ENROLLMENT FORM

This document is used to collect personal information from a learner wanting to undertake a Vocational Education and Training course with SSNT online LTD. The personal information collected will be reported to the Caribbean Association of National Training Agencies (CANTA).

FIRST NAME

EMAIL ADDRESS

FAMILY NAME

DATE OF BIRTH

POSTAL ADDRESS

RESIDENTIAL ADDRESS

EMERGENCY CONTACT NAME & PHONE

DO YOU WANT A LITERACY AND NUMERACY CHECK? YES 𝥀                            NO 𝥀

COURSE / QUALIFICATION OF INTEREST

TITLE

CODE

REASON FOR STUDY

EMPLOYMENT STATUS

• To get a job  
• To start my own business  
• To try for a different career  
• To get a promotion    
• It is a requirement of my job  
• I wanted extra skills for my job  
• To get into another course of study  
• For personal interest or self-development  
• Other reasons

• Full-time employee  
• Part-time employee  
• Self-employed
• Employed – unpaid worker in a family business  
• Unemployed – Seeking full-time work
• Unemployed – Seeking part-time work
• Not employed – Not seeking employment

DECLARATION

• I understand that fees paid for enrollment are not refundable. All pdf course materials provided by SSNT for training is mine to keep;
• I have read and understood the information set out in this form, and by signing this enrollment I agree to the terms and conditions relating to SSNT online LTD course fees, course requirements, policies and procedures on privacy, complaints, appeals, work health and safety, acceptable behaviour, and the other conditions set out in the Student Policies which provided at enrollment.
• I declare that the information I have provided is true and correct, to the best of my knowledge. I have read, understood, and I accept the responsibilities and obligations for this arrangement. 

LEARNER SIGNATURE

DATE