MOD S, Details of study Instructions
This form contains 218 fields organized into 46 sections. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| ABSTUDY Claim Status | ||
| No | Checkbox |
Check this box if you are not currently claiming or receiving ABSTUDY.
|
| Yes | Checkbox |
Check this box if you are currently claiming or receiving ABSTUDY.
|
| DummyCalcQ3 | Text | |
| Austudy/Youth Allowance Claim Status | ||
| No | Checkbox |
Check this box if you are not claiming or receiving Austudy or Youth Allowance as a student.
|
| Yes | Checkbox |
Check this box if you are claiming or receiving Austudy or Youth Allowance as a student.
|
| Go to Question Number if No | Text |
Please provide the question number to navigate to if you are not claiming or receiving Austudy or Youth Allowance.
|
| Completed Course Details | ||
| Course Completion Years | Text |
Enter the years during which the tertiary course was completed, such as a range like 2017-2019. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Completed Tertiary Course Question | ||
| Q9_No | CheckBox | |
| Yes | Checkbox |
Check this box if you have completed a tertiary course. Fill only if 'Are you claiming or receiving ABSTUDY?' is 'Yes'.
Depends on:
Yes
|
| Customer Reference Number | ||
| Customer Reference Number Part 1 | Text |
Enter the first part of your customer reference number.
|
| Customer Reference Number Part 2 | Text |
Enter the second part of your customer reference number.
|
| Customer Reference Number Part 3 | Text |
Enter the third part of your customer reference number.
|
| Customer Reference Number Part 4 | Text |
Enter the fourth part of your customer reference number.
|
| Date of Birth | ||
| Date of Birth - Day | Text |
Please enter the day of your birth.
|
| Date of Birth - Month | Text |
Please enter the month of your birth.
|
| Date of Birth - Year | Number |
Please enter the year of your birth.
|
| Declaration Agreement | ||
| I have read, understood and agree to the above. | Checkbox |
Check this box to confirm that you have read, understood, and agree to all the statements and conditions outlined in the Declaration section.
|
| Declaration Date | ||
| Declaration Day | Date |
Please enter the day of the declaration.
|
| Declaration Month | Date |
Please enter the month of the declaration.
|
| Declaration Year | Date |
Please enter the year of the declaration.
|
| Eighth Course Attempted | ||
| Eighth Course Year | Text |
Please provide the year the eighth course was attempted. Fill only if 'Courses attempted' is 'Yes'.
Depends on:
Yes
|
| Eighth Course Institution Name | Text |
Please provide the name of the institution where the eighth course was attempted. Fill only if 'Courses attempted' is 'Yes'.
Depends on:
Yes
|
| Eighth Course Name | Text |
Please provide the name of the eighth course attempted. Fill only if 'Courses attempted' is 'Yes'.
Depends on:
Yes
|
| Eighth Course Year/Stage | Text |
Please provide the academic year or stage for the eighth course. Fill only if 'Courses attempted' is 'Yes'.
Depends on:
Yes
|
| Eighth Course Study Period 1 | Combobox |
Please indicate if the eighth course was full-time or part-time for study period 1.
Full-time
Part-time
|
| Eighth Course Study Period 2 | Combobox |
Please indicate if the eighth course was full-time or part-time for study period 2.
Full-time
Part-time
|
| Enrollment Status | ||
| Part-time | Checkbox |
Check this box if you are enrolled on a part-time basis.
|
| Enrollment Type | Text |
Provide the type of enrollment status, for example, 'full' or 'part'.
|
| Full-time | Checkbox |
Check this box if you are enrolled on a full-time basis.
|
| Not sure | Checkbox |
Check this box if you are not sure whether you are enrolled to study full-time.
|
| Fifth Completed Tertiary Course | ||
| Fifth Course Years | Text |
Enter the years during which the fifth completed tertiary course was undertaken. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Fifth Course Institution Name | Text |
Provide the name of the institution where the fifth completed tertiary course was studied. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Fifth Course Name | Text |
Specify the full name of the fifth completed tertiary course. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Fifth Course Attempted | ||
| Fifth Course Years | Text |
Enter the years during which the fifth course was attempted, for example, 2017-2019. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Fifth Course Institution Name | Text |
Provide the name of the institution where the fifth course was attempted, for example, Melbourne University. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Fifth Course Name | Text |
Enter the name of the fifth course that was attempted, for example, Bachelor of Arts. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Fifth Course Year/Stage | Text |
Indicate the year or stage of the fifth course, for example, '2nd year'. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Fifth Course Study Period 1 | Combobox |
Specify the study mode for the first study period of the fifth course, whether full-time or part-time. Fill only if 'Yes' is 'Yes'.
Full-time
Part-time
Depends on:
Yes
|
| Fifth Course Study Period 2 | Combobox |
Specify the study mode for the second study period of the fifth course, whether full-time or part-time. Fill only if 'Yes' is 'Yes'.
Full-time
Part-time
Depends on:
Yes
|
| Fifth Course Year | Text |
Enter the year(s) in which the fifth course was attempted. Fill only if 'Courses attempted' is 'Yes'.
Depends on:
Yes
|
| Fifth Course Institution Name | Text |
Enter the name of the institution where the fifth course was attempted. Fill only if 'Courses attempted' is 'Yes'.
Depends on:
Yes
|
| Fifth Course Name | Text |
Enter the full name of the fifth course attempted. Fill only if 'Courses attempted' is 'Yes'.
Depends on:
Yes
|
| Fifth Course Year/Stage | Text |
Enter the academic year or stage of study for the fifth course attempted. Fill only if 'Courses attempted' is 'Yes'.
Depends on:
Yes
|
| Fifth Course Study Period 1 | Combobox |
Indicate whether the fifth course was pursued full-time or part-time during study period 1.
Full-time
Part-time
|
| Fifth Course Study Period 2 | Combobox |
Indicate whether the fifth course was pursued full-time or part-time during study period 2.
Full-time
Part-time
|
| First Completed Tertiary Course | ||
| Course Years | Text |
Provide the years during which the first tertiary course was completed, for example, 2017-2019. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Institution Name | Text |
Provide the name of the institution where the first tertiary course was completed. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Course Name | Text |
Provide the name of the first tertiary course completed. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| First Course Attempted | ||
| 10.Years.0 | Text |
Depends on:
Yes
|
| 10.InstitutionName.0 | Text |
Depends on:
Yes
|
| 10.CourseName.0 | Text |
Depends on:
Yes
|
| 10.YearStage.0 | Text |
Depends on:
Yes
|
| 10.SP1.0 | ComboBox |
Full-time
Part-time
Depends on:
Yes
|
| 10.SP2.0 | ComboBox |
Full-time
Part-time
Depends on:
Yes
|
| Year Attempted | Text |
Enter the year in which the course was attempted. Fill only if 'Courses attempted' is 'Yes'.
Depends on:
Yes
|
| Institution Name | Text |
Enter the name of the institution where the course was attempted. Fill only if 'Courses attempted' is 'Yes'.
Depends on:
Yes
|
| Course Name | Text |
Enter the full name of the course attempted. Fill only if 'Courses attempted' is 'Yes'.
Depends on:
Yes
|
| Course Year/Stage | Text |
Enter the academic year or stage of the course, for example '2nd year'. Fill only if 'Courses attempted' is 'Yes'.
Depends on:
Yes
|
| Study Period 1 Status | Combobox |
Indicate whether the course was full-time or part-time for study period 1.
Full-time
Part-time
|
| Study Period 2 Status | Combobox |
Indicate whether the course was full-time or part-time for study period 2.
