Only if different to residential address.
Unique student identifier (USI)
Date of birth
Please select the course that you are enrolling in.
Certificate IV in Training and Assessment
Certificate IV in Celebrancy
Diploma of Training Design & Development
Certificate IV in Work Health and Safety
Diploma of Work Health and Safety
Funeral Services Training
Diploma of Project Management
Certificate IV in Leadership and Management
Diploma of Leadership and Management
Language, Literacy & Numeracy (LLN)
Certificate IV in Musical Theatre
Please indicate whether you are attending a face to face course, or studying online.
Face to face
Face to face courses only - please choose the date (if known).
Emergency contact name
Face to face courses only - please nominate who we should contact in case of an emergency.
Emergency contact phone number
Face to face courses only - please provide a phone number for your nominated emergency contact person.
I certify that the particulars herein are correct and I agree to abide by Rose Training Australia's policies and procedures and acknowledge that the facilities made available for my use will be used in accordance with the principles of proper use and in compliance with any relevant operating standards.
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