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Training Course Registration

Asterisk * indicates a mandatory field.

Training registration form

Application Type

Course Name

Course ID

Course Location

Course Dates

About the requester

Are you sending this request on behalf of someone else?

No, it's for myself

Yes, someone else would attend the training

Your name

Your phone number

Your relationship to the person who would attend the training

About the trainee

Title

First name

Last name

Name I prefer to be called

(as you want it to appear on your certificate)

Gender

Date of birth

Are you an Aboriginal or Torres Strait Islander person?

Yes

No

I am

Aboriginal

Torres Strait Islander

Trainee contact details

Address

Address 2

Town/Suburb

State

Postal Code

Is your postal address different from your home address?

Postal address

Best phone number

Alternative phone number

Email

Emergency contacts

Name

Phone

Your role in the corporation

My corporation's name is

Indigenous Corporation Number (ICN)

My role in the corporation

How long have you performed this role?

Years

Months

Employment status

If your application is successful, we will need written confirmation from your employer, on company letterhead, that they will release you from your work duties to attend the course.

Health & wellness

Please advise us if you have any medical conditions, mobility issues or dietary requirements

Finally...

Do you have any other comments?

Please note that an application to register for training does not guarantee you a place.