This application form is ONLY for use by those that have enrolled with Macarthur previously.
I understand you will not debit my card until you have spoken to me.
I also understand that you will then use my last used credit/debit card number.
First Name Last Name
Mailing Address
Course I wish to enrol in (example: typing tuition)
Course Identification Number (please check the number using our online brochure) (example:LP1148-10)
Course Starting Date (example: 5th March 2003)
My daytime number is My after hours number is
It is best to call me:During the day In the evening
The following information is required by the Federal Government for all enrolments in adult education.
Your information is coded and cannot be identified.
What Country were you born in? Date of birth:
Do you speak a language other than English at home? Yes No
If yes, which language?
Are you of Aboriginal or Torres Strait Islander origin? Yes No
Do you consider you have any disabilities? Yes No If yes what type?
What is your highest completed school level? Yr 12 Yr 11 Yr 10 Yr 9 or lower
In which YEAR did you complete that school level?
Since leaving school have you attempted or gained any formal qualifications? Yes No
If yes please tick:
Bachelor Degree or higher Advanced Diploma or Associate Degree Diploma Certificate IV Certificate III Certificate II CCertificate I Miscellaneous
Which of the following would best describe your current employment? Please tick.
Full time employee
Part time employee
Unemployed - Seeking full time paid work
Employed unpaid worker in family business
Unemployed - Seeking part time paid work
Self employed - not employing others
Employer
Not employed - not seeking including students, retired, volunteers