Enrolment Enrol Today for a better future Enrolment Form 2016 Qualification Title ---Mr.Mrs.MissMs. Surname Given Names Preferred Name (optional) Date of Birth Gender MaleFemale Address Suburb (optional) State Post Code Contact Phone Mobile Email Emergency Contact Name Emergency Contact Number Relationship to you (e.g. mother, friend) Postal address (only if different from residential address) Country of Birth AustraliaAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArctic OceanArubaAshmore and Cartier IslandsAtlantic OceanAustriaAzerbaijanBahamasBahrainBaker IslandBangladeshBarbadosBassas da IndiaBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandClipperton IslandCocos IslandsColombiaComorosCook IslandsCoral Sea IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDemocratic Republic of the CongoDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaEuropa IslandFalkland Islands (Islas Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern and Antarctic LandsGabonGambiaGaza StripGeorgiaGermanyGhanaGibraltarGlorioso IslandsGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHowland IslandHungaryIcelandIndiaIndian OceanIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJan MayenJapanJarvis IslandJerseyJohnston AtollJordanJuan de Nova IslandKazakhstanKenyaKingman ReefKiribatiKerguelen ArchipelagoKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMidway IslandsMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNavassa IslandNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth SeaNorthern Mariana IslandsNorwayOmanPacific OceanPakistanPalauPalmyra AtollPanamaPapua New GuineaParacel IslandsParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunionRepublic of the CongoRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSpainSpratly IslandsSri LankaSudanSurinameSvalbardSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTromelin IslandTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUSAUruguayUzbekistanVanuatuVenezuelaViet NamVirgin IslandsWake IslandWallis and FutunaWest BankWestern SaharaYemenYugoslaviaZambiaZimbabwe City or Town of Birth: Languages spoken at home: How well do you speak English? Very wellWellNot wellNot at all Indigenous status: Neither Aboriginal nor Torres Strait IslanderAboriginalAboriginal and Torres Strait IslanderTorres Strait Islander Do you consider yourself to have any of these disabilities, impairments or long-term medical conditions? Acquired brain impairmentHearing/DeafIntellectualLearningMedical conditionMental illnessPhysicalVisionUnspecified Secondary School Details: Did not go to schoolCompleted year 8 or belowCompleted year 9Completed year 10Completed year 11Completed year 12 In which year did you complete school? (only if completed) School Attended: Have you SUCCESSFULLY completed any of the following qualifications in Australia? Bachelor Degree or Higher DegreeAdvanced Diploma or Associate DegreeDiploma (or Associate Degree)Certificate ICertificate II (or Year 12)Certificate IIICertificate IV (or Advanced Certificate/Technician)Certificates Other Than Above If yes, please List Highest Qualification currently held In which year did you achieve your current qualification? Where did you achieve this? What best describes your current employment status? Full-time EmployeePart-time EmployeeEmployerSelf Employed - Not Employing OthersEmployed - Unpaid Worker in a Family BusinessUnemployed - Seeking Full-time WorkUnemployed - Seeking Part-time WorkNot Employed - Not Seeking Employment What motivates you to enrol? To 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 or self-developmentOther reasons Do you have a computer at home? YesNo Do you have Internet access at home? YesNo Skill level using a computer: ExcellentVery GoodGoodUse occasionallyNever used Skill level sending an email: ExcellentVery GoodGoodUse occasionallyNever used Skill level using Word (documents): ExcellentVery GoodGoodUse occasionallyNever used Skill level using Excel (spread sheets): ExcellentVery GoodGoodUse occasionallyNever used Skill level using the Internet: ExcellentVery GoodGoodUse occasionallyNever used I declare that to the best of my knowledge the details entered on this application by me or in relation to me are true and correct and I am entering into this agreement for training of my own choice. I acknowledge that I have received ieGT’s Student Information documentation which contains information about my rights and obligations under this training program. Further I undertake to: Work towards achieving the qualification described above in the most appropriate timeframe, Undertake required training and assessment in accordance with my training plan, Allow photographic or video evidence of my activities in support of training and assessment ot be taken and to be used by ieGT for general publicity purposes, Comply with the requirements of the training plan signed by me , ieGT’s representative and where applicable , my employer, I undertake to present only my own work for assessment, and I acknowledge and agree to the terms described in the Privacy Statement. Language, literacy and numeracy pre-training review Q 1: Write the following sentence, and add the relevant punctuation marks and correct the spelling mistakes: The boss turned around and shouted can I please get too statmentes immediely Q 2: Four of the following words are alike in some way. Indicate the two which don’t fit in by placing a tick beside them: WalkRunSkipSitJogSleep Q 3: Which word is opposite of ‘strong’? Q 4: Put the following three words into a short sentence They They're Their Q 5: Correct the grammar in the following sentences: He hasn’t took those books yet. He done the washing for his Mother yesterday. Q 6: Find the missing number in this sequence: 3,6,9,12, Q 7: If oranges cost 8 cents each, how many can I buy for 40 cents? Q 8: A car travels at an average speed of 60 kilometres per hour. How many hours will it take to travel 180 kilometres? Q 9: What is 75% of 100 plus 10? Q 10: How much change is left from $75, if I buy A shirt for $10.75, A pair of boxer shorts for $4.50, A pair of socks for $1.25