terminal online_book

Step 3: Complete your enrolment

DVaware DV-alert Awareness Session (DV-aware: PORT MACQUARIE - Charles Sturt Univeristy Campus, 7 Major Innes Rd)

10/4/2019 to 10/4/2019

DV-alert Awareness Session

Location: Charles Sturt University Campus, 7 Major Innes Road, Port Macquarie, NSW 2444

Time:10am- 12pm

Delivered by Lifeline Newcastle & Hunter

If you have already enrolled onto a course, ordered a product or registered for an event, your login details will have been provided via e-mail.

Enter your login details to automatically populate contact details below.

Username:

Password:

If you do not have a login, please enter your contact details below.

Student:

*Title:

*First Name:

*Last Name:

*DOB:

*Email:

*Gender:

Unique Student Identifier (USI):

Building/property name:

Flat/unit details:

*Street/lot number:

*Street name:

*Suburb:

State:

*Post Code:

* Phone Number

Home/Work:

Mobile:

*Legal Name:

*Trading Name:

*Email:

Building/property name:

Flat/unit details:

*Street/lot number:

*Street name:

*Suburb:

State:

*Post Code:

* Phone Number

Work:

Mobile:

Add New Student

*Labour Force Status:

School Details

*At School:

Not Stated
Yes
No

*School Level:

*Year Completed:

Other Details

* Indigenous Status:

*Main Language:

*Proficiency in spoken English:

*Country of Birth:

*Disability:

Not Stated
Yes
No

Hearing/Deaf
Physical
Intellectual
Learning
Mental Illness
Acquired Brain Impairment
Vision
Medical Condition
Other
Support services, equipment and facilities needed
Not Specified

*Prior Education:

Not Stated
Yes
No

Bachelor Degree or Higher Degree level
Advanced Diploma or Associate Degree
Diploma
Certificate IV
Certificate III
Certificate II
Certificate I
Miscellaneous Education

Additional Fields

Do you have any participatory requirements to ensure that you can participate fully in the workshop? For example, hearing or vision impairment.