1 Course Selection2 Privacy3 Personal Details4 Address Details5 VET Details6 Required Documents7 Confirmation Well done and congratulations on taking the first step to enrol with ACSM!This form is for Australian domestic students only. For international applications, please contact Administration on enquiries@acsm.edu.au. Fields marked with * are required and must be filled in.Title* MrMsMrsMissDrGiven Name - First*Given Name - OthersSurname*Course SelectionCourse, Study Load, Study Mode, Intake* CourseSHB30215 Certificate III in Make-upSHB20116 Certificate II in Retail CosmeticsCUA51015 Diploma of Screen and Media Study Load Study Mode Intake Full details about course commencement dates can be found here.When do you wish to commence your studies? (preferred month):*Please select your preferred payment option:*General FeesStudy LoanPayment Plan (Weekly direct debits)EmployerPlease select your preferred payment option:*General FeesPayment Plan (Weekly direct debits)EmployerPlease select your preferred payment option:*General FeesVET Student Loan (VSL)Study LoanPayment Plan (Weekly direct debits)EmployerImportant information VET Student Loans: Are a loan from the Commonwealth Will remain a personal debt until it is repaid to the Commonwealth The loan may, until the debt is repaid, reduce the student's take-home [after-tax] wage or salary and may reduce the student's borrowing capacity; and A student may wish to seek independent financial advice before applying for a loan The debt must be paid back at thte relevant repayment rate when your income is above the compulsory repayment threshold. For more information on payment options, click here.Refer here for course structure and the Schedule of Fees outlining the unit/unit cluster fees. The above fees are subject to change without prior notice. Textbooks are at an additional cost to course fees.Business name:*Employer contact:*Employer job title:*Business address:*Business telephone:*Business email:*Do you want to be assessed for Recognition of Prior Learning and/or Credit Transfer?* NoYesIf applying for Recognition of Prior Learning and/or Credit Transfer, you will be required to download the RPL/CT Application form here to submit with your application on Step 6 Privacy & ConsentWhy we collect your personal information As a registered training organisation (RTO), we collect your personal information so we can process and manage your enrolment in a vocational education and training (VET) course with us. How we use your personal information We use your personal information to enable us to deliver VET courses to you, and otherwise, as needed, to comply with our obligations as an RTO. How we disclose your personal information We are required by law (under the National Vocational Education and Training Regulator Act 2011 (Cth) (NVETR Act)) to disclose the personal information we collect about you to the National VET Data Collection kept by the National Centre for Vocational Education Research Ltd (NCVER). The NCVER is responsible for collecting, managing, analysing and communicating research and statistics about the Australian VET sector. We are also authorised by law (under the NVETR Act) to disclose your personal information to the relevant state or territory training authority. How the NCVER and other bodies handle your personal information The NCVER will collect, hold, use and disclose your personal information in accordance with the law, including the Privacy Act 1988 (Cth) (Privacy Act) and the NVETR Act. Your personal information may be used and disclosed by NCVER for purposes that include populating authenticated VET transcripts; administration of VET; facilitation of statistics and research relating to education, including surveys and data linkage; and understanding the VET market. The NCVER is authorised to disclose information to the Australian Government Department of Education, Skills and Employment (DESE), Commonwealth authorities, State and Territory authorities (other than registered training organisations) that deal with matters relating to VET and VET regulators for the purposes of those bodies, including to enable: administration of VET, including program administration, regulation, monitoring and evaluation facilitation of statistics and research relating to education, including surveys and data