KICKSTART YOUR CAREER IN DISABILITY SUPPORT OR AGED CARE
Fill out the form below to see if you're eligible for the heavily discounted CHC33021 CERTIFICATE III IN INDIVIDUAL SUPPORT
1. Name
*
First Name
Last Name
2. Email
*
example@example.com
3. Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
4. Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
5. Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
6. How did you find out about the course?
*
Social Media/Social Media Ad
News Paper
Word of Mouth
Library Notice Board
Eligibility
7. Are you 15 years of age or older?
*
Yes
No
8. Select which applies to you?
*
Australian Citizen
New Zealand Citizen
Australian Permenant Resident
Australian Temporary Resident with necessary visa and work permit on the pathway to permenant residency
Other
9. Do you identify as Aboriginal and/or Torres Strait Islander?
*
Aboriginal
Torres Strait Islander
Both
Neither
10. Do you consider yourself to have a disability, impairment or long-term condition?
*
Yes
No
Back
Next
Education and Employment
11. Have you completed a Certificate III or higher (e.g. Diploma, Certificate IV) within the last 10 years?
*
Yes
No
12. Have you completed OR left secondary school?
*
Yes
No
13. Are you currently enrolled in another course?
*
Yes
No
Privacy Policy
The information provided in this form is for the use of Career Employment Australia Ltd and its affilliates in assessing my expression of interest. For more information around the privacy policy please visit: https://cealtd.org.au/privacy-policy/
I confirm that the information I have provided is true and correct. I have read and understand the privacy policy used by Career Employment Australia Ltd
*
Submit
Submit
Should be Empty: