Skills Strategies International

Student Enrolment Form

You are enrolling in a Youth Mental Health First Aid

Course Start date: 10 Nov 2025

Youth Mental Health First Aid

Learn how to provide initial support a young person (aged 12-18) who is experiencing a mental health problem.

Location:
191-193 Mandurah Terrace, Mandurah WA 6210

Course Fee:
$365.00

Please provide your company name under Your Company of Employment ONLY if your company is paying for your invoice. Please do not complete this field if you are paying your invoice yourself.

Dates:
Monday 10th and Tuesday 11th November 2025, 9.00am - 4.30pm

IMPORTANT INFORMATION:
For any enquiries in relation to your enrolment or invoicing please contact us by email at courses@skillstrategies.edu.au or call 08 6143 2180.

Support Team
Skills Strategies International

Please fill in the Registration form below. Fields with a red * are required.

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Student details

Enter your full name

Title *

Family name (surname)*

First given name/s*

Second given name (middle)

Enter your birth date

Date of Birth *

Please select your Gender

Gender *

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Your Email Address *

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Additional Email

This email address will be used as a CC email address on communications to you, please use this field to indicate if we need to CC another person / company in your communications.

Mobile *

Home Phone *

Work Phone

Preferred Contact *

Your Company of employment

Company

Please enter the details for your your next-of-kin / Emergency Contact

Full Name *

Phone/Mobile *

Relationship *

Address(es)

What is the address of your usual residence?

Please provide the physical address (street number and name not post office box) where you usually reside rather than any temporary address at which you reside for training, work or other purposes before returning to your home.

If you are from a rural area use the address from your state or territory’s ‘rural property addressing’ or ‘numbering’ system as your residential street address.

Building/property name is the official place name or common usage name for an address site, including the name of a building, Aboriginal community, homestead, building complex, agricultural property, park or unbounded address site.

Building/property name

Flat/unit details

Street or lot number (e.g. 205 or Lot 118) *

Street Name *

Suburb, locality or town *

Postcode *

State/Territory *

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I have a postal address that is different to the residential address provided

Building/property name

PO Box

Flat/unit details

Street or lot number (e.g. 205 or Lot 118)

Street Name

Suburb, locality or town

Postcode

State/Territory

Misc.

Language, Literacy & Numeracy

LLN Assistance
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Additional Notes

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