Course Enquiry form

Course Enquiry form

FORM-030
Course Enquiry #*
Contact details
First name *
Surname *
Contact number*
Postcode *
(Residential at time of training)
Email address*
please ensure you confirm email address
Course details
What course / qualification is this enquiry about?*

Provide first aidProvide an emergency first aid response in an education and care settingProvide cardiopulmonary resuscitationEarly Childhood Education and CareSchool Age Education and CareSchool Based Education SupportTraining and AssessmentLeadership and ManagementBusinessAgeing SupportCommunity ServicesHome & Community CareIndividual SupportDisabilityProfessional Development WorkshopKids First AidOther
What level of course / qualification is this enquiry referring to?*

Certificate IICertificate IIICertificate IVDiplomaStatement of Attainment (SOA)UnsureNot applicableOther
What pathway is being considered? *

TraineeshipSmart & Skilled Full EntitlementFee for Service (FFS)School-Based TraineeshipPartial Qualification

Are you 15 years or older?*

YesNo
Are you attending school?*

YesNo
Have you successfully completed any qualifications post school and after turning 17 years of age?*

YesNo
If yes, please provide qualification details, level, code, name*
Estimate students fee
Student residency details*

Australian citizenForeign national with Australian permanent residencyNew Zealand passport holder sho has been a resident in Australia for at least six monthsHumanitarian visa holderOther
Delivery preference*

Work based (on the job)Distance delivery (Correspondence)ClassroomOther
Will the qualification be completed through an employer?*

YesNo
Employer business name
Referral source*

Australian Network Provider (ANP)Courses.com.auCurrent client / participant / traineeDisability Employment Service (DES)EmployerEmployment Services Provider (ESP)Expo / SeminarFacebookFlyer (mailout)GoogleKids First aidKARBEN Training Solutions websiteKTS staff memberNewspaperOnline searchOur FlyersPrevious client / participantRegistered Training Organisation (RTO)Skills Service Organisations (SSOs)Social mediaTwitterTraining Services NSWWord of mouth (Friend or Workmate)KTS flagsOther
Comments
Form completed by*
(Full name)
Form completed Email address*
please ensure you confirm email address
Date and time of completion*

DayMonthYear
DateHourMinutesAM/PM Option
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Is there any action or follow up required with this enquiry?

YesNo
Comments relating to this enquiry
Follow up contacts made
Date Smart & Skilled Eligibility form recieved

DayMonthYear
Date
Date quote sent

DayMonthYear
Date
Did this enquiry lead to an enrolment?

YesNot yetNo
Notes
Enquiry Status*

OpenClosed
Last Edit date & time*
Version 19.2.0 / 27 August 2019 | Uncontrolled when printed

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KARBEN Training Solutions | Registered Training Organisation (RTO) | National RTO ID 91167

Email: info@kts.edu.au | Website: www.kts.edu.au | Phone: 02 4353 7188 | Postal Address: Po Box 3380 Tuggerah NSW 2259
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