Full-time
Part-time
|
| First Course Attendance Period | ||
| First Course Attendance From Day | Text |
Enter the day of the month when the first course attendance period begins.
|
| First Course Attendance From Month | Text |
Enter the month when the first course attendance period begins.
|
| First Course Attendance From Year | Text |
Enter the year when the first course attendance period begins.
|
| First Course Attendance To Day | Text |
Enter the day of the month when the first course attendance period ends.
|
| First Course Attendance To Month | Text |
Enter the month when the first course attendance period ends.
|
| First Course Attendance To Year | Text |
Enter the year when the first course attendance period ends.
|
| First Course Weekly Hours | ||
| First Course Weekly Hours | Number |
Please enter the number of hours per week you attend formal course work or lectures for the first course, excluding time spent in private study or completing assignments.
|
| First Current Course Details | ||
| Institution Name | Text |
Please provide the full name of the school, college, university, or campus where you are currently studying.
|
| Student ID Number | Text |
Please enter your official student identification number.
|
| Course Title | Text |
Please provide the exact title of your current course, including any degrees or specializations.
|
| Course Code | Text |
If applicable, please enter the official code for your current course.
|
| Course Year/Stage | Text |
Please indicate the current year or stage of your course.
|
| First Full Course Period | ||
| Start Date Day | Text |
Enter the day of the official start date for the full course period.
|
| Start Date Month | Text |
Enter the month of the official start date for the full course period.
|
| Start Date Year | Text |
Enter the year of the official start date for the full course period.
|
| End Date Day | Text |
Enter the day of the official end date for the full course period.
|
| End Date Month | Text |
Enter the month of the official end date for the full course period.
|
| End Date Year | Text |
Enter the year of the official end date for the full course period.
|
| Fourth Completed Tertiary Course | ||
| Fourth Course Years Completed | Text |
Provide the years during which the fourth tertiary course was completed, for example, 2017-2019. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Fourth Course Institution Name | Text |
Provide the name of the institution where the fourth tertiary course was completed, for example, Melbourne University. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Fourth Course Name | Text |
Provide the name of the fourth tertiary course completed, for example, Bachelor of Arts. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Fourth Course Attempted | ||
| Years of Study | Text |
Enter the year(s) during which this course was attempted, for example, '2017' or '2017-2019'. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Institution Name | Text |
Provide the full name of the institution where you attempted this course. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Course Name | Text |
Provide the full name of the course that was attempted, for example, 'Bachelor of Arts'. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Course Year/Stage | Text |
Indicate the year or stage of the course you were in when it was attempted, for example, '2nd year'. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Study Period 1 Status | Combobox |
Indicate whether the study for this course in period 1 was full-time or part-time. Fill only if 'Yes' is 'Yes'.
Full-time
Part-time
Depends on:
Yes
|
| Study Period 2 Status | Combobox |
Indicate whether the study for this course in period 2 was full-time or part-time. Fill only if 'Yes' is 'Yes'.
Full-time
Part-time
Depends on:
Yes
|
| Years | Text |
Enter the year or range of years during which the fourth course was attempted. Fill only if 'Courses attempted' is 'Yes'.
Depends on:
Yes
|
| Institution Name | Text |
Enter the full name of the institution where the fourth course was attempted. Fill only if 'Courses attempted' is 'Yes'.
Depends on:
Yes
|
| Course Name | Text |
Enter the full name of the fourth course attempted. Fill only if 'Courses attempted' is 'Yes'.
Depends on:
Yes
|
| Course Stage | Text |
Enter the year or stage of the fourth course, for example, '1st year' or '2nd year'. Fill only if 'Courses attempted' is 'Yes'.
Depends on:
Yes
|
| Study Period 1 Status | Combobox |
Indicate whether the fourth course was full-time or part-time during study period 1.
Full-time
Part-time
|
| Study Period 2 Status | Combobox |
Indicate whether the fourth course was full-time or part-time during study period 2.
Full-time
Part-time
|
| General | ||
| Instructions | Button | |
| Q2GoToQ6 | Button | |
| Q3GoToQ9 | Button | |
| Q4GoToQ15 | Button | |
| Q5GoToQ11.0 | Button | |
| Q5GoToQ11.1 | Button | |
| Q6GoToQ8 | Button | |
| Q12GoToQ14 | Button | |
| Q15 | Text | |
| Clear | Button | |
| Health Care Card Request | ||
| No | Checkbox |
Check this box if you do not want a Health Care Card and wish to proceed to the next question.
|
| Yes | Checkbox |
Check this box if you want a Health Care Card and your eligibility to be automatically assessed.
|
| Highest Level of Education Completed | ||
| Did not go to school | Checkbox |
Check this box if you did not attend school at all as your highest level of education completed. Fill only if 'Will you be (or are you now) studying Year 12, or equivalent?' is 'No'.
