Please complete the details below and then click the ‘Submit’ button at the end.
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Personal Details

Unique Student Identifier (USI)*
*I grant GSES express permission to use my Unique Student Identifier (USI) for the purposes specified by the Student Identifier Act 2014

If you do not have a Unique Student Identifier you must apply for a Unique Student Identifier here. For more information on the Unique Student Identifier created by the Australian Federal Department of Industry click here

Given Name*
Family Name (surname)*
Email*
Date of Birth*

Country of birth*

What is the address of your usual residence?

Please provide the physical address (street number and name not a post office box) where you usually reside rather than any temporary address at which you reside for training, work or other purposes before returning to your home.

If you are from a rural area use the address from your state's or territory's 'rural property addressing' or 'numbering' system as your residential street address.

Address 1*
Address 2
City*
State*
Post Code*
Country*

What is your postal address (if different from above)?

Address 1
Address 2
City
State
Post Code
Country

Education Information

What is your highest COMPLETED school level?*

Are you still enrolled in secondary or senior secondary education?*
YesNo

Have you SUCCESSFULLY completed any of the following qualifications?

Bachelor degree or higher degree
YesNo
Advanced diploma or associate degree
YesNo
Diploma (or associate diploma)
YesNo
Certificate IV (or advanced certificate/technician)
YesNo
Certificate III (or trade certificate)
YesNo
Certificate II
YesNo
Certificate I
YesNo
Other education (including certificates or overseas qualifications not listed above)
YesNo

Individual Needs

Do you consider yourself to have a disability, impairment or long-term condition?*

YesNo

If YES, please select which of the following are applicable:

(You may indicate more than one area)

Hearing/deaf
Physical
Intellectual
Learning
Mental illness
Acquired brain impairment
Vision
Medical condition
Other
Are you of Aboriginal or Torres Strait Islander origin?*

Of the following categories, which BEST describes your current employment status?*

What is your main language spoken at home?*

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

Student Declaration and Consent

I declare that the information I have provided to the best of my knowledge is true and correct.*
I consent to the collection, use and disclosure of my personal information in accordance with the GSES Privacy Notice.*

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