{"id":27006,"date":"2026-04-17T11:43:39","date_gmt":"2026-04-17T01:43:39","guid":{"rendered":"https:\/\/enrolments.its.edu.au\/?p=27006"},"modified":"2026-04-17T11:45:05","modified_gmt":"2026-04-17T01:45:05","slug":"enrolment-in-east-sunbury-hltaid011-provide-first-aid-includes-hltaid009-provide-cpr-east-sunbury-football-club-29th-april-01st-may-2026","status":"publish","type":"post","link":"https:\/\/enrolments.its.edu.au\/?p=27006","title":{"rendered":"Enrolment In: EAST SUNBURY &#8211; HLTAID011 PROVIDE FIRST AID (INCLUDES HLTAID009 PROVIDE CPR) @ East Sunbury Football Club- 29TH APRIL &#038; 01ST MAY 2026"},"content":{"rendered":"[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;TITLE&#8221; _builder_version=&#8221;4.18.0&#8243; background_color=&#8221;#8300E9&#8243; use_background_color_gradient=&#8221;on&#8221; background_color_gradient_stops=&#8221;#00c3ef 0%|#000dc9 100%&#8221; collapsed=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_row admin_label=&#8221;TITLE&#8221; _builder_version=&#8221;4.18.0&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; width=&#8221;auto&#8221; max_width=&#8221;1500px&#8221; collapsed=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_text admin_label=&#8221;TITLE&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; sticky_enabled=&#8221;0&#8243;]\n<h1 class=\"entry-title\" style=\"text-align: center;\"><span style=\"font-family: verdana, geneva, sans-serif; color: #ffffff;\">Enrolment In: EAST SUNBURY &#8211; HLTAID011 PROVIDE FIRST AID (INCLUDES HLTAID009 PROVIDE CPR) @ East Sunbury Football Club- 29TH APRIL &amp; 01ST MAY 2026<\/span><\/h1>\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;BODY&#8221; _builder_version=&#8221;4.18.0&#8243; collapsed=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_row admin_label=&#8221;BODY&#8221; _builder_version=&#8221;4.18.0&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; width=&#8221;auto&#8221; max_width=&#8221;1500px&#8221; collapsed=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_text admin_label=&#8221;BODY&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#FFFFFF&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; sticky_enabled=&#8221;0&#8243;]\n<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_3679' style='display:none'><div id='gf_3679' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_3679' id='gform_3679'  action='\/index.php?rest_route=%2Fwp%2Fv2%2Fposts%2F27006#gf_3679' data-formid='3679' novalidate>\n        <div id='gf_progressbar_wrapper_3679' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<p class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>20<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_5' style='width:5%;'><span>5%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_3679_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_3679' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_3679_111\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h1 style=\"text-align: center;\"><strong><span style=\"font-family: verdana, geneva, sans-serif; color: #4571b0;\">Enrolment Form\n<\/span><\/strong><\/h1>\n<p style=\"text-align: center;\"><span style=\"color: #3366ff;\"><strong><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14px;\">EMAIL: <a href=\"mailto:ENROLMENT@ITS.EDU.AU\">ENROLMENT@ITS.EDU.AU<\/a> | CALL: 1300 585 866 | WEB: <a href=\"http:\/\/www.its.vic.edu.au\/\" target=\"_blank\" rel=\"noopener\">WWW.ITS.EDU.AU<\/a><\/span><\/strong><\/span><\/p><\/div><div id=\"field_3679_13\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><div class='gsection_description' id='gfield_description_3679_13'><hr \/>\n\n<h2><span style=\"font-family: tahoma, arial, helvetica, sans-serif; color: #339966;\">SECTION A - COURSE ENROLMENT CONFIRMATION<\/span><\/h2><\/div><\/div><div id=\"field_3679_112\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield_price gfield_price_3679_112 gfield_product_3679_112 gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_3679_112_1'>HLTAID011 Provide First Aid (Includes HLTAID009 Provide CPR)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_3679_112'><span style=\"font-family: tahoma, arial, helvetica, sans-serif; color: #339966;\">PLEASE NOTE: This enrolment form is for one person only. If you wish to add additional people to this course you will need to complete this enrolment form for each person.<\/span><\/div><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_112.1' value='HLTAID011 Provide First Aid (Includes HLTAID009 Provide CPR)' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_3679_112' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<label for='ginput_base_price_3679_112' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_112.2' id='ginput_base_price_3679_112' value='$ 0.00' aria-label='HLTAID011 Provide First Aid (Includes HLTAID009 Provide CPR) Price' aria-describedby=\"gfield_description_3679_112\" \/>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_112.3' value='1' class='ginput_quantity_3679_112 gform_hidden' \/>\n\t\t\t\t<\/div><\/div><div id=\"field_3679_60\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><div class='gsection_description' id='gfield_description_3679_60'><hr \/>\n\n<h2><span style=\"font-family: tahoma, arial, helvetica, sans-serif; color: #339966;\">SECTION B - PREVIOUS APPLICATIONS AND\/OR ENROLMENTS<\/span><\/h2><\/div><\/div><div id=\"field_3679_1\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_1'>Have you previously been enrolled with Intelligent Training Solutions?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_1' id='input_3679_1' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='NO' selected='selected'>NO<\/option><option value='YES' >YES<\/option><\/select><\/div><\/div><div id=\"field_3679_2\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_2'>If Yes, please state your I.T.S Student ID number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_3679_2' type='text' value='' class='medium' maxlength='10' aria-describedby=\"gfield_description_3679_2\"  placeholder='ITSXXXXXXX' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3679_2'><span style=\"font-family: verdana, geneva, sans-serif; font-size: 12pt;\">Example: ITS000123X <strong><span style=\"color: #ff0000;\">(10 characters)<\/span><\/strong> - Your student number must start with 'ITS' and contain the correct amount of characters<\/span>\n<p>\n<p>\n<span style=\"color: #ff0000;\"><strong><span style=\"font-family: verdana, geneva, sans-serif; font-size: 12pt;\">NOTE: By entering a valid student number, the number of questions we need to ask on this form will be reduced.\u00a0<\/span><\/strong><\/span><\/div><\/div><fieldset id=\"field_3679_234\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Has any of your personal information changed since your last enrolment with Intelligent Training Solutions?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3679_234'>\n\t\t\t<div class='gchoice gchoice_3679_234_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_234' type='radio' value='NO' checked='checked' id='choice_3679_234_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_3679_234\"   \/>\n\t\t\t\t\t<label for='choice_3679_234_0' id='label_3679_234_0' class='gform-field-label gform-field-label--type-inline'>NO<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_234_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_234' type='radio' value='YES'  id='choice_3679_234_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_234_1' id='label_3679_234_1' class='gform-field-label gform-field-label--type-inline'>YES<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_3679_234'><span style=\"font-family: verdana, geneva, sans-serif; font-size: 12pt; color: #ff0000;\">WARNING! By selecting NO, You are confirming that you have previously been enrolled with Intelligent Training Solutions or AITAC Pty Ltd AND that the information you previously provided on your enrolment has not changed. In the event that we have missing information, you will be contacted by our administration team.<\/span><\/div><\/fieldset><div id=\"field_3679_3\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_3'>Has your name changed since your last enrolment with us?<\/label><div class='ginput_container ginput_container_select'><select name='input_3' id='input_3679_3' class='medium gfield_select'  aria-describedby=\"gfield_description_3679_3\"   aria-invalid=\"false\" ><option value='NO' >NO<\/option><option value='YES' >YES<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_3679_3'>If <strong>Yes<\/strong>, you <strong>must<\/strong> provide documentary evidence (Marriage Certificate etc...)<\/div><\/div><div id=\"field_3679_4\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_4'>If Yes, please enter your previous name<\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_3679_4' type='text' value='' class='medium'  aria-describedby=\"gfield_description_3679_4\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3679_4'>Please enter your previous FULL legal name<\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_3679_202' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3679_2' class='gform_page' data-js='page-field-id-202' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3679_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_3679_12\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><div class='gsection_description' id='gfield_description_3679_12'><h2><span style=\"font-family: tahoma, arial, helvetica, sans-serif; color: #339966;\">SECTION C - PERSONAL DETAILS<\/span><\/h2><\/div><\/div><fieldset id=\"field_3679_217\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Single Name Only<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3679_217'><div class='gchoice gchoice_3679_217_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_217.1' type='checkbox'  value='Tick this box if you have one name only that cannot be written in the traditional format (example, Name, Middle Name, Surname)'  id='choice_3679_217_1'   aria-describedby=\"gfield_description_3679_217\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_217_1' id='label_3679_217_1' class='gform-field-label gform-field-label--type-inline'>Tick this box if you have one name only that cannot be written in the traditional format (example, Name, Middle Name, Surname)<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_3679_217'>*Please provide us with the name that you used when you applied for your Unique Student Identifier (USI), including any middle names.<\/div><\/fieldset><div id=\"field_3679_218\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_218'>Title<\/label><div class='ginput_container ginput_container_select'><select name='input_218' id='input_3679_218' class='large gfield_select'     aria-invalid=\"false\" ><option value='Mr' >Mr<\/option><option value='Mrs' >Mrs<\/option><option value='Ms' >Ms<\/option><option value='Miss' >Miss<\/option><option value='Dr' >Dr<\/option><option value='Other' >Other<\/option><\/select><\/div><\/div><div id=\"field_3679_219\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_219'>First Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_219' id='input_3679_219' type='text' value='' class='large'  aria-describedby=\"gfield_description_3679_219\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3679_219'>Enter your first <strong>legal<\/strong> given name<\/div><\/div><div id=\"field_3679_220\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_220'>Middle Name<\/label><div class='ginput_container ginput_container_text'><input name='input_220' id='input_3679_220' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3679_221\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_221'>Family Name (Surname)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_221' id='input_3679_221' type='text' value='' class='large'  aria-describedby=\"gfield_description_3679_221\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3679_221'>Enter your <strong>legal family<\/strong> name (surname)<\/div><\/div><div id=\"field_3679_11\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_11'>Date of birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_11' id='input_3679_11' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon'   placeholder='dd\/mm\/yyyy' aria-describedby=\"input_3679_11_date_format gfield_description_3679_11\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_3679_11_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_3679_11' class='gform_hidden' value='https:\/\/enrolments.its.edu.au\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><div class='gfield_description' id='gfield_description_3679_11'>Select your date of birth using the calendar to avoid formatting errors.\n<p>\nYou must be at least 14 years old to enrol in a VET (Accredited) course.<\/div><\/div><div id=\"field_3679_113\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_113'>What is your gender?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_113' id='input_3679_113' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Prefer not to say' >Prefer not to say<\/option><option value='Male' >Male<\/option><option value='Female' >Female<\/option><option value='Nonbinary' >Nonbinary<\/option><\/select><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3679_240' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_3679_240' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3679_3' class='gform_page' data-js='page-field-id-240' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3679_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_3679_242\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Have your contact details changed since you last enrolled with ITS?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3679_242'>\n\t\t\t<div class='gchoice gchoice_3679_242_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_242' type='radio' value='YES'  id='choice_3679_242_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_242_0' id='label_3679_242_0' class='gform-field-label gform-field-label--type-inline'>YES<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_242_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_242' type='radio' value='NO' checked='checked' id='choice_3679_242_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_242_1' id='label_3679_242_1' class='gform-field-label gform-field-label--type-inline'>NO<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3679_241' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_3679_241' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3679_4' class='gform_page' data-js='page-field-id-241' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3679_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_3679_14\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><span style=\"color: #ff00ff;\"><strong><span style=\"font-family: verdana, geneva, sans-serif;\">CONTACT DETAILS<\/span><\/strong><\/span>\n<hr\/><\/div><div id=\"field_3679_17\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><span style=\"color: #ff0000;\"><span style=\"color: #3366ff;\">If possible, provide us with your home (landline) and mobile number. <p>\nAs this course requires the coordination of yourself and our trainers, it may become important for our team to contact you should the need arise.<\/span>\n<\/span><\/div><div id=\"field_3679_19\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_19'>Telephone: Mobile<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_19' id='input_3679_19' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3679_18\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_18'>Telephone: Home<\/label><div class='ginput_container ginput_container_phone'><input name='input_18' id='input_3679_18' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3679_222\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_222'>Telephone: Work<\/label><div class='ginput_container ginput_container_phone'><input name='input_222' id='input_3679_222' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_3679_20\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Your preferred email address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_3679_20_container'>\n                                <span id='input_3679_20_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_20' id='input_3679_20' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_3679_20' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                <\/span>\n                                <span id='input_3679_20_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_20_2' id='input_3679_20_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_3679_20_2' class='gform-field-label gform-field-label--type-sub '>Confirm Email<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><fieldset id=\"field_3679_116\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >What is your citizenship status? - Please tick one<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3679_116'>\n\t\t\t<div class='gchoice gchoice_3679_116_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_116' type='radio' value='Australian Citizen'  id='choice_3679_116_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_116_0' id='label_3679_116_0' class='gform-field-label gform-field-label--type-inline'>Australian Citizen<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_116_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_116' type='radio' value='New Zealand Citizen'  id='choice_3679_116_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_116_1' id='label_3679_116_1' class='gform-field-label gform-field-label--type-inline'>New Zealand Citizen<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_116_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_116' type='radio' value='Overseas Resident'  id='choice_3679_116_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_116_2' id='label_3679_116_2' class='gform-field-label gform-field-label--type-inline'>Overseas Resident<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_116_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_116' type='radio' value='Permanent Humanitarian Visa'  id='choice_3679_116_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_116_3' id='label_3679_116_3' class='gform-field-label gform-field-label--type-inline'>Permanent Humanitarian Visa<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_116_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_116' type='radio' value='Permanent Non-Humanitarian Visa'  id='choice_3679_116_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_116_4' id='label_3679_116_4' class='gform-field-label gform-field-label--type-inline'>Permanent Non-Humanitarian Visa<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_116_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_116' type='radio' value='Permanent Visa Holder'  id='choice_3679_116_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_116_5' id='label_3679_116_5' class='gform-field-label gform-field-label--type-inline'>Permanent Visa Holder<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_116_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_116' type='radio' value='gf_other_choice'  id='choice_3679_116_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_116_6' id='label_3679_116_6' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_3679_116_other' class='gchoice_other_control' name='input_116_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3679_236' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_3679_236' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3679_5' class='gform_page' data-js='page-field-id-236' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3679_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_3679_244\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Has your residential or mailing address changed since you last enrolled with ITS?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3679_244'>\n\t\t\t<div class='gchoice gchoice_3679_244_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_244' type='radio' value='YES'  id='choice_3679_244_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_244_0' id='label_3679_244_0' class='gform-field-label gform-field-label--type-inline'>YES<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_244_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_244' type='radio' value='NO' checked='checked' id='choice_3679_244_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_244_1' id='label_3679_244_1' class='gform-field-label gform-field-label--type-inline'>NO<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3679_243' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_3679_243' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3679_6' class='gform_page' data-js='page-field-id-243' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3679_6' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_3679_205\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><span style=\"color: #ff00ff;\"><strong><span style=\"font-family: verdana, geneva, sans-serif;\">RESIDENTIAL ADDRESS\u00a0<\/span><\/strong><\/span>\n<hr\/><\/div><div id=\"field_3679_223\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><span style=\"color: #ff0000; font-family: tahoma, arial, helvetica, sans-serif; font-size: 12pt;\"><span style=\"color: #3366ff;\">Please provide the <strong>physical address<\/strong> of where you usually reside - street number and name, <strong>not post office box.<\/strong> Do not provide any temporary address at which you reside for training, work or other purposes. If you are from a rural area, use the address from your state or territory's rural addressing or numbering system as your residential street.<\/span>\n<\/span><\/div><fieldset id=\"field_3679_21\" class=\"gfield gfield--type-address gfield--input-type-address gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_3679_21' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_3679_21_1_container' >\n                                        <input type='text' name='input_21.1' id='input_3679_21_1' value=''    aria-required='true'    \/>\n                                        <label for='input_3679_21_1' id='input_3679_21_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_3679_21_2_container' >\n                                        <input type='text' name='input_21.2' id='input_3679_21_2' value=''     aria-required='false'   \/>\n                                        <label for='input_3679_21_2' id='input_3679_21_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_3679_21_3_container' >\n                                    <input type='text' name='input_21.3' id='input_3679_21_3' value=''    aria-required='true'    \/>\n                                    <label for='input_3679_21_3' id='input_3679_21_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_3679_21_4_container' >\n                                        <input type='text' name='input_21.4' id='input_3679_21_4' value='Victoria'      aria-required='true'    \/>\n                                        <label for='input_3679_21_4' id='input_3679_21_4_label' class='gform-field-label gform-field-label--type-sub '>State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_3679_21_5_container' >\n                                    <input type='text' name='input_21.5' id='input_3679_21_5' value=''    aria-required='true'    \/>\n                                    <label for='input_3679_21_5' id='input_3679_21_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_3679_21_6_container' >\n                                        <select name='input_21.6' id='input_3679_21_6'   aria-required='true'    ><option value='' ><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' selected='selected'>Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cape Verde' >Cape Verde<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select>\n                                        <label for='input_3679_21_6' id='input_3679_21_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_3679_235\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_3679_206\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><span style=\"color: #ff00ff;\"><strong><span style=\"font-family: verdana, geneva, sans-serif;\">MAILING ADDRESS<\/span><\/strong><\/span><\/div><fieldset id=\"field_3679_25\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Is your mailing address the same as your residential address?