All Hands on Deck Maritime Training GPH (Deckhand) Course Enrolment Form
allhandsondeck.kel@gmail.com 0412201767
1. Name
*
First Name
Middle Name
Last Name
2. Email
*
example@example.com
3. Mobile Number
*
4. Address
*
Street Address
Street Address Line 2
Suburb
State
Post Code
5. Date of birth
*
-
Day
-
Month
Year
Date
6. Gender
*
Please Select
Male
Female
Not Disclosed
7. Course
*
Please Select
General Purpose Hand - Deckhand
8. Preferred Course Date
*
Please Select
Dec 13th - 2 vacancies
Jan 17th - 3 vacancies
Feb 14th - 4 vacancies
Mar 14th - 4 vacancies
Apr 11th - 4 vacancies
I want to enrol now and complete the practical at a later date
Click Please Select above to see current vacancies
9. Language and Cultural Diversity - which country were your born in?
*
Please Select
Australia
New Zealand
Other
10. Do you speak a language other than English at home?
*
Please Select
No, English only
Other - Please specify below
If other selected, please specify in the box below:
11. Indigenous Information: Are you of Aboriginal or Torres Strait Islander origin?
*
Please Select
No
Yes, Aboriginal
Yes, Torres Strait Islander
12. Do you consider yourself to have a disability, impairment or long term condition?
*
Please Select
No
Yes - Please specify below
If Yes selected, please specify details in the box below. Please Note: course requires physical activities.
13. What is your HIGHEST completed school level?
*
Please Select
Year 12 or equivalent
Year 11 or equivalent
Year 10 or equivalent
Year 9 or equivalent
Year 8 or below
Never attended school
14. Are you stilled enrolled in secondary or senior secondary education?
*
Please Select
No
Yes
15. Previous qualifications achieved: Have you SUCCESSFULLY completed one of the qualifications listed below?
*
Please Select
None
Bachelor Degree or higher
Advanced Diploma or Associate Degree
Diploma or Associate Degree
Certificate lV (or advanced certificate/technician
Certificate lll (or trade certificate)
Certificate ll
Certificate l
Other Education
16. Employment:
*
Please Select
Full time employee
Part time employee
Self employed - not employing others
Self employed - employing others
Employed - unpaid worker in a family business
Unemployed - seeking full time work
Not employed - not seeking employment
17. Study reason:
*
Please Select
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 of self development
18. Unique Student Identity # (USI Number). If you do not have one you can obtain one at usi.gov.au
*
Signature
*
Additional Comments - Please tell us about your background and work experiences. Do you have maritime or non maritime work experience? Have you undertaken previous courses? Do you have a Boat Licence etc.
My Products
*
prev
next
( X )
General Purpose Hand - Deckhand - Initial Enrolment
Initial enrolment - Pay by Instalment. Complete pre study and attend 1 day practical session. Final course fee is $795.00
$
795.00
AUD
General Purpose Hand - Deckhand - Use this payment to obtain a $195.00 discount for pre payment of course fees
Complete GPH enrolment with $195.00 discount applied
$
1,395.00
AUD
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: