口 Yes 口 No 口Yes 口No - TAFE NSW - Northern Sydney Institute

TAFE NSW Higher Education Application Form Section 1Name of Applicant:Do you give permission for TAFE NSW Higher Education to contact youwith further information about courses? Yes NoDo you give permission for TAFE NSW Higher Education to contact you formarket research purposes? Yes NoDo you speak a language other than English at homeIf yes, which language? Yes NoDo you require assistance with completing this form? Yes NoIf your answer is “yes”, you should contact a TAFE NSW Teacher Consultant for Students withDisabilities, who can provide you with help to complete this form. Contact details for TAFE NSWConsultant for Students with Disabilities are available at the campus enrolment centre or on theTAFE NSW website http://www.tafensw.edu.au under: Students – Support Services.Are you an Australian Aboriginal or Torres Strait Islander?If you are both an Australian Aboriginal and Torres Strait Islander, mark both boxes. No Yes, Aboriginal Yes, Torres Strait IslanderPlease indicate your citizenship / residency status: Australian citizen Australian permanent resident New Zealand citizen Australian temporary visa holderMy visa sub class is: _________________ Permanent humanitarian visa holderPlease go to Section 2 of the application form13 March 2012 2