HA Brows Art Enrolment Form

1
Please select your course* This field is required.
HLTINF005 Maintain infection prevention for skin penetration procedures (valid in all states of Australia including QLD)
SHBBINF002 Maintain infection control standards (not valid in QLD to meet local council requirements)
2
Name* This field is required.
First Name
Last Name
3
Email* This field is required.
example@example.com
Email Verified
The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification
••••
Didn't receive verification code?or
Receiving the email may take a few minutes, thank you for your patience!
4
Phone Number* This field is required.
Area Code
Phone Number
5
Are you a registered nurse?* This field is required.You may be eligible for our FAST TRACK course.
Yes
No
6
Please provide a copy of your current APHRA registrationThis is a requirement to be eligible to complete this FAST TRACK unit
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
7
Student Handbook* This field is required.
8
Refund Policy* This field is required.
Should be Empty: