One-day Course Application Form
Level Up Academy
Which course are you applying for?
Please Select
White Card
Manual Handling
First Aid
Full legal name (exactly as it appears on your ID)
First Name
Last Name
Date of birth (dd/mm/yyyy)
Gender
Male
Female
Address
Email
Phone Number
Format: (000) 000-0000.
Unique Student Identifier (USI)
This is mandatory for all students in Australia before we can issue any certificate. If you don't have one yet, you can create it at usi.gov.au.
Country of birth
Do you identify as Aboriginal or Torres Strait Islander?
Yes
No
Prior educational achievement (highest level of schooling completed)
Please upload a copy of your ID (e.g., passport)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: