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Training Program Of Interest
Course Name: CHC30402 Certificate III In Children's Services
CHC50402 Diploma In Children's Services
CHC60202 Advanced Diploma
BSBFLM51004 Diploma In Business
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Training Pathway: New Traineeship
On-Campus
 Distance Education
Existing Worker Traineeship
Where did you hear about this course? Newspaper
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Yellow Pages
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Radio
Recognition Of Prior Learning/Recognition Of Current Competency
Did you wish to apply for RPL for any units of competancy offered by ICCC? Yes    No
Please outline your experience in children's services
Statistical Information
Secondary Education - Please Tick Appropriate Box Below
School Level Compeleted
Did not go to School Completed Year 10 Final year of School
Completed Year 8 Completed Year 11 Currently at School Yes No
Completed Year 9 Completed Year 12
Employment Status - Please Tick Appropriate Box Below
Full-time employee Part-Time/Casual employee Volunteer
Employer Employed (unpaid worker in a family business) Unemployed - seeking full time work
Unemployed - seeking part-time work Not employed - not seeking employment
Indigenous Status - Please Tick Appropriate Box Below
Aboriginal Torres Strait Islander Aboriginal & Torres Straight Islander
Neither Aboriginal or Torres Strait
Which country were you born?
Main language spoken at home?
How well do you speak English? Very Well
Well
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Prior Education
Do you have a Prior Education? Yes No
Miscellaneous Diploma Advanced Diploma or Associate Degree
Certifcate I Certificate II Certificate III
Certificate IV Bachelor Degree or Higher Degree
Disabilities
Do you have a disability? Yes No
Hearing/Deaf Acquired brain impairment Physical
Vision Intellectual Medical condition
Learning Mental Illness