Entamio Registration Form

Expression of Interest Form

Course Details
Referring Agent:*
Program:*
Qualification:*
Delivery mode:

Student Details

Title:*

First Name:*

Middle Name:

Last Name:*

Gender:*

Male Female

Date of Birth:*

Mobile number:*

Best email:*

Best day & time to call:

Do you have a Unique Student Identifier Number (USI)?*
What is USI?

Yes No

Form of Identification

To apply for a USI on your behalf Entamio must use a valid form of identification. The name on your identification must be EXACTLY the same as your name in this online form.

Student Address
Street Address:*
Suburb:*
State:*
Postcode:*
Is your Postal Address the same as above?* Yes No

Emergency Contact
Emergency contact full name:*
Relationship to that person:*
Best contact number:*
Is your Emergency Contact's address the same as your address.* Yes No

Citizenship & Language
Were you born in Australia?* Yes No Country of Birth* Year of arrival*
Town/city of birth*
Are you an Australian Citizen?* Yes No Are you a permanent humanitarian visa holder?* Yes No Please Note: You will not eligible for VET FEE-HELP government assistance on this.
How well do you speak English?*
Do you speak another language other than English at home?* Yes No Please specify*
Are you of Aboriginal or Torres Strait Islander origin?*
Do you have a disability, impairment or long-term medical condition which may affect your studies?* Yes No Please indicate the areas of disability impairment or long-term condition* Hearing / deaf Physical Intellectual Mental Illness Acquired brain impairment Vision Medical condition Learning Other

Education background
Highest completed school level:*
In which year did you complete that school level?*
Are you still attending secondary school? Yes No
Have you completed any qualifications since leaving school?* Yes No Please indicate the level and title of your highest completed qualification:* Title:* What year did you complete this qualification?*
Do you believe that you have the reading, writing and mathematical skills to complete this course?* Yes No
How do you intend to meet the entry criteria?*

Work Experience
Current employment status:*
Current or recent occupation:*
Current or recent employer type:*
Current Job role or title:
How many years work experience do you have?*
Have you previously held a management or supervisory position?* Yes No

Study & motivations
What is your main motivation for study?*
Ideally what would be the job title of your next role?
Can you balance your current time commitments to ensure your successful completion of your program?* Yes No
Do you have regular access to a computer and internet?* Yes No
Are you able to use a computer?* Yes No
Career goals 1:
Career goals 2:
Career goals 3:

Payment Options
VET FEE-HELP Assistance Yes (I request VET FEE-HELP assistance for this course) No (I am paying my fees upfront and do not require VET FEE-HELP assistance) Please contact the Entamio Education enrolment team on 1300 639 837 to discuss your payment options. Thank you for your interest in an Entamio program. Unfortunately because you are not an Australian Citizen or Humanitarian Refugee we cannot enrol you on this VET FEE-HELP supported program. If you would like to enquire into enrolling further please contact the Entamio enrolment team on 1300 639 837

Payment Options

VET FEE-HELP Assistance

Yes (I request VET FEE-HELP assistance for this course)
No (I am paying my fees upfront and do not require VET FEE-HELP assistance)

Expression of Interest Form

Expression of Interest Confirmation

Course Details

Student Details

You can not proceed with this application without a valid USI or approval of Entamio Education to apply for a USI on you behalf. Please visit the government website http://www.usi.gov.au/ to create your USI, then return to this form and complete your enrolment.

Thank you for your interest in an Entamio Education program. Unfortunately you need to be 17 years of age or older to be eligible for a program. If you would like to make a further enquiry please contact the Entamio Admission Team on 1300 639 837

Student Address

Postal Address

Emergency Contact

Citizenship & Language

Education background

Work Experience

Study & motivations

Payment Options

Please contact the Entamio Education enrolment team on 1300 639 837 to discuss your payment options.

Thank you for your interest in an Entamio program. Unfortunately because you are not an Australian Citizen or Humanitarian Refugee we cannot enrol you on this VET FEE-HELP supported program. If you would like to enquire into enrolling further please contact the Entamio enrolment team on 1300 639 837

Thank you for submitting your expression of interest

Next Steps

All students under the age of 18 will require consent from a parent or guardian to enrol in this program. Your parent/guardian will need to co-sign your Letter Of Offer form at the end of this application. Entamio will email your parent/guardian directly.

The letter of offer includes the terms and conditions relating to your enrolment, including the entry requirements you must meet before your enrolment can be accepted. Please read the letter carefully before signing it.

Please confirm your acceptance of our offer by digitally signing the letter online.