PERSONAL INFORMATION

SURNAME*

GIVEN NAMES*

ADDRESS*

HOME TEL*

WORK TEL*

MOBILE TEL*

EMAIL*

DATE OF BIRTH*

LUI Number(High School Students only)

USI Number(if known)

EDUCATION

EDUCATION STANDARD*

SCHOOL*

YEAR*

SUBJECTS STUDIED AT SCHOOL & RESULTS ACHIEVED*

OTHER EXTERNAL STUDIES*

DETAILS OF ANY EXPERIENCE IN THE HEALTH AND BEAUTY
INDUSTRY*

HOBBIES AND INTERESTS*

REFERENCES(Please provide two character references)

1.NAME*

PHONE*

ADDRESS

ADDITIONAL INFORMATION WHICH MAY ASSIST US WITH THIS
APPLICATION

2.NAME*

PHONE*

ADDRESS

COURSE NAME*

SHB30215 Certificate III in Make-Up

Full Time

Part Time

Correspondence

SHB30315 Certificate III in Nail Technology

Full Time

Part Time

Correspondence

SHB30115 Certificate III in Beauty Services

Full Time

Part Time

Correspondence

SHB40115 Certificate IV in Beauty Therapy

Full Time

Part Time

Correspondence

SHB50115 Diploma of Beauty Therapy

Full Time

Part Time

Part Time (Evening)

Correspondence

Short Course

Full Time

Part Time

Part Time (Evening)

ACCREDITED SHORT COURSE PREFERENCE

Design and Apply Make-up

Photographic Make-up

Remedial Camouflage Make-up

Waxing

Lash & Brow

Manicure & Pedicare

Mini Facials

Facials

Advanced Facials

Body Massage

Reflexology

Body Treatments

Aromatherapy

Stone Therapy Massage

Indian Head Massage

Spa Therapies

Brazilian Waxing

Spray Tanning

Pierce Ears

Gel Nails

Acrylic Nails

Nail Art

Micro-Dermabrasion

Electrolysis

Business Planning

Other


SPECIAL REQUIREMENTS

Do you have any special requirements/needs (eg. hearing or sight impairment, disability) which we can take into account within the provision of the course?

COURSE START DATE*

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the above information and that it is true and correct