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3679_25'>\n\t\t\t<div class='gchoice gchoice_3679_25_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='YES' checked='checked' id='choice_3679_25_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_25_0' id='label_3679_25_0' class='gform-field-label gform-field-label--type-inline'>YES<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_25_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='NO'  id='choice_3679_25_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_25_1' id='label_3679_25_1' class='gform-field-label gform-field-label--type-inline'>NO<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3679_24\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><span style=\"color: #ff0000; font-family: tahoma, arial, helvetica, sans-serif; font-size: 12pt;\"><span style=\"color: #3366ff;\">Please enter your mailing address below.<\/span>\n<\/span><\/div><fieldset id=\"field_3679_26\" class=\"gfield gfield--type-address gfield--input-type-address field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Please enter your mailing address<\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_3679_26' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_3679_26_1_container' >\n                                        <input type='text' name='input_26.1' id='input_3679_26_1' value=''    aria-required='false'    \/>\n                                        <label for='input_3679_26_1' id='input_3679_26_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_3679_26_2_container' >\n                                        <input type='text' name='input_26.2' id='input_3679_26_2' value=''     aria-required='false'   \/>\n                                        <label for='input_3679_26_2' id='input_3679_26_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_3679_26_3_container' >\n                                    <input type='text' name='input_26.3' id='input_3679_26_3' value=''    aria-required='false'    \/>\n                                    <label for='input_3679_26_3' id='input_3679_26_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_3679_26_4_container' >\n                                        <input type='text' name='input_26.4' id='input_3679_26_4' value='Victoria'      aria-required='false'    \/>\n                                        <label for='input_3679_26_4' id='input_3679_26_4_label' class='gform-field-label gform-field-label--type-sub '>State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_3679_26_5_container' >\n                                    <input type='text' name='input_26.5' id='input_3679_26_5' value=''    aria-required='false'    \/>\n                                    <label for='input_3679_26_5' id='input_3679_26_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_3679_26_6_container' >\n                                        <select name='input_26.6' id='input_3679_26_6'   aria-required='false'    ><option value='' ><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' selected='selected'>Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cape Verde' >Cape Verde<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select>\n                                        <label for='input_3679_26_6' id='input_3679_26_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><div class='gfield_description' id='gfield_description_3679_26'><span style=\"color: #ff0000; font-family: tahoma, arial, helvetica, sans-serif; font-size: 12pt;\"><span style=\"color: #3366ff;\">NOTE: This will be the address our team will send out your Certificate should you choose to have a printed copy sent to you<\/span>\n<\/span><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3679_245' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_3679_245' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3679_7' class='gform_page' data-js='page-field-id-245' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3679_7' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_3679_247\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Have you updated the USI registry with your new name?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3679_247'>\n\t\t\t<div class='gchoice gchoice_3679_247_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_247' type='radio' value='YES' checked='checked' id='choice_3679_247_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_247_0' id='label_3679_247_0' class='gform-field-label gform-field-label--type-inline'>YES<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_247_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_247' type='radio' value='NO'  id='choice_3679_247_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_247_1' id='label_3679_247_1' class='gform-field-label gform-field-label--type-inline'>NO<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3679_248\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><span style=\"color: #ff0000; font-family: verdana, geneva, sans-serif; font-size: 12pt;\"><span style=\"color: #3366ff;\"><span style=\"color: #000000;\">Before we can issue you a Certificate of completion, you will need to contact the USI department and update your details. This can be done anything between now and when we intend to issue you with a Certifiocate. <\/span><\/span><\/span>\n<p>\n<span style=\"color: #ff0000; font-family: verdana, geneva, sans-serif; font-size: 12pt;\"><span style=\"color: #3366ff;\"><span style=\"color: #000000;\">To update your details, visit: <a href=\"https:\/\/www.usi.gov.au\/students\/manage-your-usi-account\/update-your-details\" target=\"_blank\" rel=\"noopener\">https:\/\/www.usi.gov.au\/students\/manage-your-usi-account\/update-your-details<\/a>\u00a0<\/span><\/span><\/span><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3679_246' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_3679_246' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3679_8' class='gform_page' data-js='page-field-id-246' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3679_8' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_3679_224\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><div class='gsection_description' id='gfield_description_3679_224'><h2><span style=\"font-family: tahoma, arial, helvetica, sans-serif; color: #339966;\">UNIQUE STUDENT IDENTIFIER (USI)<\/span><\/h2><\/div><\/div><div id=\"field_3679_118\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><span style=\"color: #ff0000; font-family: verdana, geneva, sans-serif; font-size: 12pt;\"><span style=\"color: #3366ff;\"><span style=\"color: #000000;\">From 1 January 2015, Intelligent Training Solutions can be prevented from issuing you with a nationally recognised VET qualification or statement of attainment when you complete your course if you do not have a Unique Student Identifier (USI). In addition, we are required to include your USI in the data we submit to NCVER. If you have not yet obtained a USI you can apply for it directly at <a href=\"https:\/\/www.usi.gov.au\/providers\/create-usi-student\" target=\"_blank\" rel=\"noopener\">https:\/\/www.usi.gov.au\/providers\/create-usi-student<\/a> on a computer or mobile device.<\/span><\/span><\/span>\n<p>\n<span style=\"font-family: verdana, geneva, sans-serif;\">Please note:\u00a0<\/span><span style=\"color: #ff0000; font-family: tahoma, arial, helvetica, sans-serif; font-size: 12pt;\"><span style=\"color: #3366ff; font-family: verdana, geneva, sans-serif;\"><span style=\"color: #000000;\">You <strong>will not<\/strong> need a USI to enrol or attend this course, only to receive a Certificate.<\/span><\/span>\n<\/span><\/div><div id=\"field_3679_117\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_117'>Do you have a Unique Student Identifier (USI)?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_117' id='input_3679_117' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Yes, if so please provide us with your USI in the field below' >Yes, if so please provide us with your USI in the field below<\/option><option value='Yes, but I don&#039;t know what my USI number is.' >Yes, but I don&#039;t know what my USI number is.<\/option><option value='No, I have never applied or been issued with a USI' >No, I have never applied or been issued with a USI<\/option><\/select><\/div><\/div><div id=\"field_3679_119\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_119'>Please enter your USI below<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_119' id='input_3679_119' type='text' value='' class='large'  aria-describedby=\"gfield_description_3679_119\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3679_119'><span style=\"color: #ff0000; font-family: tahoma, arial, helvetica, sans-serif; font-size: 12pt;\"><span style=\"color: #3366ff;\">Please note, your USI will be case sensitive and will need to match the name you provided on this enrolment form. <\/span>\n<\/span><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3679_191' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_3679_191' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3679_9' class='gform_page' data-js='page-field-id-191' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3679_9' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_3679_250\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Has your emergency contact details changed since you last enrolled with ITS?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3679_250'>\n\t\t\t<div class='gchoice gchoice_3679_250_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_250' type='radio' value='YES'  id='choice_3679_250_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_250_0' id='label_3679_250_0' class='gform-field-label gform-field-label--type-inline'>YES<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_250_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_250' type='radio' value='NO' checked='checked' id='choice_3679_250_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_250_1' id='label_3679_250_1' class='gform-field-label gform-field-label--type-inline'>NO<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3679_249' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_3679_249' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3679_10' class='gform_page' data-js='page-field-id-249' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3679_10' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_3679_27\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><div class='gsection_description' id='gfield_description_3679_27'><hr \/>\n\n<h2><span style=\"font-family: tahoma, arial, helvetica, sans-serif; color: #339966;\">SECTION D - EMERGENCY CONTACT DETAILS<\/span><\/h2><\/div><\/div><div id=\"field_3679_28\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><span style=\"color: #000000; font-family: verdana, geneva, sans-serif; font-size: 12pt;\">This course may require you to participate in classroom activities, which may or may not involve outdoor training activities. In the unlikely event of a medical emergency such as a heart attack, asthma or anaphylaxis attack, or any other major or minor emergency, we would like to know who in your family or circle of friends to contact to gather some background medical information on you. This information may be shared with the emergency services team. You are not obligated to provide us with this information; however:<\/span>\n<p>\n<span style=\"color: #ff0000;\"><strong><span style=\"font-family: verdana, geneva, sans-serif;\">PLEASE NOTE - <\/span><\/strong><\/span><span style=\"color: #ff0000;\"><strong><span style=\"font-family: verdana, geneva, sans-serif;\">If you choose not to provide us with your emergency contact details, be aware that in the event of a medical emergency, regardless of how minor, our staff are instructed to call 000 for the emergency services. Any associated costs will be at your expense.<\/span><\/strong><\/span><\/div><fieldset id=\"field_3679_226\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Would you like to provide us with your preferred emergency contact?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3679_226'>\n\t\t\t<div class='gchoice gchoice_3679_226_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_226' type='radio' value='NO' checked='checked' id='choice_3679_226_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_226_0' id='label_3679_226_0' class='gform-field-label gform-field-label--type-inline'>NO<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_226_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_226' type='radio' value='YES'  id='choice_3679_226_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_226_1' id='label_3679_226_1' class='gform-field-label gform-field-label--type-inline'>YES<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3679_207\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Emergency Contact - Full Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name has_prefix has_first_name has_middle_name has_last_name no_suffix gf_name_has_4 ginput_container_name gform-grid-row' id='input_3679_207'>\n                            <span id='input_3679_207_2_container' class='name_prefix name_prefix_select gform-grid-col gform-grid-col--size-auto' >\n                                                    <select name='input_207.2' id='input_3679_207_2'    aria-required='false'   >\n                          <option value=''><\/option><option value='Dr.' >Dr.<\/option><option value='Miss' >Miss<\/option><option value='Mr.' >Mr.<\/option><option value='Mrs.' >Mrs.<\/option><option value='Ms.' >Ms.<\/option><option value='Prof.' >Prof.<\/option><option value='Rev.' >Rev.<\/option><option value='Other' >Other<\/option>\n                      <\/select>\n                                                    <label for='input_3679_207_2' class='gform-field-label gform-field-label--type-sub '>Prefix<\/label>\n                                                  <\/span>\n                            <span id='input_3679_207_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_207.3' id='input_3679_207_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_3679_207_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            <span id='input_3679_207_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_207.4' id='input_3679_207_4' value=''   aria-required='false'     \/>\n                                                    <label for='input_3679_207_4' class='gform-field-label gform-field-label--type-sub '>Middle<\/label>\n                                                <\/span>\n                            <span id='input_3679_207_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_207.6' id='input_3679_207_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_3679_207_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_3679_32\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_32'>Telephone: Mobile<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_32' id='input_3679_32' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3679_33\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_33'>Telephone: Other<\/label><div class='ginput_container ginput_container_phone'><input name='input_33' id='input_3679_33' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3679_35\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_35'>Relationship: How this is person related to you?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_35' id='input_3679_35' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3679_192' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_3679_192' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3679_11' class='gform_page' data-js='page-field-id-192' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3679_11' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_3679_120\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><div class='gsection_description' id='gfield_description_3679_120'><hr \/>\n\n<h2><span style=\"font-family: tahoma, arial, helvetica, sans-serif; color: #339966;\">SECTION E - AVETMISS DATA COLLECTION & PRE-TRAINING REVIEW (PTR) DATA<\/span><\/h2>\n\n<span style=\"color: #ff0000; font-family: tahoma, arial, helvetica, sans-serif; font-size: 12pt;\"><span style=\"color: #3366ff;\">Intelligent Training Solutions is required to collect the following information for NCVER. For learn about the AVETMISS data collection process or the NCVER please visit the NCVER website. <\/span><\/span>\n<p>\n<span style=\"color: #ff0000; font-family: tahoma, arial, helvetica, sans-serif; font-size: 12pt;\"><span style=\"color: #3366ff;\">For those interested in a quick overview of why Registered Training Organisations such as Intelligent Training Solutions needs to collect AVETMISS data, watch the following NCVER video: <a href=\"https:\/\/www.youtube.com\/watch?v=hveBYeuGee4\" target=\"_blank\" rel=\"noopener\">https:\/\/www.youtube.com\/watch?v=hveBYeuGee4<\/a>. <\/span><\/span>\n<p>\n<span style=\"color: #ff0000; font-family: tahoma, arial, helvetica, sans-serif; font-size: 12pt;\"><span style=\"color: #3366ff;\">Please remember, you are entitled to view your own personal information held by Intelligent Training Solutions Pty Ltd at any stage by appointment. If you wish to view your records please our administration office.\n<\/span><\/span>\n<\/div><\/div><div id=\"field_3679_124\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><span style=\"color: #ff00ff;\"><strong><span style=\"font-family: verdana, geneva, sans-serif;\">RECOGNITION OF PRIOR LEARNING (RPL) OR DIRECT CREDIT TRANSFER (DCT)<\/span><\/strong><\/span><\/div><fieldset id=\"field_3679_123\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Have you enrolled in a similar course elsewhere?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3679_123'>\n\t\t\t<div class='gchoice gchoice_3679_123_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_123' type='radio' value='NO' checked='checked' id='choice_3679_123_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_123_0' id='label_3679_123_0' class='gform-field-label gform-field-label--type-inline'>NO<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_123_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_123' type='radio' value='YES'  id='choice_3679_123_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_123_1' id='label_3679_123_1' class='gform-field-label gform-field-label--type-inline'>YES<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3679_125\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_125'>If Yes, please provide us with  the name and course title of the course you completed<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_125' id='input_3679_125' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_3679_126\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Have you been employed in the area covered by this course?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3679_126'>\n\t\t\t<div class='gchoice gchoice_3679_126_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_126' type='radio' value='NO' checked='checked' id='choice_3679_126_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_126_0' id='label_3679_126_0' class='gform-field-label gform-field-label--type-inline'>NO<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_126_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_126' type='radio' value='YES'  id='choice_3679_126_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_126_1' id='label_3679_126_1' class='gform-field-label gform-field-label--type-inline'>YES<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3679_127\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_127'>If Yes, what was the industry you worked in and the Job title you held?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_127' id='input_3679_127' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3679_193' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_3679_193' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3679_12' class='gform_page' data-js='page-field-id-193' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3679_12' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_3679_128\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><span style=\"color: #ff00ff;\"><strong><span style=\"font-family: verdana, geneva, sans-serif;\">LANGUAGE AND CULTURAL DIVERSITY<\/span><\/strong><\/span><\/div><fieldset id=\"field_3679_130\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >In which country were you born?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_country ginput_container_address gform-grid-row' id='input_3679_130' >\n                        <input type='hidden' class='gform_hidden' name='input_130.4' id='input_3679_130_4' value=''\/><span class='ginput_left address_country ginput_address_country gform-grid-col' id='input_3679_130_6_container' >\n                                        <select name='input_130.6' id='input_3679_130_6'   aria-required='true'    ><option value='' ><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' selected='selected'>Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cape Verde' >Cape Verde<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select>\n                                        <label for='input_3679_130_6' id='input_3679_130_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><fieldset id=\"field_3679_131\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What was the name of the town you were born in?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_city ginput_container_address gform-grid-row' id='input_3679_131' >\n                        <span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_3679_131_3_container' >\n                                    <input type='text' name='input_131.3' id='input_3679_131_3' value=''    aria-required='true'    \/>\n                                    <label for='input_3679_131_3' id='input_3679_131_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_131.4' id='input_3679_131_4' value=''\/><input type='hidden' class='gform_hidden' name='input_131.6' id='input_3679_131_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><fieldset id=\"field_3679_132\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Do you speak a language other than English at home?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3679_132'>\n\t\t\t<div class='gchoice gchoice_3679_132_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_132' type='radio' value='NO' checked='checked' id='choice_3679_132_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_132_0' id='label_3679_132_0' class='gform-field-label gform-field-label--type-inline'>NO<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_132_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_132' type='radio' value='YES'  id='choice_3679_132_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_132_1' id='label_3679_132_1' class='gform-field-label gform-field-label--type-inline'>YES<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3679_133\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_133'>If Yes, please specify<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_133' id='input_3679_133' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_3679_181\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Are you a permanent Australian Resident?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3679_181'>\n\t\t\t<div class='gchoice gchoice_3679_181_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_181' type='radio' value='YES' checked='checked' id='choice_3679_181_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_181_0' id='label_3679_181_0' class='gform-field-label gform-field-label--type-inline'>YES<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_181_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_181' type='radio' value='NO'  id='choice_3679_181_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_181_1' id='label_3679_181_1' class='gform-field-label gform-field-label--type-inline'>NO<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3679_134\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >How well do you speak English?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3679_134'>\n\t\t\t<div class='gchoice gchoice_3679_134_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_134' type='radio' value='Very Well' checked='checked' id='choice_3679_134_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_134_0' id='label_3679_134_0' class='gform-field-label gform-field-label--type-inline'>Very Well<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_134_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_134' type='radio' value='Well'  id='choice_3679_134_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_134_1' id='label_3679_134_1' class='gform-field-label gform-field-label--type-inline'>Well<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_134_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_134' type='radio' value='Not Well'  id='choice_3679_134_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_134_2' id='label_3679_134_2' class='gform-field-label gform-field-label--type-inline'>Not Well<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_134_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_134' type='radio' value='Not at all'  id='choice_3679_134_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_134_3' id='label_3679_134_3' class='gform-field-label gform-field-label--type-inline'>Not at all<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3679_135\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Are you of an Aboriginal or Torres Strait Islander origin?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3679_135'>\n\t\t\t<div class='gchoice gchoice_3679_135_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_135' type='radio' value='Aboriginal'  id='choice_3679_135_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_135_0' id='label_3679_135_0' class='gform-field-label gform-field-label--type-inline'>Aboriginal<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_135_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_135' type='radio' value='Torres Strait Islander'  id='choice_3679_135_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_135_1' id='label_3679_135_1' class='gform-field-label gform-field-label--type-inline'>Torres Strait Islander<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_135_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_135' type='radio' value='Both'  id='choice_3679_135_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_135_2' id='label_3679_135_2' class='gform-field-label gform-field-label--type-inline'>Both<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_135_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_135' type='radio' value='Neither' checked='checked' id='choice_3679_135_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_135_3' id='label_3679_135_3' class='gform-field-label gform-field-label--type-inline'>Neither<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3679_194' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_3679_194' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3679_13' class='gform_page' data-js='page-field-id-194' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3679_13' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_3679_136\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><span style=\"color: #ff00ff;\"><strong><span style=\"font-family: verdana, geneva, sans-serif;\">DISABILITY<\/span><\/strong><\/span>\n<p>\n<span style=\"color: #ff0000; font-family: tahoma, arial, helvetica, sans-serif; font-size: 12pt;\"><span style=\"color: #3366ff;\"><a href=\"https:\/\/www.its.vic.edu.au\/disability-supplement\/\" target=\"_blank\" rel=\"noopener\">Click here<\/a> to view the Department of Education's <a href=\"https:\/\/www.its.vic.edu.au\/disability-supplement\/\" target=\"_blank\" rel=\"noopener\">Disability Type Identifier \/ Disability Supplement<\/a> Information. This information has been provided to assist you with the definitions and requirements for each of the following disabilities.\n<\/span><\/span><\/div><fieldset id=\"field_3679_138\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Do you consider yourself to have a disability, impairment or long-term condition?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3679_138'>\n\t\t\t<div class='gchoice gchoice_3679_138_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_138' type='radio' value='NO' checked='checked' id='choice_3679_138_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_138_0' id='label_3679_138_0' class='gform-field-label gform-field-label--type-inline'>NO<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_138_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_138' type='radio' value='YES'  id='choice_3679_138_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_138_1' id='label_3679_138_1' class='gform-field-label gform-field-label--type-inline'>YES<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3679_182\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><span style=\"font-family: tahoma, arial, helvetica, sans-serif; font-size: 14pt;\"><strong>NOTE: STUDENTS WITH A DISABILITY OR CHRONIC MEDICAL CONDITION<\/strong><\/span>\n\n<span style=\"font-family: tahoma, arial, helvetica, sans-serif; font-size: 14pt;\">Intelligent Training Solutions provides advice and assistance for students with accessibility and\/or medical requirements. This may include short-term conditions like a broken hand or something more permanent like a hearing or vision impairment. Each student is assessed on an individual basis for appropriate support services. Support services may include alternative assessment arrangements, special equipment or the use of assistive technology<\/span><\/div><fieldset id=\"field_3679_139\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >As you indicated &#039;Yes&#039;, please specify the nature of your condition below. Please note you may select more than one.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3679_139'><div class='gchoice gchoice_3679_139_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_139.1' type='checkbox'  value='Hearing \/ deaf'  id='choice_3679_139_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_139_1' id='label_3679_139_1' class='gform-field-label gform-field-label--type-inline'>Hearing \/ deaf<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3679_139_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_139.2' type='checkbox'  value='Physical'  id='choice_3679_139_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_139_2' id='label_3679_139_2' class='gform-field-label gform-field-label--type-inline'>Physical<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3679_139_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_139.3' type='checkbox'  value='Intellectual'  id='choice_3679_139_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_139_3' id='label_3679_139_3' class='gform-field-label gform-field-label--type-inline'>Intellectual<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3679_139_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_139.4' type='checkbox'  value='Learning'  id='choice_3679_139_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_139_4' id='label_3679_139_4' class='gform-field-label gform-field-label--type-inline'>Learning<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3679_139_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_139.5' type='checkbox'  value='Mental illness'  id='choice_3679_139_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_139_5' id='label_3679_139_5' class='gform-field-label gform-field-label--type-inline'>Mental illness<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3679_139_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_139.6' type='checkbox'  value='Acquired brain impairment'  id='choice_3679_139_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_139_6' id='label_3679_139_6' class='gform-field-label gform-field-label--type-inline'>Acquired brain impairment<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3679_139_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_139.7' type='checkbox'  value='Vision'  id='choice_3679_139_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_139_7' id='label_3679_139_7' class='gform-field-label gform-field-label--type-inline'>Vision<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3679_139_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_139.8' type='checkbox'  value='Medical Condition'  id='choice_3679_139_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_139_8' id='label_3679_139_8' class='gform-field-label gform-field-label--type-inline'>Medical Condition<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3679_139_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_139.9' type='checkbox'  value='Other'  id='choice_3679_139_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_139_9' id='label_3679_139_9' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3679_140\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_140'>If other, please specify<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_140' id='input_3679_140' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3679_141\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_141'>Do you require special assistance because of your disability?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_141' id='input_3679_141' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/div><div id=\"field_3679_142\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_142'>What can we do to support you during this course?<\/label><div class='ginput_container ginput_container_text'><input name='input_142' id='input_3679_142' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3679_195' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_3679_195' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3679_14' class='gform_page' data-js='page-field-id-195' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3679_14' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_3679_252\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Has your employment status changed since you last enrolled with ITS?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3679_252'>\n\t\t\t<div class='gchoice gchoice_3679_252_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_252' type='radio' value='YES'  id='choice_3679_252_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_252_0' id='label_3679_252_0' class='gform-field-label gform-field-label--type-inline'>YES<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_252_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_252' type='radio' value='NO' checked='checked' id='choice_3679_252_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_252_1' id='label_3679_252_1' class='gform-field-label gform-field-label--type-inline'>NO<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3679_251' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_3679_251' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3679_15' class='gform_page' data-js='page-field-id-251' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3679_15' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_3679_144\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><span style=\"color: #ff00ff;\"><strong><span style=\"font-family: verdana, geneva, sans-serif;\">EMPLOYMENT STATUS - AVETMISS & PTR REQUIREMENT<\/span><\/strong><\/span><\/div><div id=\"field_3679_145\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_145'>Of the following categories, which BEST describes your current employment status?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_145' id='input_3679_145' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Full-time employee' >Full-time employee<\/option><option value='Part-time employee' >Part-time employee<\/option><option value='Self-employed - Not employing others' >Self-employed - Not employing others<\/option><option value='Employer' >Employer<\/option><option value='Unpaid Employee - Family business' >Unpaid Employee - Family business<\/option><option value='Unemployed - seek full-time work' >Unemployed - seek full-time work<\/option><option value='Unemployed - seek part-time work' >Unemployed - seek part-time work<\/option><option value='Not employeed - not seeking work' >Not employeed - not seeking work<\/option><\/select><\/div><\/div><fieldset id=\"field_3679_183\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >If unemployed, are you registered as a Jobseeker?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3679_183'>\n\t\t\t<div class='gchoice gchoice_3679_183_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_183' type='radio' value='YES'  id='choice_3679_183_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_183_0' id='label_3679_183_0' class='gform-field-label gform-field-label--type-inline'>YES<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_183_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_183' type='radio' value='NO' checked='checked' id='choice_3679_183_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_183_1' id='label_3679_183_1' class='gform-field-label gform-field-label--type-inline'>NO<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3679_184\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_184'>Of the following categories, which BEST describes your occupation?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_184' id='input_3679_184' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Manager' >Manager<\/option><option value='Professional' >Professional<\/option><option value='Technician or Trade Worker' >Technician or Trade Worker<\/option><option value='Labourer' >Labourer<\/option><option value='Clerical &amp; Administration Worker' >Clerical &amp; Administration Worker<\/option><option value='Community &amp; Personal Services Worker' >Community &amp; Personal Services Worker<\/option><option value='Machinery Operator or Driver' >Machinery Operator or Driver<\/option><option value='Sales Worker' >Sales Worker<\/option><option value='Other' >Other<\/option><\/select><\/div><\/div><div id=\"field_3679_185\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_185'>Other? Please specify<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_185' id='input_3679_185' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3679_186\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_186'>Of the following categories, which BEST describes the industry you work in?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_186' id='input_3679_186' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Accommodation and Food Services' >Accommodation and Food Services<\/option><option value='Administrative and Support Services' >Administrative and Support Services<\/option><option value='Agriculture, Forestry and Fishing' >Agriculture, Forestry and Fishing<\/option><option value='Arts and Recreation Services' >Arts and Recreation Services<\/option><option value='Construction' >Construction<\/option><option value='Education and Training' >Education and Training<\/option><option value='Electricty, Gas, Water and Waster Services' >Electricty, Gas, Water and Waster Services<\/option><option value='Financial and Insurance Services' >Financial and Insurance Services<\/option><option value='Health Care and Social Assistance' >Health Care and Social Assistance<\/option><option value='Information Media and Telecommunications' >Information Media and Telecommunications<\/option><option value='Mining' >Mining<\/option><option value='Manufacturing' >Manufacturing<\/option><option value='Professional, Scientific andf Technical Services' >Professional, Scientific andf Technical Services<\/option><option value='Public Administration and Safety' >Public Administration and Safety<\/option><option value='Retail Trade' >Retail Trade<\/option><option value='Rental, Hiring and Real Estate Services' >Rental, Hiring and Real Estate Services<\/option><option value='Transport, Postal and Warehousing' >Transport, Postal and Warehousing<\/option><option value='Wholesale Trade' >Wholesale Trade<\/option><option value='Other' >Other<\/option><\/select><\/div><\/div><div id=\"field_3679_187\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_187'>Other? Please specify<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_187' id='input_3679_187' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3679_196' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_3679_196' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3679_16' class='gform_page' data-js='page-field-id-196' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3679_16' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_3679_146\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><span style=\"color: #ff00ff;\"><strong><span style=\"font-family: verdana, geneva, sans-serif;\">EDUCATION HISTORY - AVETMISS & PTR REQUIREMENT<\/span><\/strong><\/span>\n<\/div><div id=\"field_3679_147\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_147'>Are you still attending secondary school?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_147' id='input_3679_147' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/div><div id=\"field_3679_188\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_188'>Please provide us with your Victrorian Student Number (VSN)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_188' id='input_3679_188' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3679_148\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_148'>What is your highest COMPLETED school level?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_148' id='input_3679_148' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Year 12 or equivalent' >Year 12 or equivalent<\/option><option value='Year 11 or equivalent' >Year 11 or equivalent<\/option><option value='Year 10 or equivalent' >Year 10 or equivalent<\/option><option value='Year 9 or equivalent' >Year 9 or equivalent<\/option><option value='Year 8 or below' >Year 8 or below<\/option><option value='Never attended school' >Never attended school<\/option><\/select><\/div><\/div><div id=\"field_3679_149\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_149'>In which YEAR did you complete your highest level of schooling?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_149' id='input_3679_149' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3679_197' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_3679_197' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3679_17' class='gform_page' data-js='page-field-id-197' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3679_17' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_3679_150\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><span style=\"color: #ff00ff;\"><strong><span style=\"font-family: verdana, geneva, sans-serif;\">SPECIFIC AQTF EDUCATIONAL HISTORY - AVETMISS & PTR REQUIREMENT<\/span><\/strong><\/span>\n<\/div><div id=\"field_3679_151\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_151'>Have you ever SUCCESSFULLY completed a qualification in AUSTRALIA?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_151' id='input_3679_151' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='No' >No<\/option><option value='Yes' >Yes<\/option><\/select><\/div><\/div><fieldset id=\"field_3679_152\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Please tick ANY applicable boxes.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3679_152'><div class='gchoice gchoice_3679_152_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_152.1' type='checkbox'  value='Bachelor degree or higher degree'  id='choice_3679_152_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_152_1' id='label_3679_152_1' class='gform-field-label gform-field-label--type-inline'>Bachelor degree or higher degree<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3679_152_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_152.2' type='checkbox'  value='Advanced diploma or associate degree'  id='choice_3679_152_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_152_2' id='label_3679_152_2' class='gform-field-label gform-field-label--type-inline'>Advanced diploma or associate degree<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3679_152_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_152.3' type='checkbox'  value='Diploma (or associate diploma)'  id='choice_3679_152_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_152_3' id='label_3679_152_3' class='gform-field-label gform-field-label--type-inline'>Diploma (or associate diploma)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3679_152_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_152.4' type='checkbox'  value='Certificate IV (or advanced certificate\/technician)'  id='choice_3679_152_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_152_4' id='label_3679_152_4' class='gform-field-label gform-field-label--type-inline'>Certificate IV (or advanced certificate\/technician)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3679_152_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_152.5' type='checkbox'  value='Certificate III (or trade certificate)'  id='choice_3679_152_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_152_5' id='label_3679_152_5' class='gform-field-label gform-field-label--type-inline'>Certificate III (or trade certificate)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3679_152_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_152.6' type='checkbox'  value='Certificate II'  id='choice_3679_152_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_152_6' id='label_3679_152_6' class='gform-field-label gform-field-label--type-inline'>Certificate II<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3679_152_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_152.7' type='checkbox'  value='Miscellaneous Education'  id='choice_3679_152_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_152_7' id='label_3679_152_7' class='gform-field-label gform-field-label--type-inline'>Miscellaneous Education<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3679_153\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><span style=\"color: #ff00ff;\"><strong><span style=\"font-family: verdana, geneva, sans-serif;\">STUDY REASON - AVETMISS REQUIREMENT<\/span><\/strong><\/span><\/div><div id=\"field_3679_154\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_154'>Of the following categories, which BEST describes your main reason for undertaking this course?