linkage understanding how the VET market operates, for policy, workforce planning and consumer information The NCVER may also disclose personal information to persons engaged by NCVER to conduct research on NCVER’s behalf. The NCVER does not intend to disclose your personal information to any overseas recipients. For more information about how the NCVER will handle your personal information please refer to the NCVER’s Privacy Policy at https://www.ncver.edu.au/privacy. If you would like to seek access to or correct your information, in the first instance, please contact your RTO using the contact details listed below. DESE is authorised by law, including the Privacy Act and the NVETR Act, to collect, use and disclose your personal information to fulfil specified functions and activities. For more information about how the DESE will handle your personal information, please refer to the DESE VET Privacy Notice at https://www.dese.gov.au/national-vet-data/vet-privacy-notice. Surveys You may receive a student survey which may be run by a government department or an NCVER employee, agent, third-party contractor or another authorised agency. Please note you may opt out of the survey at the time of being contacted. Contact information At any time, you may contact the Australian College Of Specialist Makeup to: request access to your personal information correct your personal information make a complaint about how your personal information has been handled ask a question about this Privacy Notice By clicking NEXT you acknowledge that you accept these terms and consent to the collection, use and disclosure of my personal information in accordance with the Student Personal Information Policy. Personal DetailsDate of Birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender* FemaleMaleIndeterminate/Intersex/UnspecifiedStudent IdentificationCHESSN (if known)Commonwealth Higher Education Student Support NumberUSI*Unique Student Identifier Please check this box if you are not currently in Australia, and cannot apply for a USIIf you do not have a USI and want to apply for one, click here.Contact InformationMobile phone*Home phoneBusiness phoneBest contact* MobileHomeBussinessEmail* Address DetailsPermanent Street AddressAddress* Street Address Address Line 2 Suburb State Australian Capital TerritoryNorthern TerritoryNew South WalesQueenslandSouth AustraliaTasmaniaVictoriaWestern Australia Post code Postal AddressPostal Address* Copy from Permanent Street Address Street Address Address Line 2 Suburb State Australian Capital TerritoryNorthern TerritoryNew South WalesQueenslandSouth AustraliaTasmaniaVictoriaWestern Australia Post code Term AddressTerm Address Copy from Permanent Street Address Street Address Address Line 2 Suburb State Australian Capital TerritoryNorthern TerritoryNew South WalesQueenslandSouth AustraliaTasmaniaVictoriaWestern Australia Post code VET DetailsEthnicityWere you born in Australia?* NoYesWhich country were you born in?*Adélie Land (France)AfghanistanAland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArgentinian Antarctic TerritoryArmeniaArubaAustraliaAustralian Antarctic TerritoryAustralian External Territories, necAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBritish Antarctic TerritoryBrunei DarussalamBulgariaBurkina FasoBurma (Myanmar)BurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChilean Antarctic TerritoryChina (excludes SARs and Taiwan)ColombiaComorosCongoCongo, Democratic Republic ofCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEnglandEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFormer Yugoslav Republic of Macedonia (FYROM)FranceFrench GuianaFrench PolynesiaGabonGambiaGaza Strip and West BankGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHoly SeeHondurasHong Kong (SAR of China)HungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic of (North)Korea, Republic of (South)KosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacau (SAR of China)MadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States ofMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern IrelandNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPolynesia (excludes Hawaii), necPortugalPuerto RicoQatarQueen Maud Land (Norway)RéunionRomaniaRoss Dependency (New Zealand)Russian FederationRwandaSamoaSamoa, AmericanSan MarinoSao Tomé and PrincipeSaudi ArabiaScotlandSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth America, necSouthern and East Africa, necSpainSpanish North AfricaSri LankaSt BarthelemySt HelenaSt Kitts and NevisSt LuciaSt Martin (French part)St Pierre and MiquelonSt Vincent and the GrenadinesSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited States of AmericaUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, United StatesWalesWallis and FutunaWestern SaharaYemenZambiaZimbabweYear of arrival in Australia*Which town/city were you born in*Are you of Aboriginal or Torres Strait Islander origin?