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Welcome to HPCH Portal

ADULT COMMUNITY & FURTHER EDUCATION:

Our courses are funded by State Government departments. It is necessary for us to supply your information to them as part of fulfilling our obligations to them and therefore obtain the funding for services provided. Your information is kept safe and secure in line with our organisation’s policies.

Name of the Course*
Course Fee*
Full fee applies to those who do not qualify for government funding, ie. overseas residents or school students OR where the course specifies that it is FULL FEE or Fee for Service only. Concession fee is for those who hold a current Health Care Card, Pensioner Concession Card or Veteran's Gold Card. Exempt/No fee would be where our courses are offered free, and we do not charge any fee. Please clarify with our office staff if you are unsure.

Personal Information

Title*
Gender*
First name
(legal family name)
Date of Birth
Country of Birth*
Postal Address*
Residential Status*
I will present my Medicare Card as proof of residential status to complete enrolment or I will attach an image of the card with this application form.
Are you of Aboriginal or Torres Strait Islander origin?*

Prior Education Details

What is your highest COMPLETED school level?*
Are you still attending school?*
Have you ever SUCCESSFULLY COMPLETED any of the specified qualifications? If so, choose the highest level completed*
The specified complete qualification above is recognised as

Employment Details

Have you ever been employed?*
Which best describes your current/recent occupations?
What best describes the industry of your current/previous employer?
What best describes your current employment status?*
What is the main reason for studying this course?*

Contact Information

Residential Address*
Mobile phone number is preferred so we can send you an SMS if necessary, Please leave a landline number if you don't have a mobile.
Please give a landline number if you don't have a mobile.
Is your postal different to your home address?*
My postal address is the same as my residential address

Emergency Contact Details

Disability, impairment or long-term condition?

Do you have a disability? *
Please specify disabilities

Do you speak a language other than English at home?

Do you speak a language other than English at home?*
If English isn't your first language, how well do you speak it?
How did you hear about Hampton Park Community House (HPCH)?

Condition of Enrolment and Privacy Statement

Read the Conditions of Enrolment and our Privacy statement

When enrolling I ticked online that*
When enrolling I ticked online that *
Date*
How would you pay us?
Account Name: Hampton Park Community Centre
BSB: 063 616
Account Number: 1006 5016
Please use your name as the reference
A$
Please enter the amount you would like to pay.
Add your debit or credit card for the payment. Please be advised that your card information will not be saved and only apl
No File Chosen
File uploads may not work on some mobile devices.
You can upload supporting documents here.

Confirmation Page

Dear  {$104385419 ‪Given Legal name(s)‬},

 

Thank you for submitting your form online. One of our team members will be in touch if we require any further information from you. 

 

Thank you 

HPCC

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