorian Student Number To be completed by all students aged up to 24 years: Since 2009 in schools and since 2011 for vocational education and training (VET) organisations and Adult Community Education providers, a Victorian Student Number (VSN) has been allocated upon enrolment to each individual student aged up to 24 years. Students should report their VSN on all subsequent enrolments at a Victorian school or training organisation. In particular, all students who are currently enrolled in either a VET provider or a Victorian school (including those already participating in a VET in schools program) should obtain their VSN from their current education or training organisation and report their VSN on this enrolment form. Students who are enrolling for the first time since the VSN was introduced will get a new VSN.Enter your 9 digit Victorian Student Number (VSN)Have you attended any Victorian school since 2009 or done any training with a vocational education and training (VET) registered training organisation or an Adult and Community Education provider in Victoria since 2011? No - I have not attended a Victorian school since 2009 or a TAFE or other VET training provider since the beginning of 2011 Yes - I have attended a Victorian school since 2009: Most recent Victorian school attended I have participated in training at a TAFE or other training organisation since the beginning of 2011 Yes NoList the most recent training organisations with which you have participated in training in Victoria since 2011 (List up to 3 training organisations) PreviousNextStatistical Data Language and cultural diversityIn which country were you born? Australia OtherText InputTown / City of birth?Do you speak a language other than English at home? (If more than one language, indicate the one that is spoken most often) No, English Only Yes, OtherText InputHow well do you speak English? Very Well Well Not Well Not at AllAre you of Aboriginal or Torres Strait Islander origin? No Yes, Aboriginal Yes, Torres Strait IslanderPreviousNextStatistical Data DisabilityDo you consider yourself to have a disability, impairment or long-term condition? Yes NoPlease indicate the areas of disability, impairment or long-term condition (You may indicate more than one area): Hearing/Deaf Physical Intellectual Learning Mental Illness Acquired Brain Impairment Vision Medical Condition OtherPreviousNextStatistical Data SchoolingAre you still attending secondary school? Yes NoWhat is your highest COMPLETED School level? Completed Year 12 Completed Year 11 Completed Year 10 Completed Year 9 or Equivalent Completed Year 8 or Lower Never attended SchoolIn which YEAR did you complete that school level?What school did you last attendPreviousNextStatistical Data Previous qualification achievedHave you SUCCESSFULLY completed any of the following qualifications? Yes NoIf Yes, please enter one of these Prior Education Achievement Recognition Identifiers any applicable qualification level.A – AustralianE– Australian equivalent I – International Bachelor Degree or Higher DegreeAdvanced Diploma or Associate DegreeDiploma or Associate Diploma Certificate IV or Advanced Certificate/ TechnicianCertificate III or Trade CertificateCertificate IICertificate ICertificates Other Than the AbovePreviousNextStatistical Data Employment If never employed go to Study Reason QuestionsOf the following categories, which BEST describes your current employment status? Full-time Employee Part-time Employee Self Employed - Not Employing Others Employer Employed - Unpaid Worker in a FamilyBusiness Unemployed - Seeking Full-time Work Unemployed - Seeking Part-time Work Not Employed - Not SeekingWhich of the following classifications BEST describes your current or recent occupation? 1 – Managers 2 – Professionals 3 – Technicians and Trade Workers 4 – Community and Personal Service Workers 5 – Clerical and Administrative Workers 6 – Sales Workers 7 – Machinery Operators and Drivers 8 – Labourers 9 – OtherWhich of the following classifications BEST describes the Industry of your current or previous Employer? A - Agriculture, Forestry and Fishing B - Mining C - Manufacturing D - Electricity, Gas, Water and Waste Services E - Construction F - Wholesale Trade G - Retail Trade H - Accommodation and Feed Services I - Transport, Postal and Warehousing J - Information Media and telecommunications K - Financial and Insurance Services L - Rental, Hiring and Real Estate Services M -Professional, Scientific and Technical Services N - Administrative and Support Services O - Public Administration and Safety P - Education and Training Q - Health Care and Social Assistance R - Arts and Recreation Services S - Other ServicesPreviousNextStatistical Data Study reasonOf the following categories, which BEST describes your main reason for undertaking this course/traineeship/apprenticeship? To get a job To develop my existing business To start my own business To try for a different career To get a better job or promotion It was a requirement of my job I wanted extra skills for my job To get into another course of study For personal interest or self development Other reasonsPreviousNextAre you enrolling in: Melbourne based stream with weekly classes Remote stream with four x week long intensives each yearDo you intend to study Full time Part timePrivacy Consent Form Due to changes in the Privacy Act we need to provide you with the opportunity to read the: Australian Shiatsu College Privacy Policy Enrolment Data Privacy PolicyI , Have had the opportunity to read and understand the information contained in the Australian Shiatsu College Privacy Policy. Have had the opportunity to read and understand the information contained in the Australian Shiatsu College Enrolment Data Privacy Policy. I acknowledge and agree to the terms described in these privacy statements.Acknowledgement ASC Charter of Student Rights and Responsibilities (please read)Checkbox Field I acknowledge that the information provided in this form is true and accurate to the best of my knowledge I will update the college should there be any change to the information entered on this formSignature Sign Here I have read and agree to the Terms and Conditions and Privacy Policy Previous Send enrolment information