* NoAboriginalTorres Strait IslanderBoth Aboriginal and Torres Strait IslanderCitizenship / residence detailsAre you an Australian citizen?* NoYesPlease select any visas that you currently hold New Zealand Citizen New Zealand Citizen (SCV - HELP loan eligible) Permanent Resident Visa Temporary Resident Visa Permanent Humanitarian Visa (Vet Fee Help Eligible) Student Visa Visitor's Visa Business Visa Holiday Visa Other Visa Overseas - No Visa or Citizenship What citizenship do you hold?*Adélie Land (France)AfghanistanAland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArgentinian Antarctic TerritoryArmeniaArubaAustraliaAustralian Antarctic TerritoryAustralian External Territories, necAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBritish Antarctic TerritoryBrunei DarussalamBulgariaBurkina FasoBurma (Myanmar)BurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChilean Antarctic TerritoryChina (excludes SARs and Taiwan)ColombiaComorosCongoCongo, Democratic Republic ofCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEnglandEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFormer Yugoslav Republic of Macedonia (FYROM)FranceFrench GuianaFrench PolynesiaGabonGambiaGaza Strip and West BankGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHoly SeeHondurasHong Kong (SAR of China)HungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic of (North)Korea, Republic of (South)KosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacau (SAR of China)MadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States ofMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern IrelandNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPolynesia (excludes Hawaii), necPortugalPuerto RicoQatarQueen Maud Land (Norway)RéunionRomaniaRoss Dependency (New Zealand)Russian FederationRwandaSamoaSamoa, AmericanSan MarinoSao Tomé and PrincipeSaudi ArabiaScotlandSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth America, necSouthern and East Africa, necSpainSpanish North AfricaSri LankaSt BarthelemySt HelenaSt Kitts and NevisSt LuciaSt Martin (French part)St Pierre and MiquelonSt Vincent and the GrenadinesSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited States of AmericaUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, United StatesWalesWallis and FutunaWestern SaharaYemenZambiaZimbabweApplicants are required to attached a copy of their passport / proof of citizenship / visa details (or similar) in Step 6 of the application. Applicants will be required to post their certified hard copy documents to ACSM Head Office (60-62 Stirling Street, Perth WA 6000) as soon as possible. NB: We will still continue to process the application, but will be unable to finalise the enrolment until we have received the documents via post.LanguageWhat language is spoken at your residential address?* Aboriginal English, so describedAcehneseAcholiAdnymathanhaAfrican Languages, necAfrikaansAkanAlawaAlbanianAlngithAlyawarrAmerican LanguagesAmharicAmurdakAnindilyakwaAnmatyerr, necAntekerrepenhAntikarinyaAnuakArabanaArabicArandic, necArmenianArnhem Land and Daly River Region Languages, necAromunian (Macedo-Romanian)Arrernte, necAssameseAssyrian Neo-AramaicAuslanAzeriBaanbayBadimayaBalineseBalochiBandjalangBanyjimaBarababarabaBardiBariBasqueBassaBatjalaBelorussianBembaBengaliBidjaraBikolBilinarraBisayaBislamaBosnianBulgarianBunubaBurarraBurarran, necBurmeseBurmese and Related Languages, necCantoneseCape York Peninsula Languages, necCatalanCebuanoCeltic, necCentral AnmatyerrChaldean Neo-AramaicChin HakaChinese, necCroatianCzechCzechoslovakian, so describedDaatiwuyDadi DadiDalabonDan (Gio-Dan)DanishDariDhalwanguDhanggattiDhangu, necDharawalDhay'yi, necDhivehiDhuwal, necDhuwala, necDhuwayaDinkaDiyariDjabugayDjabwurrungDjambarrpuynguDjanguDjapuDjarrwarkDjinang, necDjinbaDjinba, necDravidian, necDutchDyirbalEastern AnmatyerrEastern ArrernteEnglishEstonianEweFijianFijian HindustaniFilipinoFinnishFinnish and Related Languages, necFrenchFrisianFulfuldeGaGaelic (Scotland)GalpuGamberaGamilaraayGanalbinguGarrwaGaruwaliGeorgianGermanGilberteseGirramayGithabulGolumalaGooniyandiGreekGudanjiGudjalGujaratiGumatjGumbaynggirGundjeihmiGun-nartpaGupapuynguGurindjiGurindji KriolGurr-goniGuugu YimidhirrGuyamirrililiHakkaHarariHausaHawaiian EnglishHazaraghiHebrewHindiHmongHmong-Mien, necHungarianIbanIberian Romance, necIcelandicIgboIIokanoIlonggo (Hiligaynon)Indo-Aryan, necIndonesianInvented LanguagesIranic, necIrishItalianIwaidjaJaminjungJapaneseJaruJavaneseJawiJawoynJinguluKalaw Kawaw Ya/Kalaw Lagaw YaKanaiKannadaKarajarriKarenKariyarraKartujarraKashmiriKaurnaKayardildKaytetyeKeerray-WoorroongKey Word Sign AustraliaKhmerKijaKikuyuKimberley Area Languages, necKinyarwanda (Rwanda)Kirundi (Rundi)KiwaiKoko-BeraKonkaniKoreanKpelleKrahnKrioKriolKugu MuminhKukathaKukatjaKuku YalanjiKunbarlangKuneKuninjkuKunwinjkuKunwinjkuan, necKurdishKuuk ThayorreKuuku-Ya'uKuwemaLadji LadjiLamalamaLaoLardilLarrakiyaLatinLatvianLetzeburgishLiberian (Liberian English)Light WarlpiriLingalaLithuanianLiyagalawumirrLiyagawumirrLoma (Lorma)LugandaLumun (Kuku Lumun)LuoLuritjaMacedonianMadarrpaMadiMalak MalakMalayMalayalamMalnginMalteseMandaean (Mandaic)MandarinMandinkaMangalaMangarrayiManggaliliMannManyjalpinguManyjilyjarraMaori (Cook Island)Maori (New Zealand)MarathiMaringarrMarraMarramaninyshiMarranguMarridan (Maridan)MarrithiyelMartu WangkaMatngalaMaungMauritian CreoleMayaliMeriam MirMiddle Eastern Semitic Languages, necMin NanMiriwoongMirningMonMongolianMon-Khmer, necMoro (Nuba Moro)MorrobalamaMotu (HiriMotu)MudburraMurrinh PathaMuruwariNa-karaNarunggaNauruanNdebeleNdjebbana (Gunavidji)NepaliNgaanyatjarraNgalakganNgaliwurruNgandiNgan'gikurunggurrNgardiNgarinyinNgarinymanNgarlumaNgarrindjeriNgatjumayaNhanguNhangu, necNiueNorf'k-PitcairnNorthern Desert Fringe Area Languages, necNorwegianNuerNungaliNunggubuyuNyamalNyangumartaNyanja (Chichewa)NyikinaNyungarOceanian Pidgins and Creoles, necOriyaOromoOther Australian Indigenous Languages, necOther Eastern Asian Languages, necOther Eastern European Languages, necOther Southeast Asian LanguagesOther Southern Asian LanguagesOther Southern European Languages, necOther Southwest and Central Asian Languages, necOther Yolngu Matha, necPaakantyiPacific Austronesian Languages, necPalyku/NyiyaparliPampanganPapua New Guinea Languages, necPashtoPersian (excluding Dari)PintupiPitjantjatjaraPolishPortuguesePunjabiRembarrngaRirratjinguRitharrnguRohingyaRomanianRomanyRotumanRussianSamoanScandinavian, necSerbianSerbo-Croatian/Yugoslavian, so describedSeychelles CreoleShillukShonaSign Languages, necSindhiSinhaleseSlovakSloveneSolomon Islands PijinSomaliSoutheast Asian Austronesian Languages, necSpanishSwahiliSwedishTagalogTai, necTamilTatarTeluguTetumThaiThaynakwithThemneTibetanTigreTigrinyaTimoreseTiwiTjungundjiTjupanyTok Pisin (Neomelanesian)TokelauanTonganTswanaTuluTurkic, necTurkishTurkmenTuvaluanUkrainianUrduUygurUzbekVietnameseWaanyiWagilakWagimanWajarriWalmajarriWaluwarraWambayaWangkajungaWangkangurruWangkathaWangurriWanyjirraWardamanWargamayWarlmanpaWarlpiriWarnmanWarramiriWarumunguWelshWergaiaWestern ArrarntaWestern Desert Languages, necWik MungkanWik NgathanWiradjuriWorlaWorrorraWuWubulkarraWunambalWurlakiXhosaYakuy, necYankunytjatjaraYan-nhanguYanyuwaYapeseYawuruYiddishYidinyYindjibarndiYinhawangkaYorta YortaYorubaYugambehYulparijaYumplatok (Torres Strait Creole)YupangathiZomiZuluHow well do you speak English?* Very wellWellNot wellNot at allDo you require language assistance with English?* NoYesDisabilityDo you have a disability, impairment or long term medical condition, which may affect your studies?* NoYesPlease select any that apply Acquired brain impairment Hearing/deaf Intellectual Learning Medical condition Mental illness Physical Vision Other: Please describe:If you have a disability, would you like to receive advice on support services, equipment and facilities, which may assist you?* NoYesEducationAre you currently attending high school* NoYesSchool Name*What year are you in?