Certificate III in Dental Assisting

Expression of Interest Form

Eligibility Criteria

Please complete all fields below:


We are offering our Certificate III in Dental Assisting to students either fully funded training or partial funded. By completing the expression of interest, we will endeavour to find appropriate funding for your course.

However, should you be unsuccessful in gaining funding, we will discuss a 'fee for service' arrangement with you.

Basic - Checkboxes
Are you still at school?
Basic - Radio buttons
What is your employment status?
Basic - Dropdown
How long have you been employed at your current practice?
Basic - Radio buttons
Is your employment based in NSW or interstate?
Basic - Checkboxes
Confirm that they are eligible to work and study here in Australia
Basic - Checkboxes
If you have a valid USU (Unique Student Identifier) please enter it below
Entity Data - AVETMISS - Unique Student Identifier (USI)

Applicant Details

Please complete all fields below:

Name of the dental practice where you are currently employed:
Basic - Text
First Name
Entity Data - Profile - First Name
Surname
Entity Data - Profile - Surname
Mobile
Entity Data - Contact - Home - Mobile Number
Email
Entity Data - Contact - Home - E-mail Address
Home Address
Entity Data - Address - Home - Lookup
Address - Home - Unit/Flat Number
Entity Data - Address - Home - Unit/Flat Number
Address - Home - Street/Lot number
Entity Data - Address - Home - Street/Lot number
Address - Home - Street Name
Entity Data - Address - Home - Street Name
Address - Home - Suburb
Entity Data - Address - Home - Suburb
Address - Home - Post Code
Entity Data - Address - Home - Post Code
Address - Home - State
Entity Data - Address - Home - State
Address - Home - Country
Entity Data - Address - Home - Country
Digital Signature
Basic - Digital Signature