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_154' id='input_3679_154' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='To get a job' >To get a job<\/option><option value='To develop my existing business' >To develop my existing business<\/option><option value='To start my own business' >To start my own business<\/option><option value='To try for a different career' >To try for a different career<\/option><option value='To get a better job or promotion' >To get a better job or promotion<\/option><option value='It was a requirement of my job' >It was a requirement of my job<\/option><option value='I wanted extra skills for my job' >I wanted extra skills for my job<\/option><option value='To get into another course of study' >To get into another course of study<\/option><option value='For personal interest or self-development' >For personal interest or self-development<\/option><option value='Other reasons' >Other reasons<\/option><\/select><\/div><\/div><div id=\"field_3679_155\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_155'>If other reasons, please specify<\/label><div class='ginput_container ginput_container_text'><input name='input_155' id='input_3679_155' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3679_198' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_3679_198' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3679_18' class='gform_page' data-js='page-field-id-198' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3679_18' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_3679_75\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><div class='gsection_description' id='gfield_description_3679_75'><hr\/>\n\n<h2><span style=\"font-family: tahoma, arial, helvetica, sans-serif; color: #339966;\">SECTION F - ENROLMENT PRIVACY NOTICE & TERMS AND CONDITIONS<\/span><\/h2><\/div><\/div><div id=\"field_3679_54\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><strong><span style=\"font-family: verdana, geneva, sans-serif;\">National VET Data Policy &amp; Privacy Notice<\/span><\/strong>\n<p>\n<span style=\"font-family: verdana, geneva, sans-serif;\">In November 2017, Skills Ministers agreed to the National VET Data Policy (the Policy) which first took effect on 1 January 2018. The latest version of this policy can be downloaded from the Department of Employment and Workplace Relations website or the National Centre for Vocational Education Research Ltd (NCVER) website.<\/span>\n<p>\nLINK: <a href=\"https:\/\/www.dewr.gov.au\/national-vet-data\/resources\/national-vet-data-policy\" target=\"_blank\" rel=\"noopener\">https:\/\/www.dewr.gov.au\/national-vet-data\/resources\/national-vet-data-policy<\/a>\n<p>\nLINK: <a href=\"https:\/\/www.ncver.edu.au\/privacy\" target=\"_blank\" rel=\"noopener\"><span style=\"font-family: verdana, geneva, sans-serif;\">https:\/\/www.ncver.edu.au\/privacy<\/span><\/a>\n<p>\n<hr \/>\n<p>\n<details ><summary><span style=\"font-family: verdana, geneva, sans-serif;\"><strong>CLICK HERE IF YOU WISH TO VIEW A SUMMARY OF THE NCVER VET DATA POLICY &amp; PRIVACY NOTICE<\/strong><\/span><\/summary><em><strong><span style=\"font-family: verdana, geneva, sans-serif;\">Why does the NCVER collect your personal information?<\/span><\/strong><\/em>\n<p>\n<span style=\"font-family: verdana, geneva, sans-serif;\">As a registered training organisation (RTO), we collect your personal information on behalf of the NCVER so we can process and manage your enrolment in a vocational education and training (VET) course with us. Failure to provide your personal information to us will result in Intelligent Training Solutions being unable to provide you with a Certificate of Completion, a Statement of Attainment (SOA), and or any other nationally accredited award and may exclude you from attending our course.<\/span>\n<p>\n<span style=\"font-family: verdana, geneva, sans-serif;\"><em><strong>How we use your personal information<\/strong><\/em><\/span>\n<p>\n<span style=\"font-family: verdana, geneva, sans-serif;\">We use your personal information to enable us to deliver VET courses to you in accordance with the Standards, and otherwise, as needed, <em><strong>to comply with our obligations as an RTO.<\/strong><\/em><\/span>\n<p>\n<span style=\"font-family: verdana, geneva, sans-serif;\"><em><strong>How we disclose your personal information<\/strong><\/em><\/span>\n<p>\n<span style=\"font-family: verdana, geneva, sans-serif;\">We are required by law (under the <em>National Vocational Education and Training Regulator Act 2011<\/em> (Cth) (NVETR Act)) to disclose the personal information we collect about you to the National VET Data Collection kept by the National Centre for Vocational Education Research Ltd (NCVER). The NCVER is responsible for collecting, managing, analysing and communicating research and statistics about the Australian VET sector.<\/span>\n<p>\n<span style=\"font-family: verdana, geneva, sans-serif;\">We are also authorised by law (under the NVETR Act) to disclose your personal information to the relevant state or territory training authority.<\/span>\n<p>\n<span style=\"font-family: verdana, geneva, sans-serif;\"><em><strong>How the NCVER and other bodies handle your personal information<\/strong><\/em><\/span>\n<p>\n<span style=\"font-family: verdana, geneva, sans-serif;\">The NCVER will collect, hold, use and disclose your personal information in accordance with the law, including the <em>Privacy Act\u00a01988<\/em>\u00a0(Cth) (Privacy Act) and the NVETR Act. Your personal information may be used and disclosed by NCVER for purposes that include populating authenticated VET transcripts; administration of VET; facilitation of statistics and research relating to education, including surveys and data linkage; and understanding the VET market.<\/span>\n<p>\n<span style=\"font-family: verdana, geneva, sans-serif;\">The NCVER is authorised to disclose information to the Australian Government Department of Education, Skills and Employment (DESE), Commonwealth authorities, State and Territory authorities (other than registered training organisations) that deal with matters relating to VET and VET regulators for the purposes of those bodies, including to enable:<\/span>\n<ul>\n \t<li><span style=\"font-family: verdana, geneva, sans-serif;\">administration of VET, including program administration, regulation, monitoring and evaluation<\/span><\/li>\n \t<li><span style=\"font-family: verdana, geneva, sans-serif;\">facilitation of statistics and research relating to education, including surveys and data linkage<\/span><\/li>\n \t<li><span style=\"font-family: verdana, geneva, sans-serif;\">understanding how the VET market operates, for policy, workforce planning and consumer information.<\/span><\/li>\n<\/ul>\n<span style=\"font-family: verdana, geneva, sans-serif;\">The NCVER may also disclose personal information to persons engaged by NCVER to conduct research on NCVER\u2019s behalf.<\/span>\n<p>\n<span style=\"font-family: verdana, geneva, sans-serif;\">The NCVER does not intend to disclose your personal information to any overseas recipients.<\/span>\n<p>\n<span style=\"font-family: verdana, geneva, sans-serif;\">For more information about how the NCVER will handle your personal information please refer to the NCVER\u2019s Privacy Policy at <a href=\"http:\/\/www.ncver.edu.au\/privacy\">www.ncver.edu.au\/privacy<\/a>.<\/span>\n<p>\n<span style=\"font-family: verdana, geneva, sans-serif;\">If you would like to seek access to or correct your information, in the first instance, please contact us using the contact details listed on our website.<\/span>\n<p>\n<span style=\"font-family: verdana, geneva, sans-serif;\">DESE is authorised by law, including the Privacy Act and the NVETR Act, to collect, use and disclose your personal information to fulfil specified functions and activities. For more information about how the DESE will handle your personal information, please refer to the DESE VET Privacy Notice at <a href=\"https:\/\/www.dese.gov.au\/national-vet-data\/vet-privacy-notice\">https:\/\/www.dese.gov.au\/national-vet-data\/vet-privacy-notice<\/a>.<\/span>\n<p>\n<span style=\"font-family: verdana, geneva, sans-serif;\"><em><strong>Surveys<\/strong><\/em><\/span>\n<p>\n<span style=\"font-family: verdana, geneva, sans-serif;\">You may receive a student survey which may be run by a government department or an NCVER employee, agent, third-party contractor or another authorised agency. Please note you may opt out of the survey at the time of being contacted.<\/span>\n<p>\n<span style=\"font-family: verdana, geneva, sans-serif;\"><em><strong>Contact Information<\/strong><\/em><\/span>\n<p>\n<span style=\"font-family: verdana, geneva, sans-serif;\">At any time, you may contact Intelligent Training Solutions on 03 5415 0204 to:<\/span>\n<ul>\n \t<li><span style=\"font-family: verdana, geneva, sans-serif;\">request access to your personal information<\/span><\/li>\n \t<li><span style=\"font-family: verdana, geneva, sans-serif;\">correct your personal information<\/span><\/li>\n<\/ul>\n<span style=\"font-family: verdana, geneva, sans-serif;\">You can contact the <strong>NCVER<\/strong> on 08 8230 8400 or <a href=\"mailto:ncver@ncver.edu.au\">ncver@ncver.edu.au<\/a> to:<\/span>\n<ul>\n \t<li><span style=\"font-family: verdana, geneva, sans-serif;\">make a complaint about how your personal information has been handled<\/span><\/li>\n \t<li><span style=\"font-family: verdana, geneva, sans-serif;\">ask a question about this Privacy Notice\n<p><\/span><\/li>\n<\/ul>\n<p>\n<\/details><span style=\"color: #ff00ff; font-family: verdana, geneva, sans-serif;\">\n<hr \/>\n<p>\n<p>\n<strong>INTELLIGENT TRAINING SOLUTIONS STANDARD ENROLMENT TERMS AND CONDITIONS<\/strong><\/span>\n<p>\n<span style=\"font-family: verdana, geneva, sans-serif;\"><strong>PLEASE TAKE A MOMENT TO REVIEW OUR ENROLMENT TERMS AND CONDITIONS BY CLICKING THE LINK BELOW. <\/strong><\/span>\n<p>\n<span style=\"font-family: verdana, geneva, sans-serif;\">You can also download, view or print a copy of our terms and conditions, including our<em><strong> refund policy<\/strong><\/em>, assessment policy and <em><strong>withdrawal policy<\/strong><\/em> to name a few, by clicking the Student Administration link below:<\/span>\n<p class=\"standout\"><span style=\"font-family: verdana, geneva, sans-serif;\"><a href=\"https:\/\/www.its.vic.edu.au\/enrolment-terms\/\" target=\"_blank\" rel=\"noopener\">CLICK HERE: to view the TERMS AND CONDITIONS associated with your enrolment<\/a><\/span><\/p>\n<p class=\"standout\"><span style=\"font-family: verdana, geneva, sans-serif;\"><a href=\"https:\/\/www.its.vic.edu.au\/student-administration\/\" target=\"_blank\" rel=\"noopener\">CLICK HERE: is visit our Student Administration section<\/a><\/span><\/p>\n&nbsp;<\/div><fieldset id=\"field_3679_157\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >TERMS AND CONDITIONS<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3679_157'><div class='gchoice gchoice_3679_157_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_157.1' type='checkbox'  value='I have read and understood the above privacy notice and the terms and conditions related to my enrolment, including those terms and conditions related to government restrictions and lockdowns due to COVID-19 as found on https:\/\/www.its.vic.edu.au\/enrolment-terms\/.'  id='choice_3679_157_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_157_1' id='label_3679_157_1' class='gform-field-label gform-field-label--type-inline'>I have read and understood the above privacy notice and the terms and conditions related to my enrolment, including those terms and conditions related to government restrictions and lockdowns due to COVID-19 as found on https:\/\/www.its.vic.edu.au\/enrolment-terms\/.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3679_200' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_3679_200' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3679_19' class='gform_page' data-js='page-field-id-200' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3679_19' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_3679_158\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><div class='gsection_description' id='gfield_description_3679_158'><hr \/>\n\n<h2><span style=\"font-family: tahoma, arial, helvetica, sans-serif; color: #339966;\">SECTION G - STUDENT DECLARATION<\/span><\/h2><\/div><\/div><div id=\"field_3679_58\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><strong>PLEASE NOTE:<P>TO SUBMIT THIS ENROLMENT FORM, YOU MUST AGREE TO ALL THE TERMS AND CONDITIONS LISTED BELOW & SIGN YOUR NAME WHEN PROMPTED. <\/strong><\/div><fieldset id=\"field_3679_56\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >STUDENT DECLARATION<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox gfield_choice--select_all_enabled' id='input_3679_56'><div class='gchoice gchoice_3679_56_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.1' type='checkbox'  value='I declare that the information I have provided, to the best of my knowledge, is true and correct.'  id='choice_3679_56_1'   aria-describedby=\"gfield_description_3679_56\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_56_1' id='label_3679_56_1' class='gform-field-label gform-field-label--type-inline'>I declare that the information I have provided, to the best of my knowledge, is true and correct.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3679_56_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.2' type='checkbox'  value='I consent to the collection, use and disclosure of my personal information in accordance with the Privacy Notice listed on the previous page.'  id='choice_3679_56_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_56_2' id='label_3679_56_2' class='gform-field-label gform-field-label--type-inline'>I consent to the collection, use and disclosure of my personal information in accordance with the Privacy Notice listed on the previous page.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3679_56_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.3' type='checkbox'  value='I understand the terms and conditions of this written agreement. I acknowledge that my employer and\/or organisation will be paying for my enrolment fees and I agree to be a student of Intelligent Training Solutions Pty Ltd (RTO: 22570)'  id='choice_3679_56_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_56_3' id='label_3679_56_3' class='gform-field-label gform-field-label--type-inline'>I understand the terms and conditions of this written agreement. I acknowledge that my employer and\/or organisation will be paying for my enrolment fees and I agree to be a student of Intelligent Training Solutions Pty Ltd (RTO: 22570)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3679_56_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.4' type='checkbox'  value='I understand that should my employer\/organisation fail to pay the enrolment fees on my behalf, I will not be issued with a Certificate of Completion for this course UNLESS I CHOOSE to pay for my own individual enrolment fee myself.'  id='choice_3679_56_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_56_4' id='label_3679_56_4' class='gform-field-label gform-field-label--type-inline'>I understand that should my employer\/organisation fail to pay the enrolment fees on my behalf, I will not be issued with a Certificate of Completion for this course UNLESS I CHOOSE to pay for my own individual enrolment fee myself.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3679_56_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.5' type='checkbox'  value='I give permission for Intelligent Training Solutions to apply or search for my Unique Student Identifier on my behalf if I do not provide one myself within this Enrolment Form and I understand that by providing my USI to Intelligent Training Solutions I give permission for Intelligent Training Solutions to view the course records contained in my USI account.'  id='choice_3679_56_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_56_5' id='label_3679_56_5' class='gform-field-label gform-field-label--type-inline'>I give permission for Intelligent Training Solutions to apply or search for my Unique Student Identifier on my behalf if I do not provide one myself within this Enrolment Form and I understand that by providing my USI to Intelligent Training Solutions I give permission for Intelligent Training Solutions to view the course records contained in my USI account.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3679_56_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.6' type='checkbox'  value='I understand that I can view my own records held by Intelligent Training Solutions by contacting the administration office.'  id='choice_3679_56_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_56_6' id='label_3679_56_6' class='gform-field-label gform-field-label--type-inline'>I understand that I can view my own records held by Intelligent Training Solutions by contacting the administration office.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3679_56_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.7' type='checkbox'  value='I understand that my employer\/organisation has asked me to enrol into this course and that my employer\/organisation believes that this training course is suitable for my personal and\/or career purposes. I consider that, based on my educational attainment, capabilities, aspirations and interests, this training is appropriate for me.'  id='choice_3679_56_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_56_7' id='label_3679_56_7' class='gform-field-label gform-field-label--type-inline'>I understand that my employer\/organisation has asked me to enrol into this course and that my employer\/organisation believes that this training course is suitable for my personal and\/or career purposes. I consider that, based on my educational attainment, capabilities, aspirations and interests, this training is appropriate for me.<\/label>\n\t\t\t\t\t\t\t<\/div><div class=\"gfield-choice-toggle-all\"><button type=\"button\" id=\"button_56_select_all\" class=\"gfield_choice_all_toggle gform-theme-button--size-sm\" onclick=\"gformToggleCheckboxes( this )\" data-checked=\"0\" data-label-select=\"Select All\" data-label-deselect=\"Deselect All\">Select All<\/button><\/div><\/div><\/div><div class='gfield_description' id='gfield_description_3679_56'>You must tick all the boxes above to be presented with the 'SUBMIT YOUR ENROLMENT' button. <P>If you have any concerns about our terms and conditions, please contact our office on 03 5415 0204 during business hours<\/div><\/fieldset><div id=\"field_3679_57\" class=\"gfield gfield--type-signature gfield--input-type-signature gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_57'>STUDENT SIGNATURE<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><input type='hidden' value='' name='input_57' id='input_3679_57_signature_filename'\/><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_3679_57_Container' class='gfield_signature_container ginput_container' style='height:180px; width:500px; ' ><canvas id='input_3679_57' width='500' height='180' style='border-style: Dashed; border-width: 3px; border-color: #DDDDDD; background-color:#FFFFFF; cursor: url(https:\/\/enrolments.its.edu.au\/wp-content\/plugins\/gravityformssignature\/assets\/img\/pen.cur), pointer;'><\/canvas><\/div><div id='input_3679_57_toolbar' style='margin:5px 0;position:relative;height:20px;width:500px;max-width:100%;'><img id = 'input_3679_57_resetbutton' src='data:image\/png;base64,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' style='cursor:pointer;float:right;height:24px;width:24px;border:0px solid transparent' alt='Clear Signature' \/ ><\/div><input type='hidden' id='input_3679_57_data' name='input_3679_57_data' value=''><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3679_253' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_3679_253' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3679_20' class='gform_page' data-js='page-field-id-253' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3679_20' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_3679_67\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><div class='gsection_description' id='gfield_description_3679_67'><hr \/>\n\n<h2><span style=\"font-family: tahoma, arial, helvetica, sans-serif; color: #339966;\">BEFORE YOU GO - CHECK OUT THESE FIRST AID RELATED PRODUCTS YOU MAY BE INTERESTED IN! - NOT PAID BY YOUR EMPLOYER<\/span><\/h2><\/div><\/div><div id=\"field_3679_180\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><span style=\"color: #3366ff;\"><strong><span style=\"font-family: tahoma, arial, helvetica, sans-serif;\">PLEASE NOTE: The following services, products and course options are optional and are not required as part of your enrolment. They serve as optional extras designed to assist you with your career.<\/span> <\/strong><\/span><\/div><div id=\"field_3679_228\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-half gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-8277 size-medium\" src=\"https:\/\/enrolments.its.edu.au\/wp-content\/uploads\/2024\/09\/WorkSafe-Compliant-Workplace-First-Aid-Kit.png\" alt=\"\" width=\"300\" height=\"168\" \/><\/div><fieldset id=\"field_3679_212\" class=\"gfield gfield--type-option gfield--type-choice gfield--input-type-checkbox gfield--width-half gfield_price gfield_price_3679_112 gfield_option_3679_112 field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Workplace \/ Home - First Aid Kit - $139.00 + Postage<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3679_212'><div class='gchoice gchoice_3679_212_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_212.1' type='checkbox'  value='Add Workplace \/ Home First Aid Kit|139'  id='choice_3679_212_1'   aria-describedby=\"gfield_description_3679_212\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_212_1' id='label_3679_212_1' class='gform-field-label gform-field-label--type-inline'>Add Workplace \/ Home First Aid Kit<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3679_212_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_212.2' type='checkbox'  value='Post it to me! (Australia Wide)|14'  id='choice_3679_212_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_212_2' id='label_3679_212_2' class='gform-field-label gform-field-label--type-inline'>Post it to me! (Australia Wide)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3679_212_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_212.3' type='checkbox'  value='FREE Pickup (At my course | @ Reservoir or Riddells Creek)|0'  id='choice_3679_212_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_212_3' id='label_3679_212_3' class='gform-field-label gform-field-label--type-inline'>FREE Pickup (At my course | @ Reservoir or Riddells Creek)<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_3679_212'>Tick off every item on your first aid kit checklist with this Workplace \/ Home First Aid kit. Suitable for home and compliant for workplaces, this kit contains all the components you need to deal with a First Aid emergency.\n<p>\n<strong><span style=\"color: #0000ff;\">NOTE: This kit is Nationally compliant with Safe Work Australia's Health and Safety Code of Practice and is therefore approved for use within a workplace.\u00a0<\/span><\/strong>\n<p>\n<span style=\"color: #339966;\">For more information on this kit or to see a full list of the items included, visit: <a style=\"color: #339966;\" href=\"https:\/\/store.its.edu.au\/store-2\/workplace-first-aid-kit\/\" target=\"_blank\" rel=\"noopener\">I.T.S ONLINE STORE\u00a0<\/a><\/span><\/div><\/fieldset><div id=\"field_3679_229\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-half gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-8267 size-medium\" src=\"http:\/\/enrolments.its.edu.au\/wp-content\/uploads\/2025\/08\/Low-Voltage-Rescue-Kit.png\" alt=\"\" width=\"300\" height=\"208\" \/><\/div><fieldset id=\"field_3679_213\" class=\"gfield gfield--type-option gfield--type-choice gfield--input-type-checkbox gfield--width-half gfield_price gfield_price_3679_112 gfield_option_3679_112 field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Low Voltage Rescue Kit - $318.00<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3679_213'><div class='gchoice gchoice_3679_213_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_213.1' type='checkbox'  value='Add Low Voltage Rescue Kit|318'  id='choice_3679_213_1'   aria-describedby=\"gfield_description_3679_213\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_213_1' id='label_3679_213_1' class='gform-field-label gform-field-label--type-inline'>Add Low Voltage Rescue Kit<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_3679_213'>The Low Voltage Safety kit is crucial for electricians working with live equipment.\n\nIt includes a heavy-duty waterproof bag with reflective writing for easy identification in low-light situations\n\nThe kit features Australian-made size 11 insulating gloves that meet AS2225 standards. Our purpose built rescue hook has been tested up to 15kv. The kit is built to comply with state energy providers\u2019 requirements and AS4836 regulations.\n\nAustralian Made Insulating Gloves (1000v)\n\nAustralian Made Rescue Hook (Tested to 15kv)\n\nComplies with state energy providers\u2019 requirements and AS4836<\/div><\/fieldset><div id=\"field_3679_179\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><div class='gsection_description' id='gfield_description_3679_179'><h2><span style=\"font-family: tahoma, arial, helvetica, sans-serif; color: #339966;\">WHICH EDFL FOOTBALL CLUB ARE YOU ASSOCIATED<\/span><\/h2><\/div><\/div><div id=\"field_3679_255\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_255'>Club Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_255' id='input_3679_255' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3679_254\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Section Break<\/h3><\/div><\/div><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><input type='submit' id='gform_previous_button_3679' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' 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data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_3679' style='display:none'><div id='gf_3679' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_3679' id='gform_3679'  action='\/index.php?rest_route=%2Fwp%2Fv2%2Fposts%2F27006#gf_3679' data-formid='3679' novalidate>\n        <div id='gf_progressbar_wrapper_3679' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<p class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>20<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_5' style='width:5%;'><span>5%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_3679_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_3679' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_3679_111\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h1 style=\"text-align: center;\"><strong><span style=\"font-family: verdana, geneva, sans-serif; color: #4571b0;\">Enrolment Form\n<\/span><\/strong><\/h1>\n<p style=\"text-align: center;\"><span style=\"color: #3366ff;\"><strong><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14px;\">EMAIL: <a href=\"mailto:ENROLMENT@ITS.EDU.AU\">ENROLMENT@ITS.EDU.AU<\/a> | CALL: 1300 585 866 | WEB: <a href=\"http:\/\/www.its.vic.edu.au\/\" target=\"_blank\" rel=\"noopener\">WWW.ITS.EDU.AU<\/a><\/span><\/strong><\/span><\/p><\/div><div id=\"field_3679_13\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><div class='gsection_description' id='gfield_description_3679_13'><hr \/>\n\n<h2><span style=\"font-family: tahoma, arial, helvetica, sans-serif; color: #339966;\">SECTION A - COURSE ENROLMENT CONFIRMATION<\/span><\/h2><\/div><\/div><div id=\"field_3679_112\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield_price gfield_price_3679_112 gfield_product_3679_112 gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_3679_112_1'>HLTAID011 Provide First Aid (Includes HLTAID009 Provide CPR)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_3679_112'><span style=\"font-family: tahoma, arial, helvetica, sans-serif; color: #339966;\">PLEASE NOTE: This enrolment form is for one person only. If you wish to add additional people to this course you will need to complete this enrolment form for each person.<\/span><\/div><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_112.1' value='HLTAID011 Provide First Aid (Includes HLTAID009 Provide CPR)' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_3679_112' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<label for='ginput_base_price_3679_112' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_112.2' id='ginput_base_price_3679_112' value='$ 0.00' aria-label='HLTAID011 Provide First Aid (Includes HLTAID009 Provide CPR) Price' aria-describedby=\"gfield_description_3679_112\" \/>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_112.3' value='1' class='ginput_quantity_3679_112 gform_hidden' \/>\n\t\t\t\t<\/div><\/div><div id=\"field_3679_60\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><div class='gsection_description' id='gfield_description_3679_60'><hr \/>\n\n<h2><span style=\"font-family: tahoma, arial, helvetica, sans-serif; color: #339966;\">SECTION B - PREVIOUS APPLICATIONS AND\/OR ENROLMENTS<\/span><\/h2><\/div><\/div><div id=\"field_3679_1\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_1'>Have you previously been enrolled with Intelligent Training Solutions?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_1' id='input_3679_1' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='NO' selected='selected'>NO<\/option><option value='YES' >YES<\/option><\/select><\/div><\/div><div id=\"field_3679_2\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_2'>If Yes, please state your I.T.S Student ID number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_3679_2' type='text' value='' class='medium' maxlength='10' aria-describedby=\"gfield_description_3679_2\"  placeholder='ITSXXXXXXX' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3679_2'><span style=\"font-family: verdana, geneva, sans-serif; font-size: 12pt;\">Example: ITS000123X <strong><span style=\"color: #ff0000;\">(10 characters)<\/span><\/strong> - Your student number must start with 'ITS' and contain the correct amount of characters<\/span>\n<p>\n<p>\n<span style=\"color: #ff0000;\"><strong><span style=\"font-family: verdana, geneva, sans-serif; font-size: 12pt;\">NOTE: By entering a valid student number, the number of questions we need to ask on this form will be reduced.\u00a0<\/span><\/strong><\/span><\/div><\/div><fieldset id=\"field_3679_234\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Has any of your personal information changed since your last enrolment with Intelligent Training Solutions?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3679_234'>\n\t\t\t<div class='gchoice gchoice_3679_234_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_234' type='radio' value='NO' checked='checked' id='choice_3679_234_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_3679_234\"   \/>\n\t\t\t\t\t<label for='choice_3679_234_0' id='label_3679_234_0' class='gform-field-label gform-field-label--type-inline'>NO<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_234_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_234' type='radio' value='YES'  id='choice_3679_234_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_234_1' id='label_3679_234_1' class='gform-field-label gform-field-label--type-inline'>YES<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_3679_234'><span style=\"font-family: verdana, geneva, sans-serif; font-size: 12pt; color: #ff0000;\">WARNING! By selecting NO, You are confirming that you have previously been enrolled with Intelligent Training Solutions or AITAC Pty Ltd AND that the information you previously provided on your enrolment has not changed. In the event that we have missing information, you will be contacted by our administration team.<\/span><\/div><\/fieldset><div id=\"field_3679_3\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_3'>Has your name changed since your last enrolment with us?<\/label><div class='ginput_container ginput_container_select'><select name='input_3' id='input_3679_3' class='medium gfield_select'  aria-describedby=\"gfield_description_3679_3\"   aria-invalid=\"false\" ><option value='NO' >NO<\/option><option value='YES' >YES<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_3679_3'>If <strong>Yes<\/strong>, you <strong>must<\/strong> provide documentary evidence (Marriage Certificate etc...)<\/div><\/div><div id=\"field_3679_4\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_4'>If Yes, please enter your previous name<\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_3679_4' type='text' value='' class='medium'  aria-describedby=\"gfield_description_3679_4\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3679_4'>Please enter your previous FULL legal name<\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_3679_202' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3679_2' class='gform_page' data-js='page-field-id-202' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3679_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_3679_12\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><div class='gsection_description' id='gfield_description_3679_12'><h2><span style=\"font-family: tahoma, arial, helvetica, sans-serif; color: #339966;\">SECTION C - PERSONAL DETAILS<\/span><\/h2><\/div><\/div><fieldset id=\"field_3679_217\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Single Name Only<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3679_217'><div class='gchoice gchoice_3679_217_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_217.1' type='checkbox'  value='Tick this box if you have one name only that cannot be written in the traditional format (example, Name, Middle Name, Surname)'  id='choice_3679_217_1'   aria-describedby=\"gfield_description_3679_217\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_217_1' id='label_3679_217_1' class='gform-field-label gform-field-label--type-inline'>Tick this box if you have one name only that cannot be written in the traditional format (example, Name, Middle Name, Surname)<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_3679_217'>*Please provide us with the name that you used when you applied for your Unique Student Identifier (USI), including any middle names.<\/div><\/fieldset><div id=\"field_3679_218\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_218'>Title<\/label><div class='ginput_container ginput_container_select'><select name='input_218' id='input_3679_218' class='large gfield_select'     aria-invalid=\"false\" ><option value='Mr' >Mr<\/option><option value='Mrs' >Mrs<\/option><option value='Ms' >Ms<\/option><option value='Miss' >Miss<\/option><option value='Dr' >Dr<\/option><option value='Other' >Other<\/option><\/select><\/div><\/div><div id=\"field_3679_219\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_219'>First Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_219' id='input_3679_219' type='text' value='' class='large'  aria-describedby=\"gfield_description_3679_219\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3679_219'>Enter your first <strong>legal<\/strong> given name<\/div><\/div><div id=\"field_3679_220\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_220'>Middle Name<\/label><div class='ginput_container ginput_container_text'><input name='input_220' id='input_3679_220' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3679_221\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_221'>Family Name (Surname)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_221' id='input_3679_221' type='text' value='' class='large'  aria-describedby=\"gfield_description_3679_221\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3679_221'>Enter your <strong>legal family<\/strong> name (surname)<\/div><\/div><div id=\"field_3679_11\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_11'>Date of birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_11' id='input_3679_11' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon'   placeholder='dd\/mm\/yyyy' aria-describedby=\"input_3679_11_date_format gfield_description_3679_11\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_3679_11_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_3679_11' class='gform_hidden' value='https:\/\/enrolments.its.edu.au\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><div class='gfield_description' id='gfield_description_3679_11'>Select your date of birth using the calendar to avoid formatting errors.\n<p>\nYou must be at least 14 years old to enrol in a VET (Accredited) course.<\/div><\/div><div id=\"field_3679_113\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_113'>What is your gender?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_113' id='input_3679_113' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Prefer not to say' >Prefer not to say<\/option><option value='Male' >Male<\/option><option value='Female' >Female<\/option><option value='Nonbinary' >Nonbinary<\/option><\/select><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3679_240' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_3679_240' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3679_3' class='gform_page' data-js='page-field-id-240' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3679_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_3679_242\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Have your contact details changed since you last enrolled with ITS?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3679_242'>\n\t\t\t<div class='gchoice gchoice_3679_242_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_242' type='radio' value='YES'  id='choice_3679_242_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_242_0' id='label_3679_242_0' class='gform-field-label gform-field-label--type-inline'>YES<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_242_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_242' type='radio' value='NO' checked='checked' id='choice_3679_242_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_242_1' id='label_3679_242_1' class='gform-field-label gform-field-label--type-inline'>NO<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3679_241' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_3679_241' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3679_4' class='gform_page' data-js='page-field-id-241' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3679_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_3679_14\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><span style=\"color: #ff00ff;\"><strong><span style=\"font-family: verdana, geneva, sans-serif;\">CONTACT DETAILS<\/span><\/strong><\/span>\n<hr\/><\/div><div id=\"field_3679_17\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><span style=\"color: #ff0000;\"><span style=\"color: #3366ff;\">If possible, provide us with your home (landline) and mobile number. <p>\nAs this course requires the coordination of yourself and our trainers, it may become important for our team to contact you should the need arise.<\/span>\n<\/span><\/div><div id=\"field_3679_19\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_19'>Telephone: Mobile<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_19' id='input_3679_19' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3679_18\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_18'>Telephone: Home<\/label><div class='ginput_container ginput_container_phone'><input name='input_18' id='input_3679_18' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3679_222\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_222'>Telephone: Work<\/label><div class='ginput_container ginput_container_phone'><input name='input_222' id='input_3679_222' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_3679_20\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Your preferred email address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_3679_20_container'>\n                                <span id='input_3679_20_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_20' id='input_3679_20' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_3679_20' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                <\/span>\n                                <span id='input_3679_20_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_20_2' id='input_3679_20_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_3679_20_2' class='gform-field-label gform-field-label--type-sub '>Confirm Email<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><fieldset id=\"field_3679_116\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >What is your citizenship status? - Please tick one<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3679_116'>\n\t\t\t<div class='gchoice gchoice_3679_116_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_116' type='radio' value='Australian Citizen'  id='choice_3679_116_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_116_0' id='label_3679_116_0' class='gform-field-label gform-field-label--type-inline'>Australian Citizen<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_116_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_116' type='radio' value='New Zealand Citizen'  id='choice_3679_116_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_116_1' id='label_3679_116_1' class='gform-field-label gform-field-label--type-inline'>New Zealand Citizen<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_116_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_116' type='radio' value='Overseas Resident'  id='choice_3679_116_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_116_2' id='label_3679_116_2' class='gform-field-label gform-field-label--type-inline'>Overseas Resident<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_116_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_116' type='radio' value='Permanent Humanitarian Visa'  id='choice_3679_116_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_116_3' id='label_3679_116_3' class='gform-field-label gform-field-label--type-inline'>Permanent Humanitarian Visa<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_116_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_116' type='radio' value='Permanent Non-Humanitarian Visa'  id='choice_3679_116_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_116_4' id='label_3679_116_4' class='gform-field-label gform-field-label--type-inline'>Permanent Non-Humanitarian Visa<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_116_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_116' type='radio' value='Permanent Visa Holder'  id='choice_3679_116_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_116_5' id='label_3679_116_5' class='gform-field-label gform-field-label--type-inline'>Permanent Visa Holder<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_116_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_116' type='radio' value='gf_other_choice'  id='choice_3679_116_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_116_6' id='label_3679_116_6' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_3679_116_other' class='gchoice_other_control' name='input_116_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3679_236' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_3679_236' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3679_5' class='gform_page' data-js='page-field-id-236' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3679_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_3679_244\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Has your residential or mailing address changed since you last enrolled with ITS?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3679_244'>\n\t\t\t<div class='gchoice gchoice_3679_244_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_244' type='radio' value='YES'  id='choice_3679_244_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_244_0' id='label_3679_244_0' class='gform-field-label gform-field-label--type-inline'>YES<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_244_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_244' type='radio' value='NO' checked='checked' id='choice_3679_244_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_244_1' id='label_3679_244_1' class='gform-field-label gform-field-label--type-inline'>NO<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3679_243' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_3679_243' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3679_6' class='gform_page' data-js='page-field-id-243' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3679_6' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_3679_205\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><span style=\"color: #ff00ff;\"><strong><span style=\"font-family: verdana, geneva, sans-serif;\">RESIDENTIAL ADDRESS\u00a0<\/span><\/strong><\/span>\n<hr\/><\/div><div id=\"field_3679_223\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><span style=\"color: #ff0000; font-family: tahoma, arial, helvetica, sans-serif; font-size: 12pt;\"><span style=\"color: #3366ff;\">Please provide the <strong>physical address<\/strong> of where you usually reside - street number and name, <strong>not post office box.<\/strong> Do not provide any temporary address at which you reside for training, work or other purposes. If you are from a rural area, use the address from your state or territory's rural addressing or numbering system as your residential street.<\/span>\n<\/span><\/div><fieldset id=\"field_3679_21\" class=\"gfield gfield--type-address gfield--input-type-address gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_3679_21' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_3679_21_1_container' >\n                                        <input type='text' name='input_21.1' id='input_3679_21_1' value=''    aria-required='true'    \/>\n                                        <label for='input_3679_21_1' id='input_3679_21_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_3679_21_2_container' >\n                                        <input type='text' name='input_21.2' id='input_3679_21_2' value=''     aria-required='false'   \/>\n                                        <label for='input_3679_21_2' id='input_3679_21_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_3679_21_3_container' >\n                                    <input type='text' name='input_21.3' id='input_3679_21_3' value=''    aria-required='true'    \/>\n                                    <label for='input_3679_21_3' id='input_3679_21_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_3679_21_4_container' >\n                                        <input type='text' name='input_21.4' id='input_3679_21_4' value='Victoria'      aria-required='true'    \/>\n                                        <label for='input_3679_21_4' id='input_3679_21_4_label' class='gform-field-label gform-field-label--type-sub '>State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_3679_21_5_container' >\n                                    <input type='text' name='input_21.5' id='input_3679_21_5' value=''    aria-required='true'    \/>\n                                    <label for='input_3679_21_5' id='input_3679_21_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_3679_21_6_container' >\n                                        <select name='input_21.6' id='input_3679_21_6'   aria-required='true'    ><option value='' ><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' selected='selected'>Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cape Verde' >Cape Verde<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select>\n                                        <label for='input_3679_21_6' id='input_3679_21_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_3679_235\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_3679_206\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><span style=\"color: #ff00ff;\"><strong><span style=\"font-family: verdana, geneva, sans-serif;\">MAILING ADDRESS<\/span><\/strong><\/span><\/div><fieldset id=\"field_3679_25\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Is your mailing address the same as your residential address?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3679_25'>\n\t\t\t<div class='gchoice gchoice_3679_25_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='YES' checked='checked' id='choice_3679_25_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_25_0' id='label_3679_25_0' class='gform-field-label gform-field-label--type-inline'>YES<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_25_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='NO'  id='choice_3679_25_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_25_1' id='label_3679_25_1' class='gform-field-label gform-field-label--type-inline'>NO<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3679_24\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><span style=\"color: #ff0000; font-family: tahoma, arial, helvetica, sans-serif; font-size: 12pt;\"><span style=\"color: #3366ff;\">Please enter your mailing address below.<\/span>\n<\/span><\/div><fieldset id=\"field_3679_26\" class=\"gfield gfield--type-address gfield--input-type-address field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Please enter your mailing address<\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_3679_26' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_3679_26_1_container' >\n                                        <input type='text' name='input_26.1' id='input_3679_26_1' value=''    aria-required='false'    \/>\n                                        <label for='input_3679_26_1' id='input_3679_26_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_3679_26_2_container' >\n                                        <input type='text' name='input_26.2' id='input_3679_26_2' value=''     aria-required='false'   \/>\n                                        <label for='input_3679_26_2' id='input_3679_26_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_3679_26_3_container' >\n                                    <input type='text' name='input_26.3' id='input_3679_26_3' value=''    aria-required='false'    \/>\n                                    <label for='input_3679_26_3' id='input_3679_26_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_3679_26_4_container' >\n                                        <input type='text' name='input_26.4' id='input_3679_26_4' value='Victoria'      aria-required='false'    \/>\n                                        <label for='input_3679_26_4' id='input_3679_26_4_label' class='gform-field-label gform-field-label--type-sub '>State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_3679_26_5_container' >\n                                    <input type='text' name='input_26.5' id='input_3679_26_5' value=''    aria-required='false'    \/>\n                                    <label for='input_3679_26_5' id='input_3679_26_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_3679_26_6_container' >\n                                        <select name='input_26.6' id='input_3679_26_6'   aria-required='false'    ><option value='' ><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' selected='selected'>Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cape Verde' >Cape Verde<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select>\n                                        <label for='input_3679_26_6' id='input_3679_26_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><div class='gfield_description' id='gfield_description_3679_26'><span style=\"color: #ff0000; font-family: tahoma, arial, helvetica, sans-serif; font-size: 12pt;\"><span style=\"color: #3366ff;\">NOTE: This will be the address our team will send out your Certificate should you choose to have a printed copy sent to you<\/span>\n<\/span><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3679_245' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_3679_245' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3679_7' class='gform_page' data-js='page-field-id-245' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3679_7' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_3679_247\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Have you updated the USI registry with your new name?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3679_247'>\n\t\t\t<div class='gchoice gchoice_3679_247_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_247' type='radio' value='YES' checked='checked' id='choice_3679_247_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_247_0' id='label_3679_247_0' class='gform-field-label gform-field-label--type-inline'>YES<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_247_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_247' type='radio' value='NO'  id='choice_3679_247_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_247_1' id='label_3679_247_1' class='gform-field-label gform-field-label--type-inline'>NO<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3679_248\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><span style=\"color: #ff0000; font-family: verdana, geneva, sans-serif; font-size: 12pt;\"><span style=\"color: #3366ff;\"><span style=\"color: #000000;\">Before we can issue you a Certificate of completion, you will need to contact the USI department and update your details. This can be done anything between now and when we intend to issue you with a Certifiocate. <\/span><\/span><\/span>\n<p>\n<span style=\"color: #ff0000; font-family: verdana, geneva, sans-serif; font-size: 12pt;\"><span style=\"color: #3366ff;\"><span style=\"color: #000000;\">To update your details, visit: <a href=\"https:\/\/www.usi.gov.au\/students\/manage-your-usi-account\/update-your-details\" target=\"_blank\" rel=\"noopener\">https:\/\/www.usi.gov.au\/students\/manage-your-usi-account\/update-your-details<\/a>\u00a0<\/span><\/span><\/span><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3679_246' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_3679_246' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3679_8' class='gform_page' data-js='page-field-id-246' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3679_8' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_3679_224\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><div class='gsection_description' id='gfield_description_3679_224'><h2><span style=\"font-family: tahoma, arial, helvetica, sans-serif; color: #339966;\">UNIQUE STUDENT IDENTIFIER (USI)<\/span><\/h2><\/div><\/div><div id=\"field_3679_118\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><span style=\"color: #ff0000; font-family: verdana, geneva, sans-serif; font-size: 12pt;\"><span style=\"color: #3366ff;\"><span style=\"color: #000000;\">From 1 January 2015, Intelligent Training Solutions can be prevented from issuing you with a nationally recognised VET qualification or statement of attainment when you complete your course if you do not have a Unique Student Identifier (USI). In addition, we are required to include your USI in the data we submit to NCVER. If you have not yet obtained a USI you can apply for it directly at <a href=\"https:\/\/www.usi.gov.au\/providers\/create-usi-student\" target=\"_blank\" rel=\"noopener\">https:\/\/www.usi.gov.au\/providers\/create-usi-student<\/a> on a computer or mobile device.<\/span><\/span><\/span>\n<p>\n<span style=\"font-family: verdana, geneva, sans-serif;\">Please note:\u00a0<\/span><span style=\"color: #ff0000; font-family: tahoma, arial, helvetica, sans-serif; font-size: 12pt;\"><span style=\"color: #3366ff; font-family: verdana, geneva, sans-serif;\"><span style=\"color: #000000;\">You <strong>will not<\/strong> need a USI to enrol or attend this course, only to receive a Certificate.<\/span><\/span>\n<\/span><\/div><div id=\"field_3679_117\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_117'>Do you have a Unique Student Identifier (USI)?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_117' id='input_3679_117' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Yes, if so please provide us with your USI in the field below' >Yes, if so please provide us with your USI in the field below<\/option><option value='Yes, but I don&#039;t know what my USI number is.' >Yes, but I don&#039;t know what my USI number is.<\/option><option value='No, I have never applied or been issued with a USI' >No, I have never applied or been issued with a USI<\/option><\/select><\/div><\/div><div id=\"field_3679_119\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_119'>Please enter your USI below<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_119' id='input_3679_119' type='text' value='' class='large'  aria-describedby=\"gfield_description_3679_119\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3679_119'><span style=\"color: #ff0000; font-family: tahoma, arial, helvetica, sans-serif; font-size: 12pt;\"><span style=\"color: #3366ff;\">Please note, your USI will be case sensitive and will need to match the name you provided on this enrolment form. <\/span>\n<\/span><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3679_191' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_3679_191' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3679_9' class='gform_page' data-js='page-field-id-191' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3679_9' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_3679_250\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Has your emergency contact details changed since you last enrolled with ITS?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3679_250'>\n\t\t\t<div class='gchoice gchoice_3679_250_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_250' type='radio' value='YES'  id='choice_3679_250_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_250_0' id='label_3679_250_0' class='gform-field-label gform-field-label--type-inline'>YES<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_250_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_250' type='radio' value='NO' checked='checked' id='choice_3679_250_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_250_1' id='label_3679_250_1' class='gform-field-label gform-field-label--type-inline'>NO<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3679_249' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_3679_249' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3679_10' class='gform_page' data-js='page-field-id-249' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3679_10' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_3679_27\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><div class='gsection_description' id='gfield_description_3679_27'><hr \/>\n\n<h2><span style=\"font-family: tahoma, arial, helvetica, sans-serif; color: #339966;\">SECTION D - EMERGENCY CONTACT DETAILS<\/span><\/h2><\/div><\/div><div id=\"field_3679_28\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><span style=\"color: #000000; font-family: verdana, geneva, sans-serif; font-size: 12pt;\">This course may require you to participate in classroom activities, which may or may not involve outdoor training activities. In the unlikely event of a medical emergency such as a heart attack, asthma or anaphylaxis attack, or any other major or minor emergency, we would like to know who in your family or circle of friends to contact to gather some background medical information on you. This information may be shared with the emergency services team. You are not obligated to provide us with this information; however:<\/span>\n<p>\n<span style=\"color: #ff0000;\"><strong><span style=\"font-family: verdana, geneva, sans-serif;\">PLEASE NOTE - <\/span><\/strong><\/span><span style=\"color: #ff0000;\"><strong><span style=\"font-family: verdana, geneva, sans-serif;\">If you choose not to provide us with your emergency contact details, be aware that in the event of a medical emergency, regardless of how minor, our staff are instructed to call 000 for the emergency services. Any associated costs will be at your expense.<\/span><\/strong><\/span><\/div><fieldset id=\"field_3679_226\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Would you like to provide us with your preferred emergency contact?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3679_226'>\n\t\t\t<div class='gchoice gchoice_3679_226_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_226' type='radio' value='NO' checked='checked' id='choice_3679_226_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_226_0' id='label_3679_226_0' class='gform-field-label gform-field-label--type-inline'>NO<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_226_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_226' type='radio' value='YES'  id='choice_3679_226_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_226_1' id='label_3679_226_1' class='gform-field-label gform-field-label--type-inline'>YES<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3679_207\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Emergency Contact - Full Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name has_prefix has_first_name has_middle_name has_last_name no_suffix gf_name_has_4 ginput_container_name gform-grid-row' id='input_3679_207'>\n                            <span id='input_3679_207_2_container' class='name_prefix name_prefix_select gform-grid-col gform-grid-col--size-auto' >\n                                                    <select name='input_207.2' id='input_3679_207_2'    aria-required='false'   >\n                          <option value=''><\/option><option value='Dr.' >Dr.<\/option><option value='Miss' >Miss<\/option><option value='Mr.' >Mr.<\/option><option value='Mrs.' >Mrs.<\/option><option value='Ms.' >Ms.<\/option><option value='Prof.' >Prof.<\/option><option value='Rev.' >Rev.<\/option><option value='Other' >Other<\/option>\n                      <\/select>\n                                                    <label for='input_3679_207_2' class='gform-field-label gform-field-label--type-sub '>Prefix<\/label>\n                                                  <\/span>\n                            <span id='input_3679_207_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_207.3' id='input_3679_207_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_3679_207_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            <span id='input_3679_207_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_207.4' id='input_3679_207_4' value=''   aria-required='false'     \/>\n                                                    <label for='input_3679_207_4' class='gform-field-label gform-field-label--type-sub '>Middle<\/label>\n                                                <\/span>\n                            <span id='input_3679_207_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_207.6' id='input_3679_207_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_3679_207_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_3679_32\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_32'>Telephone: Mobile<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_32' id='input_3679_32' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3679_33\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_33'>Telephone: Other<\/label><div class='ginput_container ginput_container_phone'><input name='input_33' id='input_3679_33' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3679_35\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_35'>Relationship: How this is person related to you?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_35' id='input_3679_35' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3679_192' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_3679_192' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3679_11' class='gform_page' data-js='page-field-id-192' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3679_11' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_3679_120\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><div class='gsection_description' id='gfield_description_3679_120'><hr \/>\n\n<h2><span style=\"font-family: tahoma, arial, helvetica, sans-serif; color: #339966;\">SECTION E - AVETMISS DATA COLLECTION & PRE-TRAINING REVIEW (PTR) DATA<\/span><\/h2>\n\n<span style=\"color: #ff0000; font-family: tahoma, arial, helvetica, sans-serif; font-size: 12pt;\"><span style=\"color: #3366ff;\">Intelligent Training Solutions is required to collect the following information for NCVER. For learn about the AVETMISS data collection process or the NCVER please visit the NCVER website. <\/span><\/span>\n<p>\n<span style=\"color: #ff0000; font-family: tahoma, arial, helvetica, sans-serif; font-size: 12pt;\"><span style=\"color: #3366ff;\">For those interested in a quick overview of why Registered Training Organisations such as Intelligent Training Solutions needs to collect AVETMISS data, watch the following NCVER video: <a href=\"https:\/\/www.youtube.com\/watch?v=hveBYeuGee4\" target=\"_blank\" rel=\"noopener\">https:\/\/www.youtube.com\/watch?v=hveBYeuGee4<\/a>. <\/span><\/span>\n<p>\n<span style=\"color: #ff0000; font-family: tahoma, arial, helvetica, sans-serif; font-size: 12pt;\"><span style=\"color: #3366ff;\">Please remember, you are entitled to view your own personal information held by Intelligent Training Solutions Pty Ltd at any stage by appointment. If you wish to view your records please our administration office.\n<\/span><\/span>\n<\/div><\/div><div id=\"field_3679_124\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><span style=\"color: #ff00ff;\"><strong><span style=\"font-family: verdana, geneva, sans-serif;\">RECOGNITION OF PRIOR LEARNING (RPL) OR DIRECT CREDIT TRANSFER (DCT)<\/span><\/strong><\/span><\/div><fieldset id=\"field_3679_123\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Have you enrolled in a similar course elsewhere?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3679_123'>\n\t\t\t<div class='gchoice gchoice_3679_123_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_123' type='radio' value='NO' checked='checked' id='choice_3679_123_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_123_0' id='label_3679_123_0' class='gform-field-label gform-field-label--type-inline'>NO<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_123_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_123' type='radio' value='YES'  id='choice_3679_123_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_123_1' id='label_3679_123_1' class='gform-field-label gform-field-label--type-inline'>YES<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3679_125\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_125'>If Yes, please provide us with  the name and course title of the course you completed<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_125' id='input_3679_125' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_3679_126\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Have you been employed in the area covered by this course?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3679_126'>\n\t\t\t<div class='gchoice gchoice_3679_126_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_126' type='radio' value='NO' checked='checked' id='choice_3679_126_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_126_0' id='label_3679_126_0' class='gform-field-label gform-field-label--type-inline'>NO<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_126_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_126' type='radio' value='YES'  id='choice_3679_126_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_126_1' id='label_3679_126_1' class='gform-field-label gform-field-label--type-inline'>YES<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3679_127\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_127'>If Yes, what was the industry you worked in and the Job title you held?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_127' id='input_3679_127' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3679_193' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_3679_193' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3679_12' class='gform_page' data-js='page-field-id-193' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3679_12' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_3679_128\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><span style=\"color: #ff00ff;\"><strong><span style=\"font-family: verdana, geneva, sans-serif;\">LANGUAGE AND CULTURAL DIVERSITY<\/span><\/strong><\/span><\/div><fieldset id=\"field_3679_130\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >In which country were you born?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_country ginput_container_address gform-grid-row' id='input_3679_130' >\n                        <input type='hidden' class='gform_hidden' name='input_130.4' id='input_3679_130_4' value=''\/><span class='ginput_left address_country ginput_address_country gform-grid-col' id='input_3679_130_6_container' >\n                                        <select name='input_130.6' id='input_3679_130_6'   aria-required='true'    ><option value='' ><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' selected='selected'>Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cape Verde' >Cape Verde<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select>\n                                        <label for='input_3679_130_6' id='input_3679_130_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><fieldset id=\"field_3679_131\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What was the name of the town you were born in?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_city ginput_container_address gform-grid-row' id='input_3679_131' >\n                        <span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_3679_131_3_container' >\n                                    <input type='text' name='input_131.3' id='input_3679_131_3' value=''    aria-required='true'    \/>\n                                    <label for='input_3679_131_3' id='input_3679_131_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_131.4' id='input_3679_131_4' value=''\/><input type='hidden' class='gform_hidden' name='input_131.6' id='input_3679_131_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><fieldset id=\"field_3679_132\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Do you speak a language other than English at home?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3679_132'>\n\t\t\t<div class='gchoice gchoice_3679_132_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_132' type='radio' value='NO' checked='checked' id='choice_3679_132_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_132_0' id='label_3679_132_0' class='gform-field-label gform-field-label--type-inline'>NO<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_132_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_132' type='radio' value='YES'  id='choice_3679_132_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_132_1' id='label_3679_132_1' class='gform-field-label gform-field-label--type-inline'>YES<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3679_133\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_133'>If Yes, please specify<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_133' id='input_3679_133' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_3679_181\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Are you a permanent Australian Resident?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3679_181'>\n\t\t\t<div class='gchoice gchoice_3679_181_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_181' type='radio' value='YES' checked='checked' id='choice_3679_181_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_181_0' id='label_3679_181_0' class='gform-field-label gform-field-label--type-inline'>YES<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_181_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_181' type='radio' value='NO'  id='choice_3679_181_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_181_1' id='label_3679_181_1' class='gform-field-label gform-field-label--type-inline'>NO<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3679_134\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >How well do you speak English?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3679_134'>\n\t\t\t<div class='gchoice gchoice_3679_134_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_134' type='radio' value='Very Well' checked='checked' id='choice_3679_134_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_134_0' id='label_3679_134_0' class='gform-field-label gform-field-label--type-inline'>Very Well<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_134_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_134' type='radio' value='Well'  id='choice_3679_134_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_134_1' id='label_3679_134_1' class='gform-field-label gform-field-label--type-inline'>Well<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_134_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_134' type='radio' value='Not Well'  id='choice_3679_134_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_134_2' id='label_3679_134_2' class='gform-field-label gform-field-label--type-inline'>Not Well<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_134_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_134' type='radio' value='Not at all'  id='choice_3679_134_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_134_3' id='label_3679_134_3' class='gform-field-label gform-field-label--type-inline'>Not at all<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3679_135\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Are you of an Aboriginal or Torres Strait Islander origin?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3679_135'>\n\t\t\t<div class='gchoice gchoice_3679_135_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_135' type='radio' value='Aboriginal'  id='choice_3679_135_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_135_0' id='label_3679_135_0' class='gform-field-label gform-field-label--type-inline'>Aboriginal<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_135_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_135' type='radio' value='Torres Strait Islander'  id='choice_3679_135_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_135_1' id='label_3679_135_1' class='gform-field-label gform-field-label--type-inline'>Torres Strait Islander<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_135_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_135' type='radio' value='Both'  id='choice_3679_135_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_135_2' id='label_3679_135_2' class='gform-field-label gform-field-label--type-inline'>Both<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_135_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_135' type='radio' value='Neither' checked='checked' id='choice_3679_135_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_135_3' id='label_3679_135_3' class='gform-field-label gform-field-label--type-inline'>Neither<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3679_194' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_3679_194' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3679_13' class='gform_page' data-js='page-field-id-194' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3679_13' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_3679_136\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><span style=\"color: #ff00ff;\"><strong><span style=\"font-family: verdana, geneva, sans-serif;\">DISABILITY<\/span><\/strong><\/span>\n<p>\n<span style=\"color: #ff0000; font-family: tahoma, arial, helvetica, sans-serif; font-size: 12pt;\"><span style=\"color: #3366ff;\"><a href=\"https:\/\/www.its.vic.edu.au\/disability-supplement\/\" target=\"_blank\" rel=\"noopener\">Click here<\/a> to view the Department of Education's <a href=\"https:\/\/www.its.vic.edu.au\/disability-supplement\/\" target=\"_blank\" rel=\"noopener\">Disability Type Identifier \/ Disability Supplement<\/a> Information. This information has been provided to assist you with the definitions and requirements for each of the following disabilities.\n<\/span><\/span><\/div><fieldset id=\"field_3679_138\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Do you consider yourself to have a disability, impairment or long-term condition?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3679_138'>\n\t\t\t<div class='gchoice gchoice_3679_138_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_138' type='radio' value='NO' checked='checked' id='choice_3679_138_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_138_0' id='label_3679_138_0' class='gform-field-label gform-field-label--type-inline'>NO<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_138_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_138' type='radio' value='YES'  id='choice_3679_138_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_138_1' id='label_3679_138_1' class='gform-field-label gform-field-label--type-inline'>YES<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3679_182\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><span style=\"font-family: tahoma, arial, helvetica, sans-serif; font-size: 14pt;\"><strong>NOTE: STUDENTS WITH A DISABILITY OR CHRONIC MEDICAL CONDITION<\/strong><\/span>\n\n<span style=\"font-family: tahoma, arial, helvetica, sans-serif; font-size: 14pt;\">Intelligent Training Solutions provides advice and assistance for students with accessibility and\/or medical requirements. This may include short-term conditions like a broken hand or something more permanent like a hearing or vision impairment. Each student is assessed on an individual basis for appropriate support services. Support services may include alternative assessment arrangements, special equipment or the use of assistive technology<\/span><\/div><fieldset id=\"field_3679_139\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >As you indicated &#039;Yes&#039;, please specify the nature of your condition below. Please note you may select more than one.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3679_139'><div class='gchoice gchoice_3679_139_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_139.1' type='checkbox'  value='Hearing \/ deaf'  id='choice_3679_139_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_139_1' id='label_3679_139_1' class='gform-field-label gform-field-label--type-inline'>Hearing \/ deaf<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3679_139_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_139.2' type='checkbox'  value='Physical'  id='choice_3679_139_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_139_2' id='label_3679_139_2' class='gform-field-label gform-field-label--type-inline'>Physical<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3679_139_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_139.3' type='checkbox'  value='Intellectual'  id='choice_3679_139_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_139_3' id='label_3679_139_3' class='gform-field-label gform-field-label--type-inline'>Intellectual<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3679_139_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_139.4' type='checkbox'  value='Learning'  id='choice_3679_139_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_139_4' id='label_3679_139_4' class='gform-field-label gform-field-label--type-inline'>Learning<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3679_139_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_139.5' type='checkbox'  value='Mental illness'  id='choice_3679_139_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_139_5' id='label_3679_139_5' class='gform-field-label gform-field-label--type-inline'>Mental illness<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3679_139_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_139.6' type='checkbox'  value='Acquired brain impairment'  id='choice_3679_139_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_139_6' id='label_3679_139_6' class='gform-field-label gform-field-label--type-inline'>Acquired brain impairment<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3679_139_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_139.7' type='checkbox'  value='Vision'  id='choice_3679_139_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_139_7' id='label_3679_139_7' class='gform-field-label gform-field-label--type-inline'>Vision<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3679_139_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_139.8' type='checkbox'  value='Medical Condition'  id='choice_3679_139_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_139_8' id='label_3679_139_8' class='gform-field-label gform-field-label--type-inline'>Medical Condition<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3679_139_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_139.9' type='checkbox'  value='Other'  id='choice_3679_139_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_139_9' id='label_3679_139_9' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3679_140\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_140'>If other, please specify<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_140' id='input_3679_140' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3679_141\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_141'>Do you require special assistance because of your disability?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_141' id='input_3679_141' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/div><div id=\"field_3679_142\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_142'>What can we do to support you during this course?<\/label><div class='ginput_container ginput_container_text'><input name='input_142' id='input_3679_142' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3679_195' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_3679_195' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3679_14' class='gform_page' data-js='page-field-id-195' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3679_14' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_3679_252\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Has your employment status changed since you last enrolled with ITS?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3679_252'>\n\t\t\t<div class='gchoice gchoice_3679_252_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_252' type='radio' value='YES'  id='choice_3679_252_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_252_0' id='label_3679_252_0' class='gform-field-label gform-field-label--type-inline'>YES<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_252_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_252' type='radio' value='NO' checked='checked' id='choice_3679_252_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_252_1' id='label_3679_252_1' class='gform-field-label gform-field-label--type-inline'>NO<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3679_251' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_3679_251' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3679_15' class='gform_page' data-js='page-field-id-251' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3679_15' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_3679_144\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><span style=\"color: #ff00ff;\"><strong><span style=\"font-family: verdana, geneva, sans-serif;\">EMPLOYMENT STATUS - AVETMISS & PTR REQUIREMENT<\/span><\/strong><\/span><\/div><div id=\"field_3679_145\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_145'>Of the following categories, which BEST describes your current employment status?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_145' id='input_3679_145' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Full-time employee' >Full-time employee<\/option><option value='Part-time employee' >Part-time employee<\/option><option value='Self-employed - Not employing others' >Self-employed - Not employing others<\/option><option value='Employer' >Employer<\/option><option value='Unpaid Employee - Family business' >Unpaid Employee - Family business<\/option><option value='Unemployed - seek full-time work' >Unemployed - seek full-time work<\/option><option value='Unemployed - seek part-time work' >Unemployed - seek part-time work<\/option><option value='Not employeed - not seeking work' >Not employeed - not seeking work<\/option><\/select><\/div><\/div><fieldset id=\"field_3679_183\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >If unemployed, are you registered as a Jobseeker?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3679_183'>\n\t\t\t<div class='gchoice gchoice_3679_183_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_183' type='radio' value='YES'  id='choice_3679_183_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_183_0' id='label_3679_183_0' class='gform-field-label gform-field-label--type-inline'>YES<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3679_183_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_183' type='radio' value='NO' checked='checked' id='choice_3679_183_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3679_183_1' id='label_3679_183_1' class='gform-field-label gform-field-label--type-inline'>NO<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3679_184\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_184'>Of the following categories, which BEST describes your occupation?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_184' id='input_3679_184' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Manager' >Manager<\/option><option value='Professional' >Professional<\/option><option value='Technician or Trade Worker' >Technician or Trade Worker<\/option><option value='Labourer' >Labourer<\/option><option value='Clerical &amp; Administration Worker' >Clerical &amp; Administration Worker<\/option><option value='Community &amp; Personal Services Worker' >Community &amp; Personal Services Worker<\/option><option value='Machinery Operator or Driver' >Machinery Operator or Driver<\/option><option value='Sales Worker' >Sales Worker<\/option><option value='Other' >Other<\/option><\/select><\/div><\/div><div id=\"field_3679_185\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_185'>Other? Please specify<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_185' id='input_3679_185' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3679_186\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_186'>Of the following categories, which BEST describes the industry you work in?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_186' id='input_3679_186' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Accommodation and Food Services' >Accommodation and Food Services<\/option><option value='Administrative and Support Services' >Administrative and Support Services<\/option><option value='Agriculture, Forestry and Fishing' >Agriculture, Forestry and Fishing<\/option><option value='Arts and Recreation Services' >Arts and Recreation Services<\/option><option value='Construction' >Construction<\/option><option value='Education and Training' >Education and Training<\/option><option value='Electricty, Gas, Water and Waster Services' >Electricty, Gas, Water and Waster Services<\/option><option value='Financial and Insurance Services' >Financial and Insurance Services<\/option><option value='Health Care and Social Assistance' >Health Care and Social Assistance<\/option><option value='Information Media and Telecommunications' >Information Media and Telecommunications<\/option><option value='Mining' >Mining<\/option><option value='Manufacturing' >Manufacturing<\/option><option value='Professional, Scientific andf Technical Services' >Professional, Scientific andf Technical Services<\/option><option value='Public Administration and Safety' >Public Administration and Safety<\/option><option value='Retail Trade' >Retail Trade<\/option><option value='Rental, Hiring and Real Estate Services' >Rental, Hiring and Real Estate Services<\/option><option value='Transport, Postal and Warehousing' >Transport, Postal and Warehousing<\/option><option value='Wholesale Trade' >Wholesale Trade<\/option><option value='Other' >Other<\/option><\/select><\/div><\/div><div id=\"field_3679_187\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_187'>Other? Please specify<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_187' id='input_3679_187' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3679_196' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_3679_196' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3679_16' class='gform_page' data-js='page-field-id-196' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3679_16' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_3679_146\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><span style=\"color: #ff00ff;\"><strong><span style=\"font-family: verdana, geneva, sans-serif;\">EDUCATION HISTORY - AVETMISS & PTR REQUIREMENT<\/span><\/strong><\/span>\n<\/div><div id=\"field_3679_147\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_147'>Are you still attending secondary school?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_147' id='input_3679_147' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/div><div id=\"field_3679_188\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_188'>Please provide us with your Victrorian Student Number (VSN)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_188' id='input_3679_188' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3679_148\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_148'>What is your highest COMPLETED school level?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_148' id='input_3679_148' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Year 12 or equivalent' >Year 12 or equivalent<\/option><option value='Year 11 or equivalent' >Year 11 or equivalent<\/option><option value='Year 10 or equivalent' >Year 10 or equivalent<\/option><option value='Year 9 or equivalent' >Year 9 or equivalent<\/option><option value='Year 8 or below' >Year 8 or below<\/option><option value='Never attended school' >Never attended school<\/option><\/select><\/div><\/div><div id=\"field_3679_149\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_149'>In which YEAR did you complete your highest level of schooling?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_149' id='input_3679_149' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3679_197' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_3679_197' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3679_17' class='gform_page' data-js='page-field-id-197' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3679_17' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_3679_150\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><span style=\"color: #ff00ff;\"><strong><span style=\"font-family: verdana, geneva, sans-serif;\">SPECIFIC AQTF EDUCATIONAL HISTORY - AVETMISS & PTR REQUIREMENT<\/span><\/strong><\/span>\n<\/div><div id=\"field_3679_151\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_151'>Have you ever SUCCESSFULLY completed a qualification in AUSTRALIA?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_151' id='input_3679_151' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='No' >No<\/option><option value='Yes' >Yes<\/option><\/select><\/div><\/div><fieldset id=\"field_3679_152\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Please tick ANY applicable boxes.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3679_152'><div class='gchoice gchoice_3679_152_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_152.1' type='checkbox'  value='Bachelor degree or higher degree'  id='choice_3679_152_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_152_1' id='label_3679_152_1' class='gform-field-label gform-field-label--type-inline'>Bachelor degree or higher degree<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3679_152_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_152.2' type='checkbox'  value='Advanced diploma or associate degree'  id='choice_3679_152_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_152_2' id='label_3679_152_2' class='gform-field-label gform-field-label--type-inline'>Advanced diploma or associate degree<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3679_152_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_152.3' type='checkbox'  value='Diploma (or associate diploma)'  id='choice_3679_152_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_152_3' id='label_3679_152_3' class='gform-field-label gform-field-label--type-inline'>Diploma (or associate diploma)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3679_152_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_152.4' type='checkbox'  value='Certificate IV (or advanced certificate\/technician)'  id='choice_3679_152_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_152_4' id='label_3679_152_4' class='gform-field-label gform-field-label--type-inline'>Certificate IV (or advanced certificate\/technician)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3679_152_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_152.5' type='checkbox'  value='Certificate III (or trade certificate)'  id='choice_3679_152_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_152_5' id='label_3679_152_5' class='gform-field-label gform-field-label--type-inline'>Certificate III (or trade certificate)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3679_152_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_152.6' type='checkbox'  value='Certificate II'  id='choice_3679_152_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_152_6' id='label_3679_152_6' class='gform-field-label gform-field-label--type-inline'>Certificate II<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3679_152_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_152.7' type='checkbox'  value='Miscellaneous Education'  id='choice_3679_152_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_152_7' id='label_3679_152_7' class='gform-field-label gform-field-label--type-inline'>Miscellaneous Education<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3679_153\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><span style=\"color: #ff00ff;\"><strong><span style=\"font-family: verdana, geneva, sans-serif;\">STUDY REASON - AVETMISS REQUIREMENT<\/span><\/strong><\/span><\/div><div id=\"field_3679_154\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_154'>Of the following categories, which BEST describes your main reason for undertaking this course?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_154' id='input_3679_154' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='To get a job' >To get a job<\/option><option value='To develop my existing business' >To develop my existing business<\/option><option value='To start my own business' >To start my own business<\/option><option value='To try for a different career' >To try for a different career<\/option><option value='To get a better job or promotion' >To get a better job or promotion<\/option><option value='It was a requirement of my job' >It was a requirement of my job<\/option><option value='I wanted extra skills for my job' >I wanted extra skills for my job<\/option><option value='To get into another course of study' >To get into another course of study<\/option><option value='For personal interest or self-development' >For personal interest or self-development<\/option><option value='Other reasons' >Other reasons<\/option><\/select><\/div><\/div><div id=\"field_3679_155\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_155'>If other reasons, please specify<\/label><div class='ginput_container ginput_container_text'><input name='input_155' id='input_3679_155' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3679_198' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_3679_198' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3679_18' class='gform_page' data-js='page-field-id-198' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3679_18' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_3679_75\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><div class='gsection_description' id='gfield_description_3679_75'><hr\/>\n\n<h2><span style=\"font-family: tahoma, arial, helvetica, sans-serif; color: #339966;\">SECTION F - ENROLMENT PRIVACY NOTICE & TERMS AND CONDITIONS<\/span><\/h2><\/div><\/div><div id=\"field_3679_54\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><strong><span style=\"font-family: verdana, geneva, sans-serif;\">National VET Data Policy &amp; Privacy Notice<\/span><\/strong>\n<p>\n<span style=\"font-family: verdana, geneva, sans-serif;\">In November 2017, Skills Ministers agreed to the National VET Data Policy (the Policy) which first took effect on 1 January 2018. The latest version of this policy can be downloaded from the Department of Employment and Workplace Relations website or the National Centre for Vocational Education Research Ltd (NCVER) website.