Enrolment Form

Which course would you like to enrol into *

$550 - Provide lash and brow$550 - Apply eyelash extensions$1100 - Facials workshopOther

Do you work for the Hair Collective?

YesNo

Other

Personal Details

Preferred pronoun?

SheHeTheyother

Given Names *

Family Name *

Gender *

MaleFemaleNon-binaryDifferent identity

Date of Birth *

Street Address *

Town/Suburb *

State *

Post Code *

Contact Details

Email Address *

Alternative email address

Mobile number *

Home phone

Work phone

Emergency contact's name and relation to you

Emergency contact's number

AVETMISS Statistical information

Please provide the following information that the govt requires us to collect.

In which country were you born? *

AustraliaOther

If you where born outside of Australia; which country where you born? *

What town/city where you born? *

Do you speak a language other than English at home? *

No, English onlyYes

Please specify which language you speak at home? *

I declare I am of aboriginal or Torres Strait Islander descent? *

NoAboriginalTorres Strait IslanderBoth

Do you have a disability? *

YesNo

What is your disability? *

Name you disability? *

Do you require assistance? *

YesNo

What is your highest completed school level? *

Are you still enrolled in high school? *

YesNo

Have you successfully completed any of the qualifications listed below? *

Which best describes your current employment status? *

Select the item below which best describes the main reason you are undertaking this course? *

What is your reason for undertaking this course? *

How did you find out about this course? *

Would you like to receive information about events and new courses via *

EmailMailPhoneNone

Please indicate if you feel you may need assistance during your course?

Details:

Unique student identifier (USI)

From 1 January 2015, Kiama Community College can be prevented from issuing you with a nationally recognised VET qualification or statementof attainment when you complete your course if you do not have a Unique Student Identifier (USI). In addition, we are required to include yourUSI in the data we submit to NCVER. If you have not yet obtained a USI you can apply for it directly at https://www.usi.gov.au/your-usi/create-usi on your computer or mobile device.

Do you have a USI number? *

YesYes, but I will need Kiama Community College to look it up for meNo

What is your USI number?

If you would like Kiama Community College to apply for a USI or search for your existing USI on your behalf you must authorise us to do so and declare that you have read the privacy information

I have read and I consent to the collection, use and disclosure of my personal information (which may include sensitive information) pursuantto the information detailed at https://www.usi.gov.au/documents/privacy-notice-when-rto-applies-their-behalf

I authorise Kiama Community College to apply pursuant to sub-section 9(2) of the Student Identifiers Act 2014, for a USI on my behalf

Student Declaration and Consent

Name: *

Date: *

I confirm I have read and agree to the Terms and Conditions
*

I confirm I have been provided with and have read this linked Privacy Notice. https://kcc.nsw.edu.au/doc/Enrolment_Privacy_Notice_v2.pdf *

I have been provided with the student information (student handbook linked below)
http://kcc.nsw.edu.au/doc/KSCC_Student_Handbook_2024-WEB.pdf
*

I have read and agree with the linked photo/image consent statement

Please upload your drivers license or another document confirming your identity *

Browse

Signature: *

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Date *

*Parent/Guardian consent is required for all students under the age of 18

*Parent/Guardian full name

*Parent/Guardian signature

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Please enter payment amount below.

If you would like to enter a payment plan please press on the below link, the course fee needs to be finalised by the end of the course. Please submit payment options that suit you.

https://kiamacommunitycollege.snapforms.com.au/form/payment-plan-options

*Note we can not take payment of more than $1500 before the course starts

Payment

Pay

Enrolment Form

Personal Details

Contact Details

AVETMISS Statistical information

Unique student identifier (USI)

Student Declaration and Consent

Enrolment Terms and Conditions