In which country were you born?*

Town of Birth*

Do you give Fitness Institute permission to do a USI search on your behalf (if required)?*

Yes
No

Are you of Aboriginal or Torres Strait Islander origin?*

Yes
No

Main Language Spoken at Home*

How well do you speak English?*

Of the following categories, which BEST describes your current employment status?*

Of the following categories, which BEST describes your main reason for undertaking this course/traineeship/apprenticeship?*

Highest School Level Completed*

In which year did you complete that school level?*

Are you still attending secondary school? (Yes / No)*

Yes
No

Survey Contact Status*

Do you consider yourself to have a disability, impairment or long-term condition? if Yes, please indicate the areas of disability, impairment or long-term condition:

If you have SUCCESSFULLY completed any of the following qualifications, tick ANY applicable boxes.*

GROUP EXERCISE INSTRUCTOR

ACCELERATE

investment plan

$490

SAVE $200

FREEDOM

investment plan

$50/wk

TOTAL $590

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