GPH (Deckhand) Course Enrolment Form

All Hands on Deck Maritime Training GPH (Deckhand) Course Enrolment Form

allhandsondeck.kel@gmail.com 0412201767
1. Name*

First NameMiddle NameLast Name
2. Email*
example@example.com
3. Mobile Number*
Format: (0000) 000-000.
4. Address*

Street Address

Street Address Line 2

SuburbState

Post Code
5. Date of birth*

DayMonthYear
Date
6. Gender*
7. Course*
8. Preferred Course Date*
Click Please Select above to see current vacancies
9. Language and Cultural Diversity - which country were your born in?*
10. Do you speak a language other than English at home?*
If other selected, please specify in the box below:
11. Indigenous Information: Are you of Aboriginal or Torres Strait Islander origin?*
12. Do you consider yourself to have a disability, impairment or long term condition?*
If Yes selected, please specify details in the box below. Please Note: course requires physical activities.
13. What is your HIGHEST completed school level?*
14. Are you stilled enrolled in secondary or senior secondary education?*
15. Previous qualifications achieved: Have you SUCCESSFULLY completed one of the qualifications listed below?*
16. Employment: *
17. Study reason:*
18. Unique Student Identity # (USI Number). If you do not have one you can obtain one at usi.gov.au*
Signature*

Clear
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*

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

$795.00AUD

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

$1,395.00AUD

Total

$0.00AUD

All Hands on Deck Maritime Training GPH (Deckhand) Course Enrolment Form