WHATS ON

Big News:

Occasional Childcare on Mondays for limited time!

Find out more...

 

Courses starting soon: 

~ Stamp Carving Stationery

~ Leathercraft Workshop 

~ Essence

~ Vision Board Workshop

 

See Course Program

If you are studying a government recognised course at Selby Community House or somewhere else and need to attend a class or study at home we can now offer you FREE CHILDCARE on a Wednesday or Friday

Selby Community House
ACFE Enrolment Form

Are you applying for Concession of Tuition Fee? yes no

If YES, Please tick the concession type: HEALTH CARE CARD PENSIONER CONCESSION VETERANS GOLD CARD

Card Sighted: yes no

Please enrol me in the following 2017 Courses

Card Sighted: yes no

Card Sighted: yes no

Card Sighted: yes no

Card Sighted: yes no

Have you previously enrolled in a course at Selby Community House? yes no

In which country were you born Australia Other
Do you speak a language other than English at home? No English Only Yes Other
(If more than one language is spoken, please indicate which is spoken more often)
How well do you speak English? Very Well Well Not Well Not At All
Are you of Aboriginal or Torres Strait Islander origin? No Yes Aboriginal Yes Torres Strait Islander
Do you consider yourself to have a disability, impairment or long term condition? no yes

if yes, then please indicate the Areas of disability, impairment or long term condition (you may indicate more than one):

What is your highest COMPLETED school level?

In which YEAR did you complete that school year?

Are you still in secondary school? yes no

Please select if you have SUCCESSFULLY completed any of the following qualifications?

Please indicate qualification type Australian Qualification Aust. Equivalent International

Of the following categories, which BEST describes your current employment status??

Please indicate the industry you are employed in:

Which of the following best describes your current or recent occupation?

Of the following categories, which BEST describes your
main reason for undertaking this course? (select one only)

DO YOU WANT TO GO ON OUR EMAIL MAILING LIST? yes no

This organisation respects your right to Information Privacy. Information we collect and hold on House Members is kept in accordance with Information Privacy Laws.

Contact us if you require further information or a copy of the Selby Community House Privacy Policy.

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