Enrolment Form - Digital Construction Academy

Course Selection*

Surname*

First Name[s] in full*

Date of Birth*

Email Address*

Home Phone Number*

Mobile Phone Number*

Country of Birth*

Do you speak a language other than English at home?*

USI Reference

Your USI number is a mandatory government requirement for the purposes of national reporting, and follows you everywhere, providing an online record of academic achievements. If you know your USI number, please enter as required. If you do not yet have a USI number it can be established at https://www.usi.gov.au/students/get-a-usi

Employer Name [if relevant]

Complete, for example, where employer is funding your studies. Invoicing will be provided directly to employer. Ignore if self-funding.

Employer Address Line 1

Employer Suburb

Employer Postcode

Employer Email

Employer Phone

Name of School Attending

Enrolment Application Form