The Unleashed Collective

The Unleashed Collective

Student Enrolment Form
Name*

First NameLast Name
Preferred Name*
Gender*

MaleFemaleOther
Home Phone Number
Please enter a valid phone number.
Mobile Number*
Please enter a valid phone number.
Email*
example@example.com
Birth Date*

MonthDayYear
Date
Social Media Links
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Postal Address (leave blank if the same as home address)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Website (If established)
Which course are you applying for?*

CHC41015 Certificate IV in Celebrancy (Face to Face, Mixed mode - Classroom)CHC41015 Certificate IV in Celebrancy (Distance Education)CHC41015 Certificate IV in Celebrancy (Distance Interactive)BSB30115 Certificate III in BusinessBSB30415 Certificate III in Business AdministrationBSB42618 Certificate IV in New Small BusinessBSB60915 Advanced Diploma of Management (Human Resources)BSB51918 Diploma of Leadership and ManagementFuneral Celebrancy (Face to Face, Mixed Mode - Classroom)Funeral Celebrancy (Distance Education)The Civil Celebrants Tool Box (Face to Face - Classroom)The Civil Celebrants Tool Box (Distance Education)Public Speaking
If applying for a stand alone module please advise which one:
Preferred location of Face to Face Classroom Delivery:

SydneyNewcastleCanberraGoldcoastSunshine CoastPerthAdelaideMelbourneHobartOther
Course Start Date:

MonthDayYear
Date
Date Must Be Complete By:

MonthDayYear
Date
Emergency Contact Details*

First NameLast Name
Daytime Number:
Please enter a valid phone number.
Mobile Number:*
Please enter a valid phone number.
Night time Number:
Please enter a valid phone number.
Relationship:*
Personal Details
In which country were you born?*

AustraliaOther
Do you speak a language other than English at home? If yes, please specify.*
How well do you speak English?*

Very WellWellNot WellNot At All
Are you of Aboriginal or Torres Strait Islander origin?*

NoYes, AboriginalYes, Torres Strait IslanderYes, both Aboriginal and Torres Strait Islander
Do you identify as having a disability?*

NoYes (Hearing)Yes (Intellectual)Yes (Learning)Yes (Medical)Yes (Vision)Yes (Physical)Other
Please Specify:
What is your highest COMPLETED school level?*

Year 12 or equivalentYear 11 or equivalentYear 10 or equivalentYear 9 or equivalentYear 8 or belowNever attended school
In what year did you complete school?*
Are you still attending secondary school?*

YesNo
Have you successfully completed any of the following qualifications?*

Bachelor Degree or Higher DegreeAdvanced Diploma or Associate DegreeDiploma or Associate DiplomaCertificate IV (or Advanced Certificate or Technician)Certificate III (or Trade Certificate)Certificate IICertificate IYes, Certificates other than above.
Please provide which Country and State this qualification was completed in.*
Of the following categories, which best describes your current employment status?*

Full-time employeePart-time employeeSelf employed (not employing others)EmployerEmployed - unpaid worked in family businessUnemployed - seeking full-time workUnemployed - seeking part-time workNot employed - not seeking employment
Of the following categories, which best describes your main reason for undertaking this course/apprenticeship/traineeship? (Tick one box only)*

To get a jobTo develop my existing businessTo start my own businessTo try for a different careerTo get a better job or promotionIt was a requirement of my jobI wanted extra skills for my jobTo get into another course of studyFor personal interest or self develop reasonsOther
The Unleashed Collective requires that you provide 100 point proof of identification. Please specify which identification you will be providing here and upload files below. (Please refer to the end of the enrolment form for guidelines for providing 100 points of identification.) *
Upload identification documents *

Cancelof
Your personal statement
Why are you choosing this course?*
Do you have a specific career aim or job in mind for the future?*
Where did you hear about us and why did you choose us as your training provider?*
Do you consider that you have adequate literacy and numeracy skills to undertake this course?*

YesNoNot sure
Are you seeking credit for previous learning or recognition of prior learning?*

YesNoNot sure
Are there any individual needs you have that we should be aware of, so that we take this into account when planning your training?*

YesNoNot sure
If yes, please provide us with a little more information.
Unique Student Identifier

If you're studying nationally recognised training in Australia from 1 January 2015, you will be required to have a Unique Student Identifier (USI). Your USI links to an online account that contains all your training records and results (transcript) that you have completed from 1 January 2015 onwards. Your results from 2015 will be available in your USI account in 2016.

