Enrolment Application Form

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16 The Terrace, Fremantle,
WA 6160 Australia
I
p: 1300 881 718
+61 8 9228 1600
f: +61 8 9228 1428
e: admissions@eei.wa.edu.au
w: eei.wa.edu.au
Enrolment Application Form
Domestic Students
Before completing this application form, make sure that you read the EEI Student Handbook, EEI’s Pre-application and Enrolment
Policy and Procedure, and the Refund policy available online at
APPLICANT PERSONAL DETAILS
If you do not have a USI, do you give
□ Yes □ No
Unique Student Identifier (USI)
authorisation to EEI to apply on your behalf?
Family Name
Given Name
□ Male
□ Female
□ Intersex
Date of Birth
Gender
Address *
Contact Number
Email
*Students MUST always inform EEI of a change of address or contact details within 7 days, by completing a Change of Contact
Details form available at EEI.
EMERGENCY CONTACT
Contact Number
Email
Full Name
Relationship
Address
EDUCATION DETAILS
Year that level was
Highest completed school level
achieved
□ Yes
□ No
Are you still attending school?
□ Bachelor Degree of Higher Degree
□ Advanced Diploma or Associate Degree
Have you successfully completed
□ Diploma (or Associate Diploma)
□ Cert IV (or Advanced Cert / Technical)
any of the following
□ Certificate III (or Trade Certificate)
□ Certificate I/II
qualification? (Please tick)
□ Certificates other than the above (Please specify)
□ No
□ Yes
Do you wish to apply for Course
If yes, please complete the ‘EEI Course Credit/RPL Application Form’
Credit?
COURSE SELECTION
□ SIT30813 (081633G) Certificate III in Commercial
□ BSB40215 (086988FK) Certificate IV in Business
Cookery
□ BSB50215 (087270C) Diploma of Business
□ SIT40413 (084448F) Certificate IV in Commercial
□ BSB60215 (087530K) Advanced Diploma of Business
Cookery
□ BSB610157 (089782G) Advanced Diploma of Leadership and
□ SIT40313 (081631J) Certificate IV in Hospitality
Management
□ SIT50313 (081632G) Diploma of Hospitality
INTAKE DATE
□ Jan
□ April □ July
□ Sept
Please choose the preferred intake:
1
Equanimity Consultants Pty Ltd (ABN 70080503091)
Document version 1/2016
| 1
Owned & Reviewed by: MD I Edited: SAOO I Next review: 22 February 2017

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