External VET

Student Legal Surname *

Student Legal First Name *

Student Email Address (must be your school email) *

Student Contact Number (your mobile number) *

What is your USI Number? *

*If you don't have a USI Number, please create one at www.usi.gov.au

What year are you currently in? *

9101112

If Other, please specify *

School Pathway *

University (ATAR)University (Alternate Entry)Job Ready (Cert III)Job Seeker (Cert I or II)

Course Name (Preference 1) *

Course Location (for Preference 1) *

Course Name (Preference 2)

Course Location (for Preference 2)

Parent/Carer Name *

Parent/Carer Email Address *

Date *

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