Enrolment Form

Multipage

Personal Details

Name

First name

Last name

Middle name/s

Contact

Phone

Mobile

Address

Country

Address *

Address 2

City/Suburb *

State *

Postcode *

Billing Details

Same as above?

First name

Last name

Phone

Address

Country

Gender *

Male

Female

Are you of Aboriginal or Torres Strait Islander origin?

What language is mainly spoken at home

Course

N/A

BSB50215 Diploma of Business

Executive Program in Public Relations Practice

HSPR Graduate School

HSPR Graduate School (After Hours)

Unit of Competency

PROFESSIONAL PROGRAM PR Practice (7 Aug 2017)

PROFESSIONAL PROGRAM Social Media Management

PROFESSIONAL PROGRAM Experiential Marketing

Will you be applying for recognition of prior learning

Will you be applying for a credit transfer

Graduate course block dates

N/A

Sydney, July 11-21, 2016

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Employer

Current employment status *

Qualification

More information?

Institute

More information?

Employer Details

Employers address

Country

Employers phone number

Employers fax number

2 / 4

Statistical Details

This information is for statistical purposes only.

Are you still attending secondary schooling? *

Yes

Name of school

What is your highest completed school level?

Since leaving school have you completed any qualifications? *

Yes

Qualification name		Order
		Weight for row 1

Do you consider yourself to have any permanent and significant disability? *

Yes

Nature of disability

Specify other disability

What best describes your main reason for undertaking this course?

Specify other reason

How did you hear about HSPR? *

Please specify

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Declaration

By submitting this form you are indicating that you have read and agree to the information contained in the HSPR Participant Handbook.

I have read the participant handbook and agree to the conditions *

I declare that I give permission for HSPR to disclose my contact details to ASQA if requested for quality assurance purposes *

I declare that the information provided is true and correct *

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Enrolment Form

Multipage

Personal Details

Name

Contact

Employer

Statistical Details

Declaration