Course application (Step 1 of 4)

Please note:

This is an application only, not an offer for a place
Full-time VTAC applicants can only apply through VTAC
Required fields are marked with *
This online application is not to be used by International students, please refer to application procedures for International students.

Certificate IV in Retail Management

Course code: SIR40207

Campus and study mode you are applying for:
Delivery mode:
Have you ever been enrolled at Kangan Institute before? *	Yes No
Do you have a Job Seeker ID number? *	Yes No

Personal Details

Title: *
Surname: *
Given name(s): *
Date of Birth: *	/ /
Address: *
Suburb: *
State:
Postcode: *
Preferred contact number: *	(numbers only, no space or letter)
Alternate contact number:	(numbers only, no space or letter)
Email: *
Are you an Australian Citizen? *	Yes No
Are you of Australian Aboriginal * or Torres Strait Islander origin?
Do you have a disability? *	Yes No
If yes, do you require specific support during the selection process	Yes No

Language

Is English your second language? *	Yes No
Do you require literacy or numeracy support? *	Yes No

Education

Have you completed year 12? *

Yes No

Post Secondary Information

List any studies you have completed or attempted at university, TAFE or other post secondary institution which have formally been recognised in Australia.

Year started	Year completed or ceased	Institution	Title of course	Completed?

Last updated: 9 January 2012 Page owner: Web Office (Marketing)