Scribd
Upload
36 views

MAS Sign Up Hard Copy Form - Editable

This document is a training plan signup form that collects personal information such as name, date of birth, contact details, citizenship status, education history, employment status, and Universal Student Identifier. It asks the applicant to provide details about their highest level of education completed, other qualifications obtained, and whether they are currently undertaking any other studies. The form requests a signature and for the completed form to be emailed to a specific address.

Uploaded by

Jacob Wood
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
36 views

MAS Sign Up Hard Copy Form - Editable

This document is a training plan signup form that collects personal information such as name, date of birth, contact details, citizenship status, education history, employment status, and Universal Student Identifier. It asks the applicant to provide details about their highest level of education completed, other qualifications obtained, and whether they are currently undertaking any other studies. The form requests a signature and for the completed form to be emailed to a specific address.

Uploaded by

Jacob Wood
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

AUR32220 TRAINING PLAN SIGNUP FORM

Full Name (Full Legal Name as


per passport or birth certificate)
Date of Birth Mobile Number

Home Address:

Postal Address: AS ABOVE

Branch Address:

Email: Sex:  Male  Female


Citizenship Status:  Australian Citizen/Permanent Resident Are you of  No
 New Zealand passport holder who has been in Aboriginal  Yes, aboriginal
Australia more than 6 months or Torres  Yes Torres Strait
 Other: Visa (Passport No.__________________) Strait Origin:
In Which Country  Australia Do you speak any  English Only
were you Born: Other ____ ________ language other
than English at Other _ ____
home:
Do you consider  No  Year 12
yourself to have a Highest level of  Year 11
disability  Yes Schooling  Year 10
Impairment or long _____________________ Complete  Year 9
term condition:  Year 8
Month/Year
Completed ____2013____
High School
Have you  No  Bachelor
successfully  Advanced Diploma / Diploma
completed any of  Certificate IV
the following  Certificate III
qualifications:  Certificate II
 Other
Please list name Name of Qualification Commenced Completed
and dates of all (month and Year) (month and Year)
qualifications as
selected above __ ___ ____ /__ ____ /______
(Please provide a
__ ____ ____ /____ ____ /____
copy of all
qualifications ____________________________________ ______ /______ ______ /______
listed)

Are you currently  No


undertaking any  Yes _ _(Date commenced study_ )
other study DD/MM/YYYY
Date Commenced Type of  Full Time
Employment with __ employment:  Part Time (hrs p/w? ___)
O’Brien Glass DD/MM/YYYY  Casual (hrs p/w? ___)
What is your USI?
To find or create your Unique Student
Identifier visit: https://www.usi.gov.au/

*Please forward to [email protected] once complete*

You might also like