Depends on:
No
|
| Special school | Checkbox |
Check this box if the highest level of education you completed was at a special school. Fill only if 'Will you be (or are you now) studying Year 12, or equivalent?' is 'No'.
Depends on:
No
|
| Special support unit within a mainstream school | Checkbox |
Check this box if the highest level of education you completed was within a special support unit at a mainstream school. Fill only if 'Will you be (or are you now) studying Year 12, or equivalent?' is 'No'.
Depends on:
No
|
| Primary school or less | Checkbox |
Check this box if the highest level of education you completed was primary school or less. Fill only if 'Will you be (or are you now) studying Year 12, or equivalent?' is 'No'.
Depends on:
No
|
| Completed Year 7 | Checkbox |
Check this box if you completed Year 7 as your highest level of education. Fill only if 'Will you be (or are you now) studying Year 12, or equivalent?' is 'No'.
Depends on:
No
|
| Completed Year 8 | Checkbox |
Check this box if you completed Year 8 as your highest level of education. Fill only if 'Will you be (or are you now) studying Year 12, or equivalent?' is 'No'.
Depends on:
No
|
| Completed Year 9 | Checkbox |
Check this box if you completed Year 9 as your highest level of education. Fill only if 'Will you be (or are you now) studying Year 12, or equivalent?' is 'No'.
Depends on:
No
|
| Completed Year 10 | Checkbox |
Check this box if you completed Year 10 as your highest level of education. Fill only if 'Will you be (or are you now) studying Year 12, or equivalent?' is 'No'.
Depends on:
No
|
| Completed Year 11 | Checkbox |
Check this box if you completed Year 11 as your highest level of education. Fill only if 'Will you be (or are you now) studying Year 12, or equivalent?' is 'No'.
Depends on:
No
|
| Completed Year 12 | Checkbox |
Check this box if you completed Year 12 as your highest level of education. Fill only if 'Will you be (or are you now) studying Year 12, or equivalent?' is 'No'.
Depends on:
No
|
| Completed Year 13 | Checkbox |
Check this box if you completed Year 13 as your highest level of education. Fill only if 'Will you be (or are you now) studying Year 12, or equivalent?' is 'No'.
Depends on:
No
|
| Trade or TAFE qualification at trade level | Checkbox |
Check this box if you completed a Trade or TAFE qualification at a trade level as your highest level of education. Fill only if 'Will you be (or are you now) studying Year 12, or equivalent?' is 'No'.
Depends on:
No
|
| TAFE non-trade certificate | Checkbox |
Check this box if you completed a TAFE non-trade certificate as your highest level of education. Fill only if 'Will you be (or are you now) studying Year 12, or equivalent?' is 'No'.
Depends on:
No
|
| Associate Diploma/Diploma/Advanced Diploma | Checkbox |
Check this box if you completed an Associate Diploma, Diploma, or Advanced Diploma as your highest level of education. Fill only if 'Will you be (or are you now) studying Year 12, or equivalent?' is 'No'.
Depends on:
No
|
| Degree | Checkbox |
Check this box if you completed a Bachelor's Degree as your highest level of education. Fill only if 'Will you be (or are you now) studying Year 12, or equivalent?' is 'No'.
Depends on:
No
|
| Post Graduate qualification | Checkbox |
Check this box if you completed a Post Graduate qualification (excluding Masters/PhD) as your highest level of education. Fill only if 'Will you be (or are you now) studying Year 12, or equivalent?' is 'No'.
Depends on:
No
|
| Masters/PhD | Checkbox |
Check this box if you completed a Masters or PhD degree as your highest level of education. Fill only if 'Will you be (or are you now) studying Year 12, or equivalent?' is 'No'.
Depends on:
No
|
| Ninth Course Attempted | ||
| Ninth Course Attempted Year | Number |
Please enter the year you attempted this course. Fill only if 'Courses attempted' is 'Yes'.
Depends on:
Yes
|
| Ninth Course Attempted Institution Name | Text |
Please enter the name of the institution where you attempted this course. Fill only if 'Courses attempted' is 'Yes'.
Depends on:
Yes
|
| Ninth Course Attempted Course Name | Text |
Please enter the name of the course you attempted. Fill only if 'Courses attempted' is 'Yes'.
Depends on:
Yes
|
| Ninth Course Attempted Year/Stage | Text |
Please enter the year or stage of the course you attempted. Fill only if 'Courses attempted' is 'Yes'.
Depends on:
Yes
|
| Ninth Course Attempted Study Period 1 Type | Combobox |
Please indicate if your first study period for this course was full-time or part-time.
Full-time
Part-time
|
| Ninth Course Attempted Study Period 2 Type | Combobox |
Please indicate if your second study period for this course was full-time or part-time.
Full-time
Part-time
|
| Previous Year 12 Attempts | ||
| No | Checkbox |
Check this box if you have not previously attempted Year 12.
|
| Yes | Checkbox |
Check this box if you have previously attempted Year 12.
|
| Provided Documents | ||
| Details of subjects attempted on part-time basis | Checkbox |
Check this box if you are providing details of subjects you attempted on a part-time basis, as required at question 10. Fill only if 'Have you previously attempted courses' is 'Yes'.
Depends on:
Yes
|
| Statement for unsuccessful study | Checkbox |
Check this box if you are providing a statement explaining reasons for unsuccessful study, as required at question 10. Fill only if 'Have you previously attempted courses' is 'Yes'.
Depends on:
Yes
|
| Details of course subjects (Not sure) | Checkbox |
Check this box if you are providing details of your course subjects because you are not sure if your course is full-time, based on your answer to question 12. Fill only if 'Not sure' is selected.
Depends on:
Not sure
|
| Reason for Not Changing Studies | ||
| Why Not Summary | Text |
Enter a brief summary explaining why you are not willing to stop or change studies to find full-time work. Fill only if 'No' is 'No'.
Depends on:
No
|
| Detailed Reason | Text |
Provide a detailed explanation of your reasons for not being willing to stop or change studies to find full-time work. Fill only if 'No' is 'No'.
Depends on:
No
|
| Second Completed Tertiary Course | ||
| Second Tertiary Course Years | Text |
Please enter the years during which the second tertiary course was completed, for example, 2017-2019. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Second Tertiary Course Institution Name | Text |
Please enter the name of the institution where the second tertiary course was completed, for example, Melbourne University. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Second Tertiary Course Name | Text |
Please enter the full name of the second tertiary course completed, for example, Bachelor of Arts. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Second Course Attempted | ||
| 10.Years.1 | Text |
Depends on:
Yes
|
| Institution Name | Text |
Provide the name of the educational institution where this course was attempted. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Course Name | Text |
Enter the full name of the course that was attempted. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Course Year/Stage | Text |
Specify the year or stage of study within the course that was attempted. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Study Period 1 Status | Combobox |
Indicate if the first study period for this course was full-time or part-time. Fill only if 'Yes' is 'Yes'.
Full-time
Part-time
Depends on:
Yes
|
| Study Period 2 Status | Combobox |
Indicate if the second study period for this course was full-time or part-time. Fill only if 'Yes' is 'Yes'.
Full-time
Part-time
Depends on:
Yes
|
| Second Course Year | Number |
Enter the year the second course was attempted. Fill only if 'Courses attempted' is 'Yes'.
Depends on:
Yes
|
| Second Course Institution Name | Text |
Enter the name of the institution where the second course was attempted. Fill only if 'Courses attempted' is 'Yes'.
Depends on:
Yes
|
| Second Course Name | Text |
Enter the full name of the second course attempted. Fill only if 'Courses attempted' is 'Yes'.
Depends on:
Yes
|
| Second Course Year/Stage | Text |
Enter the year or stage of study for the second course. Fill only if 'Courses attempted' is 'Yes'.
Depends on:
Yes
|
| Second Course Study Period 1 Mode | Combobox |
Indicate whether the second course was full-time or part-time for study period 1.
Full-time
Part-time
|
| Second Course Study Period 2 Mode | Combobox |
Indicate whether the second course was full-time or part-time for study period 2.
Full-time
Part-time
|
| Second Course Attendance Period | ||
| Second Course Attendance Start Day | Text |
Please provide the day your second course attendance period starts.
|
| Second Course Attendance Start Month | Text |
Please provide the month your second course attendance period starts.
|
| Second Course Attendance Start Year | Text |
Please provide the year your second course attendance period starts.
|
| Second Course Attendance End Day | Text |
Please provide the day your second course attendance period ends.
|
| Second Course Attendance End Month | Text |
Please provide the month your second course attendance period ends.
|
| Second Course Attendance End Year | Text |
Please provide the year your second course attendance period ends.
|
| Second Course Weekly Hours | ||
| Second Course Weekly Hours | Text |
Please provide the number of hours per week you attend formal coursework or lectures for the second course, not including time spent in private study or completing assignments.
|
| Second Current Course Details | ||
| Second Course Institution Name | Text |
Please provide the name of the school, college, university, or campus for the second current course.
|
| Second Course Student ID | Text |
Enter your student identification number for the second current course.
|
| Second Course Title | Text |
State the exact title of the second current course, including any degrees or specializations.
|
| Second Course Code | Text |
Provide the course code if one is applicable to the second current course.
|
| Second Course Year/Stage | Text |
Indicate the current year or stage you are in for the second current course.
|
| Second Full Course Period | ||
| Official Start Day | Text |
Enter the day of the official start date as a two-digit number (e.g., 01).
|
| Official Start Month | Text |
Enter the month of the official start date as a two-digit number (e.g., 03).
|
| Official Start Year | Text |
Enter the year of the official start date as a four-digit number (e.g., 2023).
|
| Official End Day | Text |
Enter the day of the official end date as a two-digit number (e.g., 01).
|
| Official End Month | Text |
Enter the month of the official end date as a two-digit number (e.g., 03).
|
| Official End Year | Text |
Enter the year of the official end date as a four-digit number (e.g., 2023).
|
| Seventh Course Attempted | ||
| Seventh Course Attempted Year | Text |
Please enter the year associated with the seventh course attempted. Fill only if 'Courses attempted' is 'Yes'.
Depends on:
Yes
|
| Seventh Course Attempted Institution | Text |
Please enter the name of the institution where the seventh course was attempted. Fill only if 'Courses attempted' is 'Yes'.
Depends on:
Yes
|
| Seventh Course Attempted Name | Text |
Please enter the name of the seventh course attempted. Fill only if 'Courses attempted' is 'Yes'.
Depends on:
Yes
|
| Seventh Course Attempted Year/Stage | Text |
Please enter the year or stage of study for the seventh course attempted. Fill only if 'Courses attempted' is 'Yes'.
Depends on:
Yes
|
| Seventh Course Attempted Study Period 1 | Combobox |
Please indicate if the seventh course attempted was full-time or part-time for study period 1.
Full-time
Part-time
|
| Seventh Course Attempted Study Period 2 | Combobox |
Please indicate if the seventh course attempted was full-time or part-time for study period 2.
Full-time
Part-time
|
| Signature | ||
| Signature | Text |
Please type your full name to serve as your signature.
|
| Sixth Course Attempted | ||
| Year of Attempt | Text |
Enter the year in which the sixth course was attempted. Fill only if 'Courses attempted' is 'Yes'.
Depends on:
Yes
|
| Institution Name | Text |
Enter the name of the institution where the sixth course was attempted. Fill only if 'Courses attempted' is 'Yes'.
Depends on:
Yes
|
| Course Name | Text |
Enter the full name of the sixth course attempted. Fill only if 'Courses attempted' is 'Yes'.
Depends on:
Yes
|
| Year/Stage | Text |
Enter the academic year or stage (e.g., '1st year', '2nd year') when the sixth course was attempted. Fill only if 'Courses attempted' is 'Yes'.
Depends on:
Yes
|
| Study Period 1 | Combobox |
Indicate whether the sixth course was studied full-time or part-time during the first study period.
Full-time
Part-time
|
| Study Period 2 | Combobox |
Indicate whether the sixth course was studied full-time or part-time during the second study period.
