224556VIC - 2021 enrolment Personal details Question Title * 1. Personal contact details Given names * Family name (surname) Address * Address 2 * Suburb/Town * State * Postcode * Email Address * Mobile * OK Question Title * 2. Enter your date of birth DD / MM / YYYY OK Question Title * 3. Gender Female Male Other OK Question Title * 4. Do you have a disability or need that requires special consideration for training and assessment purposes? No Yes (if yes, please contact our office on 03 9642 1061 to discuss) OK Question Title * 5. In which country were you born? Australia Other (please specify) OK Question Title * 6. Do you speak a language other than English at home? No Yes (please specify) OK Question Title * 7. How well do you speak English? Very well Well Not well Not at all OK Question Title * 8. Are you of Aboriginal or Torres Straight Islander origin? Aboriginal Torres Straight Islander Neither OK Question Title * 9. Employment details School * School address * School address 2 Suburb/Town * State/Province * Postcode * School email address * School phone Number * OK Question Title * 10. Which category best describes your current employment status? Full-time employee Part-time employee Self-employed, not employing others Employer Unpaid worker in family business Unemployed-seeking full-time work Unemployed-seeking part-time work Not employed-not seeking work OK Question Title * 11. Pre-service teacher qualification University/Institution Qualification (e.g. DipEd, BEd, MTeach) Qualified teaching methods (e.g. English, PE) Year graduated OK Question Title * 12. Have you successfully completed any of the following qualifications? Doctoral degree Masters degree Bachelor degree Advanced Diploma or Associate Degree Diploma or Associate Diploma Certificate IV (or Advanced Certificate) Certificate III (or Trade Certificate) Certificate II Certificate I OK Question Title * 13. Qualifications other than those listed in question 11. OK Question Title * 14. In which year did you complete year 12? OK Question Title * 15. Of the following categories, which best describes your main reason for undertaking this course? To get a job To develop my existing business To start my own business To try for a different career To get a better job or promotion It was a requirement of my job I wanted extra skills for my job To get into another course of study For personal interest or self-development Other reasons OK Question Title * 16. Teacher registration number (VIT number in Victoria or equivalent) OK Question Title * 17. USI (Unique Student Identifier) https://www.usi.gov.au/students/create-your-usi OK Question Title * 18. Which unit/s are you enrolling in for this semester, only? (*offered only in semester 2) VU22279 Manage classes in home economics contexts ($1,325) VU22280 Teach food studies ($1,275) VU22282 Develop and promote home economics practice ($1,175) VU22285 Apply skills in the science of nutrition ($1,175) VU22281 Teach healthy eating knowledge and skills* ($1,175) VU22283 Promote health* ($1,225) VU22284 Teach human development* ($1,225) VU22286 Apply family and consumer resource knowledge* (1,175) OK Question Title * 19. Do you wish to apply for recognition of Prior Learning (RPL)? No Yes (if yes, please contact Home Economics Victoria to obtain further details) OK Question Title * 20. Do you wish to apply for credit transfer? No Yes (if yes, please contact Home Economics Victoria to obtain further details) OK Question Title * 21. I understand that a $500 application fee is required for all new applicants in the Graduate Diploma of Home Economics Victoria. Yes, I will make payment upon receipt of the invoice I am a continuing student and have already paid the application fee I am only completing a single unit for professional learning OK Question Title * 22. I understand that I am required to provide original certified copies of my pre-service teaching qualification (final transcript and certificate) and my teacher registration before I can commence the course. Yes, I will mail the required original certified copies to 605/198 Harbour Esplanade, Docklands VIC 3008 I am a continuing student and have already provided the required certified copies OK Question Title * 23. I understand that I will receive an invoice and am required to make payment for the units I have enrolled in before the semester commences. Yes, I will make payment as required OK Question Title * 24. Declaration: I confirm that I have accessed a copy of the Home Economics Victoria handbook. I understand the terms and conditions of my training as stated within these documents. I give permission for Home Economics Victoria to access my USI account. I agree to abide by these terms and conditions. I certify that all details provided on this enrolment form are correct. Yes No OK DONE