*Not in schoolYear 7Year 8Year 9Year 10Year 11Year 12What is your highest completed secondary school level?* Completed Year 12Completed Year 11Completed Year 10Year 9 or equivalentYear 8 or belowNever attended schoolYear of completion:*Suburb of residence whilst studying year 12:*Have you undertaken any post-secondary (after high school) study* NoYesPlease select any that apply Bachelor Degree or Higher Degree level Advanced Diploma or Associate Degree level Diploma level Certificate IV level Certificate III level Certificate II level Certificate I level Other course or certificate/qualification Bachelor Degree or Higher Degree level?Did you successfully complete it?* NoYesYear of completion:*Qualification type: Australian QualificationAustralian Equivalent QualificationInternational QualificationAdvanced Diploma or Associate Degree level?Did you successfully complete it?* NoYesYear of completion:*Qualification type: Australian QualificationAustralian Equivalent QualificationInternational Qualification Diploma level?Did you successfully complete it?* NoYesYear of completion:*Qualification type: Australian QualificationAustralian Equivalent QualificationInternational QualificationCertificate IV level?Did you successfully complete it?* NoYesYear of completion:*Qualification type: Australian QualificationAustralian Equivalent QualificationInternational QualificationCertificate III level?Did you successfully complete it?* NoYesYear of completion:*Qualification type: Australian QualificationAustralian Equivalent QualificationInternational QualificationCertificate II level?Did you successfully complete it?* NoYesYear of completion:*Qualification type: Australian QualificationAustralian Equivalent QualificationInternational QualificationCertificate I level?Did you successfully complete it?* NoYesYear of completion:*Qualification type: Australian QualificationAustralian Equivalent QualificationInternational QualificationOther course or certificate/qualification?Qualification/certificate name:*Did you successfully complete it?* NoYesYear of completion:*Qualification type: Australian QualificationAustralian Equivalent QualificationInternational QualificationPlease select your labour force status while you are studying:*Employed as unpaid worker in family businessEmployerFull TimeNot employed, not seeking employmentPart TimeSelf Employed - not employing othersSelf Employed – employing othersUnemployed seeking full time employmentUnemployed seeking part time employmentPlease select your reason for studying:* To get a jobTo develop my own businessTo start my own businessTo try for a different careerTo get a better job or promotionIt is a requirement of my jobI wanted extra skills for my jobTo get into another course of studyPersonal interestFor self developmentOther reason Required DocumentsIn order to successfully complete your application form, you will need to provide the following documents. Certificates/Degrees/Diplomas If any of your qualifications, or your proof of citizenship is in a different name, please also attach a copy of marriage and/or change of name certificates Upload Guidelines You can upload a maximum of 5Mb per file, and only the following file types are accepted: zip, pdf, txt, doc, docx, rtf, jpg, bmp, jpeg, png, tif. Drop files here or Accepted file types: jpg, png, pdf. Application for Recognition of Prior Learning/Credit Transfer formAccepted file types: doc, docx, pdf, jpg, png, gif.Important: Please wait until all files have finished uploading before continuing. On completion, you should see the progress bar next to each file upload disappear. ConfirmationWhere did you first hear about ACSM course* AdvertisementEducation agentEmail AdvertisementExpoFacebookFriendGoogle SearchIndustry associationInstagramMagazineNewspaperNewspaper - June 2018OtherPast/Current StudentRadio StationReferral/WOMSalon / Clinic Mail OutSocial MediaTraining OrganisationWebsiteWord of MouthDeclarationI declare that: The information I have provided to the best of my knowledge is true and correct I have read, understood the various course payment options available to me I have read and understood the VET Student Loans information I have read, understood and will adhere to the Policies and Procedures* I have read the terms and understand & agree *PhoneThis field is for validation purposes and should be left unchanged.