Expression of interest

Please complete and submit the following details to apply for FSSI’s Certificate III in Individual Support (Disability and Ageing) CHC33015 (RMIT C3402).

Important note: Your application information will be used to create your student record in the RMIT University system and to admit you in the program. It is therefore mandatory to input accurate information. Your application will not be considered if you do not complete the required application fields.

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* 1. Full name as per passport and/or birth certificate

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* 2. Date of birth

Date of birth (DD/MM/YYYY)

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* 3. Gender

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* 4. Email

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* 5. Phone number

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* 6. Address

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* 7. Have you been a RMIT University student previously?

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* 8. What is the highest level of education you have completed?

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* 9. What school did you attend and if post-secondary, what course(s) did you complete?

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* 10. What is your Unique Student Identifier (USI)?

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* 11. Please select your citizenship:

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* 12. Why are you applying for this scholarship? (In 250 words or less)

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* 13. What are your career plans? (In 250 words or less)

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* 14. Do you face any barriers we could help you overcome to succeed in your studies? Eg. accessibility, AUSLAN, travel, transport, childcare, reading and writing, English language skills ?

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* 15. Please tick all that apply to you

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* 16. How did you hear about this course?

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* 17. It is mandatory to provide the following documentation when enrolling:
- Your passport or original birth certificate; AND
- Your green Medicare card
Do you confirm you are able to provide these?

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* 18. I am applying to commence this course in:

Thank you for your application for FSSI’s Certificate III in Individual Support (Disability and Ageing) CHC33015 (RMIT C3402). We will be in contact soon to advise when we will be holding an information session for your preferred commencement date.

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