Course Enrolment Form New Course Enrolment Step 1 of 4 25% As per government regulations we are obliged to ask to following questions upon enrollment. Course Name* Assistant Agent (Real Estate) Assistant Agent (Strata Management) Certificate IV in Real Estate Practice (Class 2 Licence) Diploma in Property (Class 1 Licence) Course delivery* Distance Education Zoom/Class Room/Tutorials Recognition of Prior Learning Combination Personal DetailsFull Legal Name (Proof of identity will be required for enrolment)* First Last Date of Birth* DD slash MM slash YYYY Country of Birth* Town of Birth* Address (place of residence)* Street Address City State / Province / Region ZIP / Postal Code UntitledMy correspondence address is sameMy correspondence address is differentCorrespondence address (if different) Street Address City State / Province / Region ZIP / Postal Code Email* Mobile Phone*LandlinePlease upload a copy of your Drivers Licence / Photo ID* Drop files here or Select files Accepted file types: jpg, pdf, png, Max. file size: 256 MB. Additional Personal DetailsAre you an Australian citizen or Permanent Resident* Yes No Please specify citizenship:* Do you speak a language other than English at home?* Yes No Which language:* How well do you speak English?*Very wellWellNot wellNot at allDo you consider yourself to have a permanent disability?* Yes No Please specify:* Hearing/ Deaf Learning Vision Physical Mental Illness Intellectual Medical Condition Acquired Brain impairment Nil Please indicate whether you have any learning difficulties* Yes No Please specify:* Are you of Aboriginal or Torres Strait Islander origin?* Yes No Please specify* Select All Aboriginal TSI Your Unique Student Identifier (USI)Do you already have USI?* Yes No Your USI* If you do not have a USI apply for one at usi.gov.au Which ONE of the following BEST describes your current employment status:* Full-time employee Employed - unpaid worker in a family business Part-time employee Unemployed - seeking full-time work Self employed - not employing others Unemployed - seeking part-time work Self employed – employing others Not employed - not seeking employment Your Education and TrainingWhat is your highest completed school year? *or equivalent*Please selectNever AttendedYear 8 or lower *Year 9 *Year 10 *Year 11 *Year 12 *Are you still enrolled in secondary school or senior secondary study?* Yes No Since leaving school have you completed any qualifications?* Yes No Indicate the levels of qualifications successfully completed Select All Certificate 1 Certificate2 Certificate 3 (or tradecertificate) Certificate 4 (or advanced certificate/technician) Diploma (or associate diploma) Advanced diploma or associate degree Bachelor degree or higher Other Education Please specify: Please list the qualification (name and code) you have successfully completed:Year Which one of the following best describes your reason for enrolling in this course / qualification*Please selectTo get a jobTo develop my existing businessTo start my own businessTo try for a different careerTo get a better job or promotionIt was a requirement of my jobI wanted extra skills for my jobTo get into another course of studyFor personal interest/self-developmentTo get skills for community/volunteer workOther reasons Declaration:By signing this form I confirm that I have: I confirm that I have read and understood the Course Information Booklet for the course / qualification I am enrolling into; I have read the Leverage Participant Handbook available at www.leveragegroup.com.au and acknowledge that the handbook forms part of the enrolment terms and conditions; I confirm that Leverage may disclose my personal and course information to my employer, State and Commonwealth Education Departments, and other parties as required by law, for the purposes of administration, verification, statutory reporting, and evaluation. I confirm I would like Leverage Academy to obtain my USI and have added the $55.00 fee above. * I accept Δ
