Waverley Community Learning Centre Inc  

ENROLMENT FORMS

Enrolment forms can be submitted by visiting the office, mail, fax or e-mail.
If you wish to use one of these options please click here to download the current Enrolment Form in MS-WORD format.

Alternatively you may complete the online Enrolment Form below and the information will be submitted directly to the WCLC office staff for you and a copy will be sent to your email address if you provide one.

PLEASE NOTE
Phone, fax and online enrolments must be confirmed with payment  fees within 3 business days.
While the office is closed on the school holidays payment can only be made by mail with cheque or money order.
Enrolments are accepted in the order that they are received.
You will be notified if the class is full or cancelled.

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ONLINE ENROLMENT FORM - 2008

SURNAME                     GIVEN NAME   

PHONE NUMBERS:   HOME      BUSINESS     MOBILE 

EMAIL  

(When submitted a copy of this form will be sent to this email address)

CONFIRM EMAIL   

ADDRESS   

SUBURB              POSTCODE   

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Information for Government funding statistics

BIRTHDATE    DD 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / MM JANUARY FEBRUARY MARCH APRIL MAY JUNE JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER / 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900 YYYY         GENDER    PLEASE CHOOSE FEMALE MALE

ARE YOU OF KOORIE/TORRES STRAIT ISLANDER ORIGIN    PLEASE CHOOSE YES NO

LEVEL OF SECONDARY SCHOOL COMPLETED         YEAR   

QUALIFICATION ACHIEVED (if any)           YEAR   

EMPLOYMENT STATUS    PLEASE CHOOSE FULL TIME PART TIME SELF EMPLOYED EMPLOYER RETIRED FAMILY WORKER SEEKING EMPLOYMENT NOT SEEKING EMPLOYMENT

COUNTRY OF BIRTH         LANGUAGE SPOKEN AT HOME  

Concessions apply to SOME classes if you hold one of the following cards   SELECT IF RELEVANT Commonwealth Health Care Card Veteran's Gold Card Centrelink Pension Concession Card Seniors Card
If claiming a concession please provide proof when paying at office.

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COURSE(S) REQUESTED

Class 1     

 DAY    PLEASE SELECT MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY         TERM    PLEASE SELECT TERM 1 TERM 2 TERM 3 TERM 4          COST   

Class 2     

 DAY    PLEASE SELECT MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY         TERM    PLEASE SELECT TERM 1 TERM 2 TERM 3 TERM 4          COST   

 

TODAY'S DATE    DD 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / MM JANUARY FEBRUARY MARCH APRIL MAY JUNE JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER / YYYY 2007 2008 2009     

 A SIGNATURE WILL BE REQUIRED WHEN YOU NEXT ATTEND THE OFFICE

Send form data to WCLC

Clear the form

 

CONFIDENTIALITY: It is the policy of the Waverley Community Learning Centre to maintain the highest level of confidentiality for information provided by it's participants. Information collected is either required by law or necessary for the running of the course you are enrolled in. The electronic submission of this completed enrolment form signifies your approval to use your information for those purposes.

material & images © WCLC 2005-08