NSTA TASMANIA™ · RTO 32292

Student enrolment form

Complete the sections below so our team can review your identity, training details and support requirements. Your response is stored securely in the NSTA enrolment inbox and is available only to authorised administrators.

Before you begin

Please provide as much detail as required. We will contact you for missing information if needed. Course, student name, residential address and signature are required. Read the privacy notice before submitting.

01Course applicationTell us which NSTA Tasmania training you are applying for.

Which NSTA Tasmania course are you applying for?Study Location

Have you previously completed training with SCS or NSTA?

YesNo

Estimated start dateEstimated completion dateTraining mode

Delivery mode

Face to faceBlendedWorkplaceOnline

Payment scheduleMain reason for undertaking this course

02Student detailsEnter your legal identity and current contact details.

TitleFamily name (surname)

Single name only

Yes

First given name or single legal nameMiddle given namePreferred nameDate of birthGenderEmail addressHome numberWork numberMobile number

03Address and emergency contactProvide your residential, postal and next-of-kin details.

Building nameFlat or unit numberStreet numberStreet nameSuburbPostcodeStatePostal address, if differentNext of kin full name

Relationship

Partner/SpouseFamily Member

Next of kin contact numberNext of kin street address

05Support and concession detailsHelp NSTA Tasmania plan suitable support and fee arrangements.

Fee exemption or concession type

Concessional participantNon - Concessional participant

Do you have a disability, impairment or long-term condition?

YesNo

Optional disability disclosureOther disability, impairment or long-term condition

Have you read the Disability Supplement in the Student Handbook?

YesNo

06Declaration and signatureReview the form and confirm that the information is complete.

Student signatureUse a mouse, pen or finger to sign inside the box.

I confirm that the signature above is mine and the information in this form is true and complete.

Your response is securely stored in the NSTA enrolment inbox and can be reviewed only by authorised administrators.