Digi Skills Learner

Digi Skills Learner

Registration Form
Workshop Day & Time (you can choose multiple dates)

Thursday 24 July 12.15-1.45pmFriday 8 August 1.00-1.45pmRegister interest for future dates
Full name*

First NameLast Name
Date of birth*

DayMonthYear
Date
Gender*
Suburb*
Postcode*
E-mail*
example@example.com
Phone number
Country of birth*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Are you of Aboriginal/Torres Strait Islander origin?*
Language spoken at home*
Does you have a disability?*
Are you also registered on the eSafety learner website? (https://beconnected.esafety.gov.au)*
Where were you referred from?*
Should be Empty: