Queensland Enrolment Form

Complete the questions below.
Download a copy of our Learner Handbook.
Review our Refund Policy and Payment Plan Terms & Conditions.

Select Your Course *

PERSONAL DETAILS

Are you Living in Australia on a Visa? (Select No if you hold an NZ Special Category visa) *

Please state your visa type *

Please state your visa Subclass number *

Do you have a USI (Unique Student Identifier) *

Please enter your USI # *

If you need to create a USI to add to your enrolment form, please click on the following link - https://www.usi.gov.au/students/get-a-usi

If you already have a USI, please click on the following link to retrieve it - https://www.usi.gov.au/students/find-your-usi

Once you have obtained your USI – tick YES above, enter your USI and continue with completing your enrolment form.

If you have been given an Enrolment Code, please enter it below

Please provide your proper full name below as it will be printed on your Statement of Attainment

Title *

Please enter your title *

First Name *

Middle name(s) *

Last name *

Please provide the preferred name you would like us to use when engaging with you.

Preferred name (optional)

Gender *

Date of birth *

Town of birth *

Country of birth *

Email *

Mobile phone *

Landline phone

RESIDENTIAL ADDRESS

Building name

Flat/unit details

Street/Lot number *

Street name *

Suburb *

State/Territory *

Country *

Postcode *

POSTAL ADDRESS

(if different from residential address above)

Building name

Flat/unit details

Street/Lot number/PO Box

Street name

Suburb

State/Territory

Postcode

Country

How Did You Hear About Us? *

Who Referred You?

STATISTICAL INFORMATION

As a Registered Training Organisation, we are required to collect the following information for government statistical purposes.

Which Best Describes Your Current Employment Status? *

What's Your Highest Completed School Level? *

Which Year Did You Complete That School Level? *

Are You Still Attending Secondary School? *

Do you Speak a Language other than English at Home? *

Other Language *

If YES, How Well Do You Speak English? *

Do You Consider Yourself to Have a Disability, Impairment or Long-term Condition? *

Of the following categories, which best describes your main reason for undertaking this course? *

Are You of Aboriginal or Torres Strait Islander Origin? *

(OPTIONAL) WORK HISTORY

Please briefly tell us about yourself

Current Employment

Current Qualifications

Work Experience (The 2 most recent organisations you worked in and your role there)

LEARNER ACKNOWLEDGEMENT AND DECLARATION

The information provided by me in this ENROLMENT FORM is true and correct.

I have read and understood the information contained in this ENROLMENT FORM, the REFUND POLICY and the LEARNER HANDBOOK.

I consent and authorise Validum Institute to manage any personal information. I have provided in the manner described in Validum's PRIVACY POLICY, and the LEARNER HANDBOOK and in particular to verify my identity or my USI.

By typing my name in the space below, I declare that I have read and understood the PRIVACY POLICY and ENROLMENT TERMS AND CONDITIONS in the LEARNER HANDBOOK and agree that, on acceptance of my enrolment by Validum Institute, the provisions of the PRIVACY POLICY, the LEARNER HANDBOOK and the ENROLMENT TERMS AND CONDITIONS will govern my relationship with Validum Institute.

Full name (including middle name(s)) *

Date *