<\/span>\n<p>\nLINK: <a href=\"https:\/\/www.dewr.gov.au\/national-vet-data\/resources\/national-vet-data-policy\" target=\"_blank\" rel=\"noopener\">https:\/\/www.dewr.gov.au\/national-vet-data\/resources\/national-vet-data-policy<\/a>\n<p>\nLINK: <a href=\"https:\/\/www.ncver.edu.au\/privacy\" target=\"_blank\" rel=\"noopener\"><span style=\"font-family: verdana, geneva, sans-serif;\">https:\/\/www.ncver.edu.au\/privacy<\/span><\/a>\n<p>\n<hr \/>\n<p>\n<details ><summary><span style=\"font-family: verdana, geneva, sans-serif;\"><strong>CLICK HERE IF YOU WISH TO VIEW A SUMMARY OF THE NCVER VET DATA POLICY &amp; PRIVACY NOTICE<\/strong><\/span><\/summary><em><strong><span style=\"font-family: verdana, geneva, sans-serif;\">Why does the NCVER collect your personal information?<\/span><\/strong><\/em>\n<p>\n<span style=\"font-family: verdana, geneva, sans-serif;\">As a registered training organisation (RTO), we collect your personal information on behalf of the NCVER so we can process and manage your enrolment in a vocational education and training (VET) course with us. Failure to provide your personal information to us will result in Intelligent Training Solutions being unable to provide you with a Certificate of Completion, a Statement of Attainment (SOA), and or any other nationally accredited award and may exclude you from attending our course.<\/span>\n<p>\n<span style=\"font-family: verdana, geneva, sans-serif;\"><em><strong>How we use your personal information<\/strong><\/em><\/span>\n<p>\n<span style=\"font-family: verdana, geneva, sans-serif;\">We use your personal information to enable us to deliver VET courses to you in accordance with the Standards, and otherwise, as needed, <em><strong>to comply with our obligations as an RTO.<\/strong><\/em><\/span>\n<p>\n<span style=\"font-family: verdana, geneva, sans-serif;\"><em><strong>How we disclose your personal information<\/strong><\/em><\/span>\n<p>\n<span style=\"font-family: verdana, geneva, sans-serif;\">We are required by law (under the <em>National Vocational Education and Training Regulator Act 2011<\/em> (Cth) (NVETR Act)) to disclose the personal information we collect about you to the National VET Data Collection kept by the National Centre for Vocational Education Research Ltd (NCVER). The NCVER is responsible for collecting, managing, analysing and communicating research and statistics about the Australian VET sector.<\/span>\n<p>\n<span style=\"font-family: verdana, geneva, sans-serif;\">We are also authorised by law (under the NVETR Act) to disclose your personal information to the relevant state or territory training authority.<\/span>\n<p>\n<span style=\"font-family: verdana, geneva, sans-serif;\"><em><strong>How the NCVER and other bodies handle your personal information<\/strong><\/em><\/span>\n<p>\n<span style=\"font-family: verdana, geneva, sans-serif;\">The NCVER will collect, hold, use and disclose your personal information in accordance with the law, including the <em>Privacy Act\u00a01988<\/em>\u00a0(Cth) (Privacy Act) and the NVETR Act. Your personal information may be used and disclosed by NCVER for purposes that include populating authenticated VET transcripts; administration of VET; facilitation of statistics and research relating to education, including surveys and data linkage; and understanding the VET market.<\/span>\n<p>\n<span style=\"font-family: verdana, geneva, sans-serif;\">The NCVER is authorised to disclose information to the Australian Government Department of Education, Skills and Employment (DESE), Commonwealth authorities, State and Territory authorities (other than registered training organisations) that deal with matters relating to VET and VET regulators for the purposes of those bodies, including to enable:<\/span>\n<ul>\n \t<li><span style=\"font-family: verdana, geneva, sans-serif;\">administration of VET, including program administration, regulation, monitoring and evaluation<\/span><\/li>\n \t<li><span style=\"font-family: verdana, geneva, sans-serif;\">facilitation of statistics and research relating to education, including surveys and data linkage<\/span><\/li>\n \t<li><span style=\"font-family: verdana, geneva, sans-serif;\">understanding how the VET market operates, for policy, workforce planning and consumer information.<\/span><\/li>\n<\/ul>\n<span style=\"font-family: verdana, geneva, sans-serif;\">The NCVER may also disclose personal information to persons engaged by NCVER to conduct research on NCVER\u2019s behalf.<\/span>\n<p>\n<span style=\"font-family: verdana, geneva, sans-serif;\">The NCVER does not intend to disclose your personal information to any overseas recipients.<\/span>\n<p>\n<span style=\"font-family: verdana, geneva, sans-serif;\">For more information about how the NCVER will handle your personal information please refer to the NCVER\u2019s Privacy Policy at <a href=\"http:\/\/www.ncver.edu.au\/privacy\">www.ncver.edu.au\/privacy<\/a>.<\/span>\n<p>\n<span style=\"font-family: verdana, geneva, sans-serif;\">If you would like to seek access to or correct your information, in the first instance, please contact us using the contact details listed on our website.<\/span>\n<p>\n<span style=\"font-family: verdana, geneva, sans-serif;\">DESE is authorised by law, including the Privacy Act and the NVETR Act, to collect, use and disclose your personal information to fulfil specified functions and activities. For more information about how the DESE will handle your personal information, please refer to the DESE VET Privacy Notice at <a href=\"https:\/\/www.dese.gov.au\/national-vet-data\/vet-privacy-notice\">https:\/\/www.dese.gov.au\/national-vet-data\/vet-privacy-notice<\/a>.<\/span>\n<p>\n<span style=\"font-family: verdana, geneva, sans-serif;\"><em><strong>Surveys<\/strong><\/em><\/span>\n<p>\n<span style=\"font-family: verdana, geneva, sans-serif;\">You may receive a student survey which may be run by a government department or an NCVER employee, agent, third-party contractor or another authorised agency. Please note you may opt out of the survey at the time of being contacted.<\/span>\n<p>\n<span style=\"font-family: verdana, geneva, sans-serif;\"><em><strong>Contact Information<\/strong><\/em><\/span>\n<p>\n<span style=\"font-family: verdana, geneva, sans-serif;\">At any time, you may contact Intelligent Training Solutions on 03 5415 0204 to:<\/span>\n<ul>\n \t<li><span style=\"font-family: verdana, geneva, sans-serif;\">request access to your personal information<\/span><\/li>\n \t<li><span style=\"font-family: verdana, geneva, sans-serif;\">correct your personal information<\/span><\/li>\n<\/ul>\n<span style=\"font-family: verdana, geneva, sans-serif;\">You can contact the <strong>NCVER<\/strong> on 08 8230 8400 or <a href=\"mailto:ncver@ncver.edu.au\">ncver@ncver.edu.au<\/a> to:<\/span>\n<ul>\n \t<li><span style=\"font-family: verdana, geneva, sans-serif;\">make a complaint about how your personal information has been handled<\/span><\/li>\n \t<li><span style=\"font-family: verdana, geneva, sans-serif;\">ask a question about this Privacy Notice\n<p><\/span><\/li>\n<\/ul>\n<p>\n<\/details><span style=\"color: #ff00ff; font-family: verdana, geneva, sans-serif;\">\n<hr \/>\n<p>\n<p>\n<strong>INTELLIGENT TRAINING SOLUTIONS STANDARD ENROLMENT TERMS AND CONDITIONS<\/strong><\/span>\n<p>\n<span style=\"font-family: verdana, geneva, sans-serif;\"><strong>PLEASE TAKE A MOMENT TO REVIEW OUR ENROLMENT TERMS AND CONDITIONS BY CLICKING THE LINK BELOW. <\/strong><\/span>\n<p>\n<span style=\"font-family: verdana, geneva, sans-serif;\">You can also download, view or print a copy of our terms and conditions, including our<em><strong> refund policy<\/strong><\/em>, assessment policy and <em><strong>withdrawal policy<\/strong><\/em> to name a few, by clicking the Student Administration link below:<\/span>\n<p class=\"standout\"><span style=\"font-family: verdana, geneva, sans-serif;\"><a href=\"https:\/\/www.its.vic.edu.au\/enrolment-terms\/\" target=\"_blank\" rel=\"noopener\">CLICK HERE: to view the TERMS AND CONDITIONS associated with your enrolment<\/a><\/span><\/p>\n<p class=\"standout\"><span style=\"font-family: verdana, geneva, sans-serif;\"><a href=\"https:\/\/www.its.vic.edu.au\/student-administration\/\" target=\"_blank\" rel=\"noopener\">CLICK HERE: is visit our Student Administration section<\/a><\/span><\/p>\n&nbsp;<\/div><fieldset id=\"field_3679_157\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >TERMS AND CONDITIONS<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3679_157'><div class='gchoice gchoice_3679_157_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_157.1' type='checkbox'  value='I have read and understood the above privacy notice and the terms and conditions related to my enrolment, including those terms and conditions related to government restrictions and lockdowns due to COVID-19 as found on https:\/\/www.its.vic.edu.au\/enrolment-terms\/.'  id='choice_3679_157_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_157_1' id='label_3679_157_1' class='gform-field-label gform-field-label--type-inline'>I have read and understood the above privacy notice and the terms and conditions related to my enrolment, including those terms and conditions related to government restrictions and lockdowns due to COVID-19 as found on https:\/\/www.its.vic.edu.au\/enrolment-terms\/.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3679_200' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_3679_200' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3679_19' class='gform_page' data-js='page-field-id-200' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3679_19' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_3679_158\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><div class='gsection_description' id='gfield_description_3679_158'><hr \/>\n\n<h2><span style=\"font-family: tahoma, arial, helvetica, sans-serif; color: #339966;\">SECTION G - STUDENT DECLARATION<\/span><\/h2><\/div><\/div><div id=\"field_3679_58\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><strong>PLEASE NOTE:<P>TO SUBMIT THIS ENROLMENT FORM, YOU MUST AGREE TO ALL THE TERMS AND CONDITIONS LISTED BELOW & SIGN YOUR NAME WHEN PROMPTED. <\/strong><\/div><fieldset id=\"field_3679_56\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >STUDENT DECLARATION<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox gfield_choice--select_all_enabled' id='input_3679_56'><div class='gchoice gchoice_3679_56_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.1' type='checkbox'  value='I declare that the information I have provided, to the best of my knowledge, is true and correct.'  id='choice_3679_56_1'   aria-describedby=\"gfield_description_3679_56\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_56_1' id='label_3679_56_1' class='gform-field-label gform-field-label--type-inline'>I declare that the information I have provided, to the best of my knowledge, is true and correct.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3679_56_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.2' type='checkbox'  value='I consent to the collection, use and disclosure of my personal information in accordance with the Privacy Notice listed on the previous page.'  id='choice_3679_56_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_56_2' id='label_3679_56_2' class='gform-field-label gform-field-label--type-inline'>I consent to the collection, use and disclosure of my personal information in accordance with the Privacy Notice listed on the previous page.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3679_56_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.3' type='checkbox'  value='I understand the terms and conditions of this written agreement. I acknowledge that my employer and\/or organisation will be paying for my enrolment fees and I agree to be a student of Intelligent Training Solutions Pty Ltd (RTO: 22570)'  id='choice_3679_56_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_56_3' id='label_3679_56_3' class='gform-field-label gform-field-label--type-inline'>I understand the terms and conditions of this written agreement. I acknowledge that my employer and\/or organisation will be paying for my enrolment fees and I agree to be a student of Intelligent Training Solutions Pty Ltd (RTO: 22570)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3679_56_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.4' type='checkbox'  value='I understand that should my employer\/organisation fail to pay the enrolment fees on my behalf, I will not be issued with a Certificate of Completion for this course UNLESS I CHOOSE to pay for my own individual enrolment fee myself.'  id='choice_3679_56_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_56_4' id='label_3679_56_4' class='gform-field-label gform-field-label--type-inline'>I understand that should my employer\/organisation fail to pay the enrolment fees on my behalf, I will not be issued with a Certificate of Completion for this course UNLESS I CHOOSE to pay for my own individual enrolment fee myself.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3679_56_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.5' type='checkbox'  value='I give permission for Intelligent Training Solutions to apply or search for my Unique Student Identifier on my behalf if I do not provide one myself within this Enrolment Form and I understand that by providing my USI to Intelligent Training Solutions I give permission for Intelligent Training Solutions to view the course records contained in my USI account.'  id='choice_3679_56_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_56_5' id='label_3679_56_5' class='gform-field-label gform-field-label--type-inline'>I give permission for Intelligent Training Solutions to apply or search for my Unique Student Identifier on my behalf if I do not provide one myself within this Enrolment Form and I understand that by providing my USI to Intelligent Training Solutions I give permission for Intelligent Training Solutions to view the course records contained in my USI account.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3679_56_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.6' type='checkbox'  value='I understand that I can view my own records held by Intelligent Training Solutions by contacting the administration office.'  id='choice_3679_56_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_56_6' id='label_3679_56_6' class='gform-field-label gform-field-label--type-inline'>I understand that I can view my own records held by Intelligent Training Solutions by contacting the administration office.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3679_56_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.7' type='checkbox'  value='I understand that my employer\/organisation has asked me to enrol into this course and that my employer\/organisation believes that this training course is suitable for my personal and\/or career purposes. I consider that, based on my educational attainment, capabilities, aspirations and interests, this training is appropriate for me.'  id='choice_3679_56_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_56_7' id='label_3679_56_7' class='gform-field-label gform-field-label--type-inline'>I understand that my employer\/organisation has asked me to enrol into this course and that my employer\/organisation believes that this training course is suitable for my personal and\/or career purposes. I consider that, based on my educational attainment, capabilities, aspirations and interests, this training is appropriate for me.<\/label>\n\t\t\t\t\t\t\t<\/div><div class=\"gfield-choice-toggle-all\"><button type=\"button\" id=\"button_56_select_all\" class=\"gfield_choice_all_toggle gform-theme-button--size-sm\" onclick=\"gformToggleCheckboxes( this )\" data-checked=\"0\" data-label-select=\"Select All\" data-label-deselect=\"Deselect All\">Select All<\/button><\/div><\/div><\/div><div class='gfield_description' id='gfield_description_3679_56'>You must tick all the boxes above to be presented with the 'SUBMIT YOUR ENROLMENT' button. <P>If you have any concerns about our terms and conditions, please contact our office on 03 5415 0204 during business hours<\/div><\/fieldset><div id=\"field_3679_57\" class=\"gfield gfield--type-signature gfield--input-type-signature gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3679_57'>STUDENT SIGNATURE<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><input type='hidden' value='' name='input_57' id='input_3679_57_signature_filename'\/><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_3679_57_Container' class='gfield_signature_container ginput_container' style='height:180px; width:500px; ' ><canvas id='input_3679_57' width='500' height='180' style='border-style: Dashed; border-width: 3px; border-color: #DDDDDD; background-color:#FFFFFF; cursor: url(https:\/\/enrolments.its.edu.au\/wp-content\/plugins\/gravityformssignature\/assets\/img\/pen.cur), pointer;'><\/canvas><\/div><div id='input_3679_57_toolbar' style='margin:5px 0;position:relative;height:20px;width:500px;max-width:100%;'><img id = 'input_3679_57_resetbutton' src='data:image\/png;base64,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' style='cursor:pointer;float:right;height:24px;width:24px;border:0px solid transparent' alt='Clear Signature' \/ ><\/div><input type='hidden' id='input_3679_57_data' name='input_3679_57_data' value=''><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3679_253' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_3679_253' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3679_20' class='gform_page' data-js='page-field-id-253' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3679_20' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_3679_67\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><div class='gsection_description' id='gfield_description_3679_67'><hr \/>\n\n<h2><span style=\"font-family: tahoma, arial, helvetica, sans-serif; color: #339966;\">BEFORE YOU GO - CHECK OUT THESE FIRST AID RELATED PRODUCTS YOU MAY BE INTERESTED IN! - NOT PAID BY YOUR EMPLOYER<\/span><\/h2><\/div><\/div><div id=\"field_3679_180\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><span style=\"color: #3366ff;\"><strong><span style=\"font-family: tahoma, arial, helvetica, sans-serif;\">PLEASE NOTE: The following services, products and course options are optional and are not required as part of your enrolment. They serve as optional extras designed to assist you with your career.<\/span> <\/strong><\/span><\/div><div id=\"field_3679_228\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-half gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-8277 size-medium\" src=\"https:\/\/enrolments.its.edu.au\/wp-content\/uploads\/2024\/09\/WorkSafe-Compliant-Workplace-First-Aid-Kit.png\" alt=\"\" width=\"300\" height=\"168\" \/><\/div><fieldset id=\"field_3679_212\" class=\"gfield gfield--type-option gfield--type-choice gfield--input-type-checkbox gfield--width-half gfield_price gfield_price_3679_112 gfield_option_3679_112 field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Workplace \/ Home - First Aid Kit - $139.00 + Postage<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3679_212'><div class='gchoice gchoice_3679_212_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_212.1' type='checkbox'  value='Add Workplace \/ Home First Aid Kit|139'  id='choice_3679_212_1'   aria-describedby=\"gfield_description_3679_212\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_212_1' id='label_3679_212_1' class='gform-field-label gform-field-label--type-inline'>Add Workplace \/ Home First Aid Kit<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3679_212_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_212.2' type='checkbox'  value='Post it to me! (Australia Wide)|14'  id='choice_3679_212_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_212_2' id='label_3679_212_2' class='gform-field-label gform-field-label--type-inline'>Post it to me! (Australia Wide)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3679_212_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_212.3' type='checkbox'  value='FREE Pickup (At my course | @ Reservoir or Riddells Creek)|0'  id='choice_3679_212_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_212_3' id='label_3679_212_3' class='gform-field-label gform-field-label--type-inline'>FREE Pickup (At my course | @ Reservoir or Riddells Creek)<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_3679_212'>Tick off every item on your first aid kit checklist with this Workplace \/ Home First Aid kit. Suitable for home and compliant for workplaces, this kit contains all the components you need to deal with a First Aid emergency.\n<p>\n<strong><span style=\"color: #0000ff;\">NOTE: This kit is Nationally compliant with Safe Work Australia's Health and Safety Code of Practice and is therefore approved for use within a workplace.\u00a0<\/span><\/strong>\n<p>\n<span style=\"color: #339966;\">For more information on this kit or to see a full list of the items included, visit: <a style=\"color: #339966;\" href=\"https:\/\/store.its.edu.au\/store-2\/workplace-first-aid-kit\/\" target=\"_blank\" rel=\"noopener\">I.T.S ONLINE STORE\u00a0<\/a><\/span><\/div><\/fieldset><div id=\"field_3679_229\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-half gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-8267 size-medium\" src=\"http:\/\/enrolments.its.edu.au\/wp-content\/uploads\/2025\/08\/Low-Voltage-Rescue-Kit.png\" alt=\"\" width=\"300\" height=\"208\" \/><\/div><fieldset id=\"field_3679_213\" class=\"gfield gfield--type-option gfield--type-choice gfield--input-type-checkbox gfield--width-half gfield_price gfield_price_3679_112 gfield_option_3679_112 field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Low Voltage Rescue Kit - $318.00<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3679_213'><div class='gchoice gchoice_3679_213_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_213.1' type='checkbox'  value='Add Low Voltage Rescue Kit|318'  id='choice_3679_213_1'   aria-describedby=\"gfield_description_3679_213\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_3679_213_1' id='label_3679_213_1' class='gform-field-label gform-field-label--type-inline'>Add Low Voltage Rescue Kit<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_3679_213'>The Low Voltage Safety kit is crucial for electricians working with live equipment.\n\nIt includes a heavy-duty waterproof bag with reflective writing for easy identification in low-light situations\n\nThe kit features Australian-made size 11 insulating gloves that meet AS2225 standards. Our purpose built rescue hook has been tested up to 15kv. The kit is built to comply with state energy providers\u2019 requirements and AS4836 regulations.\n\nAustralian Made Insulating Gloves (1000v)\n\nAustralian Made Rescue Hook (Tested to 15kv)\n\nComplies with state energy providers\u2019 requirements and AS4836<\/div><\/fieldset><div id=\"field_3679_179\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><div class='gsection_description' id='gfield_description_3679_179'><h2><span style=\"font-family: tahoma, arial, helvetica, sans-serif; color: #339966;\">WHICH EDFL FOOTBALL CLUB ARE YOU ASSOCIATED<\/span><\/h2><\/div><\/div><div id=\"field_3679_255\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below 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