• Student Enrolment Form

    Student Enrolment Form

  • The purpose of this enrolment form is to collect your information to confirm your enrolment into a qualification at Blue Lotus College (BLC). We also need to collect personal information about you under the Data Provision Requirements 2012. Please duly complete the form by:

    • Providing correct information
    • Ensuring all relevant fields are signed and dated
    • Complete in BLOCK LETTERS

  • Personal details

  • 1.     Enter your full name *

    * Please write the name that you used when you applied for your Unique Student Identifier (USI), including any middle names. If you do not yet have a USI and want BLC to apply for a USI on your behalf, you must write your name, including any middle names, exactly as written in the identity document you choose to use for this purpose. See section on the USI at the end of this form for a detailed explanation.

  • 2. Enter your date of birth *
     - -
  • 3. Gender (tick ONE box only)*

  • 4. Enter your contact details

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • 7. Emergency Contact (COMPULSORY)

  • Format: (000) 000-0000.

  • Language and cultural diversity

    Language and cultural diversity
  • 8. In which country were you born?*
  • 9. Do you speak a language other than English at home? (If more than one language, indicate the that is spoken most often)*
  • 10.     Are you of Aboriginal or Torres Strait Islander origin?*

  • Disability

  • 11.     Do you consider yourself to have a disability, impairment or long-term condition?*
  • 12.    If you indicate the presence of a disability, impairment or long-term condition,please select the area(s) in the following list: (You may indicate more than one area) Please refer to the disability supplement for an explanation of the following disabilities.

  • Schooling

  • 13.    What is yourhighest COMPLETED school level? (Tick ONE box only)*
  • Date of completion
     - -
  • 14.   Are you still enrolled in secondary or senior secondary education?*

  • Previous qualification achieved

  • 15.    Have you SUCCESSFULLY completed any of the qualifications listed in question 16?*
  • Rows

  • Employment

  • 17.    Which BEST describes your current employment status? (Please tick ONE box only) For casual, seasonal, contract and shift work, use the current number of hours worked per week to determine whether full time (35 hours or more per week) or part-time employed (less than 35 hours per week).*
  • 18.    Which of the following classifications BEST describes your current or recent occupation? (Please tick ONE box only)
  • 19.    Which of the following classifications BEST describes the Industry of your current or previous Employer?

  • Unique Student Identifier (USI)

    Unique Student Identifier (USI)

  • Victorian Student Number (VSN)

  • 21. Do you have a VSN number?*

  • Course of Study (refer to Letter of Offer)

  • Commencement Date:*
     - -
  • Expected Completion Date:*
     - -

  • Credit Transfer (CT) and Recognition of Prior Learning (RPL)

  • 22. Are you applying for Credit Transfer or RPL for the unit successfully completed at another provider?*

  • If YES, please complete a Credit Transfer or RPL application from and submit it to the Student Support Service with supporting documents such as an official transcript or Statement  of Attainment.

  • Privacy statement and student declaration

    Privacy statement and student declaration

  • Privacy Notice

    Why 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 NCVER and other bodies handle your personal information

    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.

    NCVER is authorised to disclose information to the Australian Government Department of Employment and Workplace Relations (DEWR), 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.

    NCVER may also disclose personal information to persons engaged by NCVER to conduct research on NCVER’s behalf.

    NCVER does not intend to disclose your personal information to any overseas recipients.

    For more information about how NCVER will handle your personal information please refer to the NCVER’s Privacy Policy at 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.

    DEWR 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 DEWR will handle your personal information, please refer to the DEWR VET Privacy Notice at https://www.dewr.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 Blue Lotus College 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

  • Student Declaration and Consent

    Student Declaration and Consent

  • I declare that the information I have provided to the best of my knowledge is true and correct. I understand that failure to provide incorrect information or documentation in relation to this enrolment form may result in cancellation of my enrolment.

    I consent to the collection, use and disclosure of my personal information in accordance with the Privacy Notice above.

  • Date*
     - -

  • Emergency Medical Indemnity

    I also authorise BLC or their representative to obtain Medical Treatment in the event of an emergency. I indemnify BLC of their representative.
  • Media Consent*
  • Date*
     - -
  • Should be Empty: