Enrol - World Aquatics - Flexible Training for a Dynamic Industry

World Aquatics

World Aquatics Pty Ltd
8 Montrose Avenue
NORWOOD SA 5067

t. 08 8363 6480
f. 08 8363 5120
info@worldaquatics.com.au
www.worldaquatics.com.au

Course Enrolment Form

Personal Details

* Name Initial Surname
* Date of Birth
* Address
* Suburb
* State
* Post Code
* Telephone
* Email
Gender: Male Female
Have you done a course with us before: Yes No
Disabled access required? Yes No
I wish to apply for recognition Please provide copies of current accreditation

 

Course Details

I wish to enrol for the following courses:

Aquarobic Instructor - This is a Correspondence Course. - $120.00
Aquatic Emergency Procedures (Practical Only) - Friday 30th July 2010 12.00pm - 1.00pm - Practical Only Course: $34.50
Aquatic Emergency Procedures (Practical Only) - Thursday 2nd September 2010 10.00am - 11.00am - Practical Only Course: $34.50
Aquatic Emergency Procedures (Practical Only) - Thursday 9th September 2010 2.00pm - 3.00pm - Practical Only Course: $34.50
AUSTSWIM Teacher of Swimming and Water Safety Award - Saturday 11th & Sunday 12th September 2010 9.00am - 6.00pm - $305.00
Swimming Instructor of People with a Disability - This is a Correspondence Course - $185.00
Pool Plant Operator (Full Course) - Saturday 31st July & Sunday 1st August 2010 9.00am - 5.00pm - $195.00
CPR - Friday 27th August 2010 6.15pm - 8.15pm (Updates 7pm - 8.15pm) - Full Course - $59.00 - Update - $37.00
CPR - Friday 10th September 2010 6.15pm - 8.15pm (Updates 7pm - 8.15pm) - Full Course - $59.00 - Update - $37.00
World Aquatics Swimming Instructor - Sunday 29th August 2010 1.00pm - 6.00pm - $232.00

 

Statistical Information

1. How did you find out about the course?

Word of mouth   Newspaper   Television   Pool   Internet   Other

 

2. The purpose of your enrolment is?

Gain Employment   Personal Development   Professional Development

 

3. Which best describes your current employment status?

Full Time   Part Time   Unemployed   Employed   Retired

 

4. Please indicate highest level of Secondary School successfully completed

Year 12   Year 11   Year 10   Year 9 or lower | Date completed:

 

5. Have you completed any of the following since leaving school?

Trade Certificate   Advanced/Tech Certificate   Degree, Post Graduate or Diploma   Associate Diploma  
Undergraduate Certificate | Other - please provide details:

 

6. Were you born in Australia?

Yes   No - Where were you born

 

7. Are you of Aboriginal and/or Torres Strait Islander origin?

Yes   No

 

8. Which language do you mainly speak at home?

English   Other

 

Medical Conditions

Do you have a medical condition?

No   Yes - Please specify:

 

Payment Details

Online enrolments will be confirmed by telephone at which time payment will be required to secure your place.

I have read and understood the Information form and Code of Practice for trainees.

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