Full Real Estate Agent’s Licence

Personal Details

Email *

First Name *

Middle Name

Last Name *

Gender Male
Female

Date of Birth *

Company Name (if required for invoicing)

Country of Birth *

Town of Birth *

Are you an overseas student on a VISA? Yes
No

If you speak a language other than English at home, please advise what language

How well do you speak English? Very Well Well Not Well Not At All

Are you of Aboriginal origin? Yes
No

Are you of Torres Strait Islander origin? Yes
No

Address/Contact Details

Building/Property Name

Flat/Unit No.

Street No *

Street Name *

Suburb/Town *

State *

Postcode *

Country *

Phone/Mobile

Alt Phone/Mobile

Work Phone

Postal Address (if different from above)

PO Box

Building/Property Name

Flat/Unit No.

Street No

Street Name

Suburb/Town

State

Postcode

Country

Unique Student Identifier (USI) *Please provide your USI number OR one form of identification below (Photocopy required)

USI number (if you have one)

Drivers Licence No *

Drivers Licence Card No *

State Issued *

Medicare No

Card colour

Expiry Date

Ref No

Name as it appears on proof of identity document *

Disability

Do you consider yourself to have any disability, impairment or long-term condition? * Yes
No

Medical Conditions (tick those that apply) Hearing/Deaf
Physical
Intellectual
Learning
Mental Illness
Vision
Acquired Brain Impairment

If you have other medical conditions, please provide a brief description of the sort of support which would best suit your individual needs and a Company representative will contact you. If you are not sure if your English language, literacy & numeracy skills are at the standard required to achieve competency, please contact our office and we can provide you with a short Literacy & Numeracy test to complete, which will enable us to ascertain if you will need additional assistance.

Other Medical Conditions

Education

What year did you complete High School? *

Highest year completed at High School *

Are you still enrolled in secondary or senior secondary education? No Yes

Have you completed any of the following qualification? Bachelor
Masters
Advanced Diploma/Assoc Degree
Diploma/Assoc. Diploma
Cert IV
Cert III or Trade Cert
Cert II
Cert I

Other Qualifications

Are you applying for RPL or Credit Transfer? *If yes we will contact you to discuss your training Yes
No

Employment

Are you currently employed in the Real Estate industry? Yes
No

If yes, who is your current employer?

Employer

Employer Address

Employer Phone

Job Role

And how many years have you been in the industry?

Have you previously worked in Real Estate. If yes how many years’ experience do you have?

If not currently in Real Estate, what industry are you currently in?

Employment Status Select ... Full Time Part Time Self Employed Unpaid worker-family business Unemployed, seeking full-time work Unemployed, seeking part-time work Not seeking employment

Study Reasons (select one reason which describes your main reason to undertake this course)

Study Reasons To get a job To develop my existing business Different Career Extra skills of job To get a better job/promotion Requirement of my job Get into another course Personal interest/self development To get skills for community/voluntary work Other

Would you like additional support with any special needs (literacy, numeracy, physical)? Yes
No

If yes, please provide a brief description of the sort of support which would best suit your individual needs and the CEO of there representative will contact you.

I confirm I have read the privacy information in the terms & conditions. *

I consent to my submitted data being collected and stored as outlined by the site Privacy Policy.