Course Enrolment Form 2021

Personal Details

Given Name(s)

Family Name

Address

Suburb

State

Postcode

Home Phone

Mobile

Date of Birth

Gender

Unique Student Identifier

Tick here if you do not want to receive Brian Kerle Academy newsletters and future product offerings

Special Needs (if applicable)

Person with disability Other special needs

Details

In which country were you born

Indigenous Status

Language spoken at home

If not English, how well do you speak English

Previous education
Highest completed school Level (nil, Gr 8, or below, 9, 10,11,12)

Year
Completed

Previous qualification(s) achieved

Australian Citizen (VSL applicants - Please read the Conditions of Enrolment for evidence required for VSL applicants)

Employment

Current labour force status (FT, PT, Self emp, Employer, Unpaid emp, Not emp etc)

Learning options

Course:

Diploma of Sport SIS50319 Certificate III in Fitness SIS30315 (Cert III Guarantee)

Desired start date

Reason for this study

Are you applying for recognition of prior learning? (you will need to provide supporting evidence)

I accept the conditions of enrolment as outlined on pdf bellow. I give permission for Brian Kerle Basketball to use any marketing or advertising material that refers to me.

Course Enrolment Form 2021

Personal Details

ACADEMY

SESSIONS & CLINICS

YIBA

CONTACT