1Student Details

2Government Requirement Details

3Instructions & Declaration

This field is for validation purposes and should be left unchanged.

Student Details

Secondary School(Required)

First Name(Required)

Middle Name

Surname(Required)

Gender(Required)

Male

Female

Other

Date of Birth(Required)

MM slash DD slash YYYY

Mobile Number(Required)

You must notify us immediately if you change phone number at any time during your study.

Parent Contact Number(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Nationality(Required)

Student's USI

Unique Student Identifier

USI (Unique Student Identifier)

If you don’t have one, create one here: https://www.usi.gov.au/students/create-usi). The USI must be recorded in our system before a certificate can be issued

Tick if applicable

I do not have a USI number and will provide one in the following days to

[email protected]

Qualification or Short Course

Refer to prices on our website

Select the course(s) you want to enrol into(Required)

HLT35021 Certificate III in Dental Assisting

HLT45021 Certificate IV in Dental Assisting

HLT35115 Certificate III in Dental Laboratory Assisting (Belmont only)

HLT33115 Certificate III in Health Services Assistance

CHC33021 Certificate III in Individual Support (Belmont only)

HLT21020 Certificate II in Medical Services First Response

BSB41419 Certificate IV in Work Health and Safety (Belmont only)

BSB40520 Certificate IV in Leadership and Management (Belmont only)

CPCCWHS1001 Prepare to work safely in the construction industry (Belmont only)

HLTAID011 Provide First Aid (Belmont only)

Preferred Course Commencement Month(Required)

Preferred Course Commencement Year(Required)

Preferred Training Location in Western Australia(Required)

Perth Metro - Belmont Campus

Bunbury Campus

* Please note that not all courses are available at all lcoations

Emergency Contact Details

In case of an emergency, please let us know who to contact

Emergency Contact Name(Required)

Emergency Contact Mobile(Required)

Relationship to applicant(Required)

Emergency Contact Email(Required)

Finance Contact Details

Please indicate who to contact for billing and payment enquiries:

Finance Contact Name(Required)

Finance Contact Mobile(Required)

Finance Contact Email(Required)

Language and Cultural Diversity

Government requirement details

In which country were you born?(Required)

Australia

Other

Do you speak a language other than English at home?(Required)

No, English only

Other

(If more than one language, indicate the one that is spoken most often)

How well do you speak English?(Required)

Very well

Well

Not well

Not at all

Are you of Aboriginal or Torres Strait Islander origin?(Required)

Yes, Aboriginal

Yes, Torres Strait Islander

For persons of both, mark both “yes” boxes

Disability

Government requirement details

Do you consider yourself to have a disability, impairment or long-term condition?(Required)

Yes

If YES, then please indicate the areas of disability, impairment or long-term condition(Required)

Hearing / Deaf

Physical

Mental Illness

Intellectual

Learning

Vision

Medical Condition

Acquired Brain Impairment

Other

You may indicate more than one area

Schooling

Government requirement details

What is your highest COMPLETED school level?(Required)

Year 12 or equivalent

Year 11 or equivalent

Year 10 or equivalent

Year 9 or equivalent

Year 8 or below

Never attended school

In which YEAR did you complete that school level?(Required)

Are you still attending secondary school?(Required)

Yes

Previous Qualifications Achieved

Government requirement details

Have you SUCCESSFULLY completed any of the following qualifications?(Required)

Yes

If YES, then tick ALL applicable boxes.(Required)

Bachelor's degree or higher degree

Advanced Diploma or Associate Degree

Diploma (or Associate Diploma)

Certificate I

Certificate II

Certificate III (or Trade Certificate)

Certificate IV (or Adv. Certificate/Technician)

Certificates other than the above

No other qualifications

Employment

Government requirement details

Of the following categories, which BEST describes your current employment status?(Required)

Full-time employee

Part-time employee

Employed - unpaid worker in a family business

Self employed - employing others

Self employed - not employing others

Unemployed - seeking full-time work

Unemployed - seeking part-time work

Unemployed - not seeking employment

Study Reason

Government requirement details

Of the following categories, which BEST describes your main reason for undertaking this course?(Required)

To get a job

It was a requirement of my job

To develop my existing business

I wanted extra skills for my job

To start my own business

To get into another course of study

To try a different career

For personal interest or self-development

To get a better job or promotion

Other

Application Instructions

For us to properly assess your enrolment eligibility, please:

Submission details: Please submit your application to [email protected], via post or in person via reception.
Processing time: Please allow up to 10 days for processing of applications. Once processed successfully, your and/or your school be advised.
Read our policies: Please ensure that you have read and understood your offer as well as applicable course information and college policies – including the college Fee Policy and Refund Policy prior to proceeding with your offer. All relevant policies can be found on the DNA Kingston Training College website: www.dnakingstontraining.edu.au.

Student Declaration

Consent(Required)

I agree to commit to the training program enrolled, pay the associated fees (if applicable) and follow the policies and procedures outlined by DNA Kingston Training:

Consent(Required)

I declare the information provided in this document is current and correct.

Student Signature

Date(Required)

MM slash DD slash YYYY

Guardian Signature

If student is under 18 years of age

Date

MM slash DD slash YYYY

Guardian Name

VETss Students Course Enrolment Form

Student Details

Student's USI

Qualification or Short Course

Emergency Contact Details

Finance Contact Details

Language and Cultural Diversity

Disability

Schooling

Previous Qualifications Achieved

Employment

Study Reason

Application Instructions

Student Declaration