Orientation form (Domestic) – ORIENTATION PORTAL

Oriention Form

Personal DetailsPersonal Details

Personal Details

Title *

First Name *

Family Name *

Date of Birth *

Student ID *Please enter your Student ID from your VOE

Country *

USI Number *0 / 10

Course Details

Course Enrolled *

Campus Location *

Addresses

Address in Australia

Street Address *

Apartment, suite, etc *

City *

State/Province *

ZIP / Postal Code *

Country *

Email Address *

Mobile Number *

Permanent Address *

My permanent address is same as current address.

Permanent Address (Home Country)

Street Address *

City *

State/Province

ZIP / Postal Code

Country *

Phone *

Emergency Contact Person

Full Name *

Relationship to you *

Street Address *

Apartment, suite, etc *

City *

State/Province *

ZIP / Postal Code *

Country *

Email Address *

Mobile Number *

Availability

What is your preferred study load? *

Are there any days or times when you are unavailable to attend classes?

Please indicate any days or times when you are NOT ABLE to attend classes. We will consider your availability when preparing class timetables and will make reasonable efforts to accommodate your preferences; however, we cannot guarantee that your preferred days or times will be available.

Monday9:00am to 12:00pm12:00pm to 3:00pm3:00pm to 6:00pm6:00pm to 9:00pm

Tuesday9:00am to 12:00pm12:00pm to 3:00pm3:00pm to 6:00pm6:00pm to 9:00pm

Thursday9:00am to 12:00pm12:00pm to 3:00pm3:00pm to 6:00pm6:00pm to 9:00pm

Wednesday9:00am to 12:00pm12:00pm to 3:00pm3:00pm to 6:00pm6:00pm to 9:00pm

Friday9:00am to 12:00pm12:00pm to 3:00pm3:00pm to 6:00pm6:00pm to 9:00pm

Student Declaration

Name *

Date *

Signature *

Start signing your signature here

I declare that the information I have provided are true and correct to the best of my knowledge

Consent

I allow CIHE, its affiliates and/or its staff members to register, record, store and reproduce my name, photograph, my feedback and my comments. This information can be used for educational, research or promotional purposes. I am aware that while on campus and during assessments, I may be audio and video recorded for educational purposes and these recordings can be used for assessment and research purposes.

I agree that:

I have no claim to payments or royalties of any kind arising from the use of any photograph, video, feedback or comment for CIHE's promotional purposes.
I sign on the condition that any photographs, videos, comment/feedback, or work samples will not be used by any organisation other than CIHE, without my express permission.
I understand that my participation in this is completely voluntary and I have a choice to withdraw this consent at any time. I understand that this consent is for CIHE's promotional and educational purposes only.

Full Name *

Signature *

Start signing your signature here

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