ENROLMENT FORM (Barista Course)

Status
Status static
Todays Date*

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Certificate Date

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Funding
ENROLMENT FORM - BARISTA COURSE

Before attending this course, all participants must complete the following form. If you need support to complete this form, please contact our us on 0508 287 246. Note, a vaild photo ID must be used during the completion of this enrolment form.
Course Name*
Course Location*
Mount Course Start Dates*
Waihi Course Start Dates
PARTICIPANTS PERSONAL INFORMATION
Name*
Mobile*

Area CodePhone Number
Email*
Postal and physical address
Date of Birth*

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Gender*

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National Student Number
NSN
Ethnicity (please select)*

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What qualifications do you have? (NCEA or above)

NCEA Level 1NCEA Level 2NCEA Level 3High Education
Language (circle one if applies to you)

English is your second langaugeYou are a migrantYou are a refugee
Learner is aged 16 yrs or over
Learner is a domestic student
Learner is not a full time secondary school learner
Eligibility verified
Identity verified
Full Name*
Job title
Are you a NZ citizenship or have NZ residency?

YESNO
File Upload*

ID may include passport, birth certificate, or visa document
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Signature*

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Date

DayMonthYear
How will payment for this course be faciliated?

Now, via Credit Card.Via Purchase Order / Quote / Invoice.
Company or Invoice to Invoice:*
Email to send Invoice to:*
Purchase Order Reference

To complete your enrolment please process the following payment.

Barista Training CourseBy completing this course, you will gain the skills necessary to apply for a job in a café as a barista or start your own coffee cart. Course Cost excludes GST.

$480.00NZD

Total

$0.00NZD

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ENROLMENT FORM - BARISTA COURSE