Nicolie O'Neill Kinesiology in Perth WA | Private Consultations | Study towards a Governement Accredited Diploma

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2010 TERM 3 ENROLMENTS NOW OPEN

The Certificate IV in Kinesiology, Diploma of Kinesiology and Advanced Diploma of Kinesiology are all open now for term 3 enrolments. Term 3 commences September 25

*Places are limited so enrol NOW to guarantee your place.

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Enrollments NOW OPEN!

Enrolments NOW OPEN!

Study Options Government Accreditation AKA Fees and Payment Options Student Timetables Enrolment Forms Module Summary

Please print and complete

ENROLMENT FORM

PERSONAL DETAILS

FULL NAME:___________________________________________________________________________________________________________________________________

ADDRESS:_____________________________________________________________________________________________________________________________________

SUBURB:_______________________________________________________________________________________STATE:____________________POSTCODE:___________

HOME PHONE: ____________________________WORK_____________________________________________________________

MOBILE:_____________________________________________________________________________________________________

EMAIL:_______________________________________________________________________________________________________________________________________

DATE OF BIRTH:___________________________________________________________MALE:_________________________FEMALE:_______________________________

HEALTH AND WELLBEING

In your selection interview with the Manager, please discuss any issues which may impact on your abiity to complete the course. Possible issues:

Disabiity
Medication
Illness

COURSE DETAILS

Name of course:_______________________________________________________________________________________________________________________________

Course start date:______________________________________________________________________________________________________________________________

Enrolment (please indicate):

Full-time:_______________________________________Part-time:_______________________________________Getting Started:_________________________________

Individual Modules (please specify):_______________________________________________________________________________________________________________

FEES DETAILS

Deposit amount paid:______________________________________________________________Date paid:____________________________________________________

Please tick one of the follwing methods of payment for the couse fees:

Monthly Payments:________

Term Payments:_________

Advance Payment:________

VISION STATEMENT

In order to assist Nicolie O'Neil Kinesiology in providing a training program that furthers your career goals, please assist us by providing some information about your career vision.

Write your career vision (next 2 to 5 years) in the space below. Make sure it is measurable , that is, make sure you will be able to tell when you have achieved your vision.

____________________________________________________________________________________________________________________________________________

Student Signature:____________________________________________________________________________________________________________________________

Date:_________________________________