AVETMISS Application Form

Personal Details

Please complete all required fields below

Unique Student Identifier (USI)

NOTE: if you don't already have a USI, please click HERE to apply for one now!
Entity Data - AVETMISS - Unique Student Identifier (USI)
Title
Entity Data - Profile - Title
First Name
Entity Data - Profile - First Name
Middle Name
Entity Data - Profile - Middle Name
Surname
Entity Data - Profile - Surname
Known By (Nickname)
Entity Data - Profile - Known By
Birth Date
Entity Data - Profile - Birth Date
Gender
Entity Data - Profile - Gender
E-mail Address (Work)
Entity Data - Contact - Home - E-mail Address
Mobile Number
Entity Data - Contact - Home - Mobile Number
Where did you hear about this course?
Basic - Dropdown
If you selected Email / Other, please identify below.
Basic - Text

Employment Details

Please complete all required fields below

Employer Name
Basic - Text
Job Title
Basic - Text

Address

Please complete all required fields below

Street Number
Entity Data - Address - Home - Street Address 1
Street Name
Entity Data - Address - Home - Street Address 2|These fields have been deprecated as they didn't properly feed the address information. Please use the newly added fields: Unit/Flat Number, Street/Lot Number and Street Name.
Residential Address
Entity Data - Address - Home - Lookup
Address - Home - Unit/Flat Number
Entity Data - Address - Home - Unit/Flat Number
Address - Home - Street/Lot number
Entity Data - Address - Home - Street/Lot number
Address - Home - Street Name
Entity Data - Address - Home - Street Name
Address - Home - Suburb
Entity Data - Address - Home - Suburb
Address - Home - Post Code
Entity Data - Address - Home - Post Code
Address - Home - State
Entity Data - Address - Home - State
Address - Home - Country
Entity Data - Address - Home - Country
Postal Address
Entity Data - Address - Postal - Lookup
Address - Postal - Unit/Flat Number
Entity Data - Address - Postal - Unit/Flat Number
Address - Postal - Street/Lot number
Entity Data - Address - Postal - Street/Lot number
Address - Postal - Street Name
Entity Data - Address - Postal - Street Name
Address - Postal - Suburb
Entity Data - Address - Postal - Suburb
Address - Postal - Post Code
Entity Data - Address - Postal - Post Code
Address - Postal - State
Entity Data - Address - Postal - State
Address - Postal - Country
Entity Data - Address - Postal - Country

AVETMISS Information

Please complete all required fields below

Study Reason
Entity Data - AVETMISS - Study Reason
Labour Force Status
Entity Data - AVETMISS - Labour Force Status
Country of Birth
Entity Data - Profile - Country of Birth
Town/City of Birth
Entity Data - Profile - Town/City of Birth
Citizenship Status
Entity Data - Profile - Citizenship Status
Nationality
Entity Data - Profile - Nationality
Indigenous Status - Are you of Aboriginal or Torres Strait Islander descent?
Entity Data - AVETMISS - Indigenous Status
Main Language - what is your primary language?
Entity Data - AVETMISS - Main Language
At School - do you still attend school (K-12)?
Entity Data - AVETMISS - At School
Highest School Level - what is the highest school level you have completed?
Entity Data - AVETMISS - Highest School Level
Year Completed - what year did you complete your highest school level?
Entity Data - AVETMISS - Year Completed (Highest School)
Disability - do you consider yourself to have a disability?
Entity Data - AVETMISS - Disability Flag
Disability Type
Entity Data - AVETMISS - Disability Type
Prior Education - have you completed any prior qualifications?
Entity Data - AVETMISS - Prior Education Flag
Prior Education Type
Entity Data - AVETMISS - Prior Education Type

Dietary Requirement

Please complete all required fields below

Does this training include catering?
Basic - Radio buttons
Special dietary requirements
Basic - Checkboxes
For other dietary requirements, please type below
Basic - Text
Checkboxes
Basic - Checkboxes
Other:
Basic - Text

Declaration

Please complete all required fields below

Terms and Conditions

Please read our Terms and Conditions HERE.
Basic - Checkboxes
Digital Signature
Basic - Digital Signature
Date
Basic - Date

Payment

Payment Options

Select a Payment Option


Pay Now

Select this option if you want to pay now.
You'll be redirected to the Payment Gateway.

Pay Later

Select this option to pay later. An invoice will
be provided to you, or your sponsor, post
submission.

Please select from the following options:

Paid
I'm paying. Invoice me
$0.00
$0.00
$0.00