Student Application Form

MediLearn
RTO 46190

Course

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× ×
241203006 - Assist clients with medication (241203006)
03 Dec 2024 - 04 Dec 2024
20 places available
250114006 - Assist clients with medication (250114006)
14 Jan 2025 - 15 Jan 2025
20 places available
250128006 - Assist clients with medication (250128006)
28 Jan 2025 - 29 Jan 2025
20 places available
241210057 - Contribute to the nursing care of a person with diabetes (241210057)
10 Dec 2024 - 11 Dec 2024
20 places available
250121057 - Contribute to the nursing care of a person with diabetes (250121057)
21 Jan 2025 - 22 Jan 2025
20 places available

Personal Details

Please complete all required fields below

Title
Entity Data - Profile - Title
First Name
Entity Data - Profile - First Name
Middle Name
Entity Data - Profile - Middle Name
Surname
Entity Data - Profile - Surname
Known By (Nickname)
Entity Data - Profile - Known By
Birth Date
Entity Data - Profile - Birth Date
Gender
Entity Data - Profile - Gender
Unique Student Identifier (USI)

NOTE: if you don't already have a USI, please click HERE to apply for one now!
Entity Data - AVETMISS - Unique Student Identifier (USI)

Contact Information

Please complete all required fields below

E-mail Address (Personal)
Entity Data - Contact - Home - E-mail Address
Mobile Number (Personal)
Entity Data - Contact - Home - Mobile Number
Phone Number (Personal)
Entity Data - Contact - Home - Phone Number

Residential Address

Please complete all required fields below

Street Number
Entity Data - Address - Home - Street Address 1
Street Name
Entity Data - Address - Home - Street Address 2|These fields have been deprecated as they didn't properly feed the address information. Please use the newly added fields: Unit/Flat Number, Street/Lot Number and Street Name.
Address - Home - Street/Lot Number
Entity Data - Address - Home - Street/Lot Number
Suburb
Entity Data - Address - Home - Suburb
State
Entity Data - Address - Home - State
Post Code
Entity Data - Address - Home - Post Code
Country
Entity Data - Address - Home - Country

AVETMISS Information

Please complete all required fields below

Labour Force Status
Entity Data - AVETMISS - Labour Force Status
Country of Birth
Entity Data - Profile - Country of Birth
Town/City of Birth
Entity Data - Profile - Town/City of Birth
Citizenship Status
Entity Data - Profile - Citizenship Status
Nationality
Entity Data - Profile - Nationality
Indigenous Status - Are you of Aboriginal or Torres Strait Islander descent?
Entity Data - AVETMISS - Indigenous Status
Main Language - what is your primary language?
Entity Data - AVETMISS - Main Language
At School - do you still attend school (K-12)?
Entity Data - AVETMISS - At School
Highest School Level - what is the highest school level you have completed?
Entity Data - AVETMISS - Highest School Level
Year Completed - what year did you complete your highest school level?
Entity Data - AVETMISS - Year Completed (Highest School)
Disability - do you consider yourself to have a disability?
Entity Data - AVETMISS - Disability Flag
Disability Type
Entity Data - AVETMISS - Disability Type
Prior Education - have you completed any prior qualifications?
Entity Data - AVETMISS - Prior Education Flag
Prior Education Type
Entity Data - AVETMISS - Prior Education Type

Declaration

Please complete all required fields below
Terms and Conditions
Please read our Terms and Conditions here.

The following terms and conditions apply to all Students:

1.           Course work progression - student are required to notify the trainer as soon as it is practical of any event or any difficulties impacting the progress of their training and completion of their unit of competence.

2.           Students are required to notify the RTO of any changes to their address or contact details including mobile number, home phone number, work phone number and/or email address.

3.           Full payment of fees is required prior of the issuance of the Statement of Attainment.

4.         No qualifications will be issued to students who do not provided a verifiable USI or official exemption.




Basic - Checkboxes
Digital Signature
Basic - Digital Signature
Date
Basic - Date

Payment