Full-time
Part-time
|
| Started Tertiary Course Question | ||
| No | Checkbox |
Check this box if you have not started a tertiary course that you have not completed, and you wish to go to the next question.
|
| Yes | Checkbox |
Check this box if you have started a tertiary course but have not completed it, and you need to provide details of every year of study.
|
| Study Cessation Details | ||
| Day Study Stopped | Text |
Enter the day you stopped your study.
|
| Month Study Stopped | Text |
Enter the month you stopped your study. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Year Study Stopped (First Two Digits) | Text |
Enter the first two digits of the year you stopped your study. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Year Study Stopped (Last Two Digits) | Text |
Enter the last two digits of the year you stopped your study. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Education Institution | Text |
Enter the name of the educational institution where you stopped your study. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Name of Course | Text |
Enter the full name of the course you were undertaking when you stopped your study. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Study Cessation Status | ||
| No | Checkbox |
Check this box if you have not stopped your study.
|
| Yes | Checkbox |
Check this box if you have stopped your study.
|
| Third Completed Tertiary Course | ||
| Third Course Years | Text |
Please enter the years you completed your third tertiary course. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Third Course Institution Name | Text |
Please enter the name of the institution where you completed your third tertiary course. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Third Course Name | Text |
Please enter the name of your third tertiary course. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Third Course Attempted | ||
| Course Year | Text |
Please enter the specific year in which the third course was attempted. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Institution Name | Text |
Please provide the name of the institution where the third course was attempted. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Course Name | Text |
Please enter the full name of the third course attempted. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Course Year/Stage | Text |
Please specify the year or stage of study for the third course attempted. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Study Period 1 Status | Combobox |
Please indicate if the third course was studied full-time or part-time during the first study period. Fill only if 'Yes' is 'Yes'.
Full-time
Part-time
Depends on:
Yes
|
| Study Period 2 Status | Combobox |
Please indicate if the third course was studied full-time or part-time during the second study period. Fill only if 'Yes' is 'Yes'.
Full-time
Part-time
Depends on:
Yes
|
| Third Course Year | Text |
Enter the year in which the third course was attempted. Fill only if 'Courses attempted' is 'Yes'.
Depends on:
Yes
|
| Third Course Institution Name | Text |
Enter the name of the institution where the third course was attempted. Fill only if 'Courses attempted' is 'Yes'.
Depends on:
Yes
|
| Third Course Name | Text |
Enter the full name of the third course attempted. Fill only if 'Courses attempted' is 'Yes'.
Depends on:
Yes
|
| Third Course Year/Stage | Text |
Enter the academic year or stage of the third course, for example, 2nd year. Fill only if 'Courses attempted' is 'Yes'.
Depends on:
Yes
|
| Third Course Study Period 1 | Combobox |
Indicate whether the third course was full-time or part-time for study period 1.
Full-time
Part-time
|
| Third Course Study Period 2 | Combobox |
Indicate whether the third course was full-time or part-time for study period 2.
Full-time
Part-time
|
| Willingness to Change Studies for Work | ||
| No | Checkbox |
Check this box if you are not willing to stop or change your studies to find full-time work.
|
| Yes | Checkbox |
Check this box if you are willing to stop or change your studies to find full-time work.
|
| Year 12 Attempt Years | ||
| Year 12 Attempt Year | Text |
Please provide the year in which Year 12 was attempted.
|
| First Attempt Year | Text |
Please provide the year of your first attempt at Year 12. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Second Attempt Year | Text |
Please provide the year of your second attempt at Year 12. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Year 12 Study Plan | ||
| No | Checkbox |
Check this box if you will not be, or are not now, studying Year 12 or an equivalent qualification.
|
| DummyCalcQ6 | Text | |
| Yes | Checkbox |
Check this box if you will be, or are now, studying Year 12 or an equivalent qualification.
|
| Years of Study Details | ||
| Years of Study | Text |
Please provide a list of every year you have studied for the tertiary course. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Your Name | ||
| Family Name | Text |
Please provide your family name.
|
| First Given Name | Text |
Please provide your first given name.
|
| Second Given Name | Text |
Please provide your second given name.
|