Back Online Application 1. Personal Details First Name Last Name Date of Birth Country AustraliaAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCentral African RepublicChadChileChinaColombiaComorosCongoCosta RicaCôte d’IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor-Leste)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFijiFinlandFranceGabonThe GambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmar (Burma)NamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth MacedoniaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabwe Address City/Suburb State/Province Postcode Phone Email 2. Primary Contact First Name Last Name Phone Email 3. Course Details Course applying for: SelectYear 10VCEVCAL GeneralPre-Apprenticeship & TradesVisual Arts ImmersionVCAL PerformanceVCAL Sport LeadershipCreateFolio PreparationPhotographyMusic IndustryMusic Instrument Making Year applying for: 20212022 Year 10 Stream NoneArtTechnology VCAL Year NoneYear 11 Intermediate VCALYear 12 Senior VCAL Areas of Interest – ArtsVisual Arts/Design/FashionDanceMedia/MultimediaMusic & Sound ProductionDrama & Live Production– TechnologyAutomotiveElectrotechnologyPlumbing– FitnessSport & RecreationPersonal TrainingSports RehabHealth & NutritionOther... VCE Year Year 11Year 12 Areas of Interest – ArtsVisual Arts/Design/FashionDanceMedia/MultimediaMusic & Sound ProductionDrama & Live Production– TechnologyAutomotiveElectrotechnologyPlumbing– FitnessSport & RecreationPersonal TrainingSports RehabHealth & NutritionOther... Areas of Interest AutomotiveElectrotechnologyPlumbingBuilding & ConstructionFurniture MakingEngineeringIntegrated TechnologiesOther... Areas of Interest DesignVisual ArtsComputers/Adobe SuiteDrawingSocial Media/New MediaPhotography/Photo ImagingDesktop Publishing/GraphicsBroad Creative interestUnsureOther... Select Course Certificate IV in DesignCertificate IV in Visual Arts Select Course Certificate IV in Photography & Photo ImagingDiploma in Photography & Photo Imaging Select Course Certificate IV in Music Industry (Performance)Certificate IV in Music Industry (Sound Production) Select Course Certificate III in Music Instrument Making & Maintenance (Part-time – Wed Only)Certificate IV in Music Instrument Making & Repair (Full-time – 4 Day/per week) Areas of Interest Guitar MakingUkelele MakingOther... How did you hear about this course? Why do you wish to apply for this course? 4. Education/Employment Last Secondary School Attended Relevant Subjects Undertaken Completed Secondary School? NoYes Tertiary Courses Undertaken (TAFE/University) Course Year Started Completed? YesNo -+ Employment History Other Relevant Interests/Experiences/Courses
