YOUTH EDUCATION CENTRE EXPENDITURE AUTHORISATION FOR SHORT COURSE PROGRAMS

Expenditure Authorisation

Youth Education Centre

Expenditure Authorisation

for Short Course Programs at the Flexicentre

STUDENT PERSONAL DETAILS

Student Name: D.O.B: _______________Age:_______

USI Number: __________________________

HOME SCHOOL DETAILS

School of Enrolment: __________________________________________________________

FLO Case Manager (if applicable): ________________________________________________

FLO Provider Organisation (if applicable): __________________________________________

Contact email: ___________________________________ Phone No. ___________________

SHORT COURSE PROGRAM DETAILS AND FEES

Please tick course required:

Learners Permit ($130) □ Tyrefitting ($420) □ White Card ($110) □Barista Workshop ($199) □

Program Date(s):

PAYMENT DETAILS

Program/Course Provider: Youth Education Centre

Contact Person: Leone Jacka

Phone: 82603701

The students Home School is to reimburse Youth Education Centre on receipt of invoice as per authorisation below. Please note the following:

Receipt of the completed Short Course Expenditure Authorisation form will be taken as authorisation to invoice for the cost of the course.
If your student does not arrive to commence the course we will not provide any refunds

AUTHORISATION

Signed and agreed to on behalf of the above students’ Home School:

Name:

Position: _________________________________

S YOUTH EDUCATION CENTRE EXPENDITURE AUTHORISATION FOR SHORT COURSE PROGRAMS ignature: Date: ______/______/______

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