ONLINE COURSE ENROLMENT FORM Step 1 of 6 16% To enrol in any accredited training provided by Arthritis & Osteoporosis Tasmania (RTO Provider 60108) you will need to complete the secure online enrolment form below: This form will require you to have access to the following: Your Unique Student Identifier (USI). If you do not have a USI, you can register online with the Australian Government to obtain one. The process is free, confidential and quick. If you don't have a USI you will not receive your qualification or statement of attainment. You can create a USI here: http://www.usi.gov.au/students/Pages/default.aspx. A working email address Having trouble enrolling online? If you are having trouble enrolling, please download an Enrolment Form here: Please complete the form and then send it to us. You can send it by email, fax or post. Fax (03) 6228 3486 Email training@arthritistas.org.au; or Post to RTO/VETtrak Administrator, Arthritis & Osteoporosis Tasmania, PO Box 780, Moonah, TAS, 7009) Personal DetailsEmail*This will become your username for the training Enter Email Confirm Email Password*This will become your password for the training Enter Password Confirm Password Title*TitleMsMissMrsMrRevDrProfHonFirst Name*Middle nameFamily Name*Your preferred nameGender*MaleFemaleDate of birth* Unique Student Identifier* Your contact detailsYour home phone numberYour work phone numberYour mobile phone number*This field is required. We often need to contact people via text message. If you do not have a mobile phone number, please enter 1234 567 890Residential address*Suburb*State*StateACTQLDNSWNTSATASVICWAPostcode*Postal address*Suburb*State*StateACTQLDNSWNTSATASVICWAPostcode* Emergency contact detailsEmergency contact person's name*Emergency contact person's relationship to you*Emergency contact person's phone numberEmergency contact person's mobile number* Your education backgroundAre you still at school*Please chooseYesNoWhat year did you complete your last school level*Please enter the year that you completed either year 10, 11 or 12 depending on the last school year you completed.In which suburb did you complete this school level?*What is the highest school level you have achieved*School level achievedDid not go to schoolYear 8 or belowYear 9 or equivalentCompleted year 10Completed year 11Completed year 12Do you have any other prior education (certificates, degree, diploma)*Prior educationYesNoPlease choose your most recent qualificationQualification listBachelor Degree or Higher Degree LevelAdvanced Diploma and Associate Degree LevelDiploma LevelCertificate IVCertificate IIICertificate IICertificate IMiscellaneous EducationWhat is your current working status*Work statusFull time employeePart time employeeSelf employed - not employing othersEmployerEmployed - unpaid worker in a family businessUnemployed - seeking full time workUnemployed - seeking part time workNot employed - not seeking employment Other informationWhat is your country of birth*CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabweWhat is your indigenous statusIndigenous statusAboriginalTorres Strait IslanderAboriginal AND Torres Strait IslanderNeither Aboriginal nor Torres Strait IslanderAre you an Australian citizen or permanent resident*YesNoHow well do you speak english*English proficiencyVery wellWellNot wellNot at allWhat language do you speak at home*Language spoken at homeEnglishAkanAmharicArabicAssameseAwadhiAzerbaijaniBalochiBelarusianBengaliBhojpuriBurmeseCantoneseCebuanoChewaChhattisgarhiChittagonianCzechDeccanDhundhariDutchFrenchFulaGanGermanGreekGujaratiHaitian CreoleHakkaHaryanviHausaHiligaynonHindiHmongHungarianIgboIlokanoIndonesianItalianJapaneseJavaneseJinKannadaKazakhKhmerKinyarwandaKirundiKonkaniKoreanKurdishMadureseMagahiMaithiliMalagasyMalayalamMandarinMarathiMarwariMin BeiMin DongMin NanMossiNepaliOdiaOromoPashtoPersianPolishPortuguesePunjabiQuechuaRomanianRussianSaraikiSerbo-CroatianShonaSindhiSinhaleseSomaliSpanishSundaneseSwahiliSwedishSylhetiTagalogTamilTeluguThaiTurkishUkrainianUrduUyghurUzbekVietnameseWuXhosaXiangYorubaZuluDo you have a disability*NoYesWhich disability most applies to youDisabilityHearing / DeafPhysicalIntellectualLearningMental IllnessAcquired Brain ImpairmentVisionMedical ConditionOtherUnspecifiedReason for Study*Which best describes your main reason for undertaking this course?I wanted extra skills for my jobIt is a requirement of my jobTo develop my existing businessTo get a better job or promotionFor personal interest or self-developmentTo start my own businessTo try for a different careerTo get a job Terms and conditionsTerms and conditions I have read and understood, acknowledge and agree to the Terms and Conditions of enrolment from Arthritis & Osteoporosis Tasmania. You can read our Terms and Conditions here: https://arthritistas.org.au/terms-and-conditions/I agree to these terms and conditions* Yes CommentsThis field is for validation purposes and should be left unchanged.