Australian Academy of Beauty and Spa Therapy

Enrolment Form

Shop H140 lower level
32 Lexington Drive
Bella Vista
Phone: 02 9634 6416
Fax: 02 9743 2190

Shop 36, Lemongrove Centre
427 Victoria Ave, Chatswood
Phone: 02 9634 6416
Fax: 02 9743 2190

Level 2 18-22 George Street,
North Strathfield

Phone: 02 9634 6416
Fax: 02 9743 2190

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**required fields

Name**
Address**							Post Code
Date of Birth				Sex		Uniform Size
Home Phone			work Phone				Mobile
Email**
Were you born in Australia?				If not, in which country were you born?
What language do you speak at home mostly?
Do you consider yourself to have a significant disability? If yes, please specify.
Visual	Hearing		Physical		Intellectual		Chronic Illness		Other
What is your Highest level of education completed?								What year?
Since leaving school, have you completed any other qualifications? Please specify

Current Employment							full time?		part time?
Course you are enrolling in:			WRB40105 Certificate 1V in Beauty Therapy
			WRB50105 Diploma of Beauty Therapy
			Individual Unit of Competency		Specify Unit
Evening classes		Day classes		Mon/Tues		Thurs/Fri		Correspondence
Starting Date of Course						Date of enrollment
Enrolment Fees or full fees you intend to submit
preferred work experience day					second choice			third choice