When applying for a job or enrolling in further study, you will often need to provide your training records and results (transcript). One of the main benefits of the USI is the ability to provide students with easy access to their training records and results (transcript) throughout their life. You can access your USI account online from your computer, tablet or smart phone anytime. Fact sheets –available to download Student Information for the USI

It's free and easy to create your own USI and will only take a few minutes of your time. Alternatively, we can create your USI on your behalf. To do this we will need some additional identification information from you such as your driver’s licence number.
Do you already have a Unique Student Identifier?*

YesNoNot sue
In which Country, State and Suburb were you born? (Please ensure you list all three)*
Please provide your Unique Student Identifier. Visit this website to get your USI: (https://www.usi.gov.au/)
Would you like us to help create your USI on your behalf?*

YesNo
If yes, which State or Territory issued your Driver's Licence?*
What is your Licence number?*
If you do not have a Driver’s Licence, there are a range of other Proof of ID options including:
- Medicare Card
- Australian Passport
- Visa (with Non-Australian Passport)
- Birth Certificate (Australian) *please note a Birth Certificate extract is not sufficient
- Certificate Of Registration By Descent
- Citizenship Certificate
- ImmiCard
You can review the Proof of ID examples at this site: http://www.usi.gov.au/help-centre/proof-of-ID/Pages/proof-of-ID.aspx. Please provide The Unleashed Collective with one of the alternative ID options.
Student declaration

I understand the terms of this Contract and the refund conditions and confirm that I have been fully advised of the fees, refund conditions and conditions of enrolment and agree to be a student at The Unleashed Collective.

I agree that it is my responsibility to retain a copy of this written agreement as supplied by the RTO, The Unleashed Collective and receipts of any payments of tuition fees or non-tuition fees.

I agree that under the Data Provision Requirements 2012, The Unleashed Collective is required to collect personal information about me and to disclose that personal information to the National Centre for Vocational Education Research Ltd (NCVER).

My personal information (including the personal information contained on this enrolment form and my training activity data) may be used or disclosed by The Unleashed Collective for statistical, regulatory and research purposes. The Unleashed Collective may disclose my personal information for these purposes to third parties, including:

School – if you are a secondary student undertaking VET, including a school-based apprenticeship or traineeship;
Employer – if you are enrolled in training paid by your employer;
Commonwealth and State or Territory government departments and authorised agencies;
NCVER;
Organisations conducting student surveys; and
Researchers.
Personal information disclosed to NCVER may be used or disclosed for the following purposes:

Issuing a VET Statement of Attainment or VET Qualification, and populating Authenticated VET Transcripts;
facilitating statistics and research relating to education, including surveys;
understanding how the VET market operates, for policy, workforce planning and consumer information; and
administering VET, including program administration, regulation, monitoring and evaluation. I may receive an NCVER student survey which may be administered by an NCVER employee, agent or third-party contractor. I may opt out of the survey at the time of being contacted.
NCVER will collect, hold, use and disclose my personal information in accordance with the Privacy Act 1988 (Cth), the VET Data Policy and all NCVER policies and protocols (including those published on NCVER’s website at www.ncver.edu.au).

Learner Support Policy: Will be available upon request or if a need is identified by a trainer/assessor. Learning support is offered at pre-enrolment and the pre-enrolment interview will enquire further incl. LLN but not limited.
Becoming a marriage celebrant: The Attorney Generals Department applies ongoing fee’s associated with becoming a marriage celebrant in Australia. These are out of our control and do change. Visit the AGs website to find out https://www.ag.gov.au/FamiliesAndMarriage/Marriage/Pages/Becomingamarriagecelebrant.aspx

By signing this form, I certify that the information provided is true and correct. I further certify that:
- I have reviewed the Student Handbook supplied to me and have been informed about my rights and obligations.
- I have reviewed the Schedule of Fees and Payments and have been informed of the refund policy.
- I have reviewed the relevant course brochure and have been informed of the training and assessment services to be provided and the units of competency to be completed.
- I have been informed and read factors set by the Attorney Generals Department about becoming a marriage celebrant.
- The information I have provided in this form is true and correct.
Full name*

First NameLast Name
Signature*

Clear
Date*

MonthDayYear
Date
Please indicate below if you will be paying in full or via Payment Plan Arrangements. Direct Deposit arrangements will not be accepted for Payment Plan Arrangements. Direct Deposit is available to full paying enrolments only.
Payment method*

In fullWeekly on Thursdays (via direct debit)Funded Course
You will be invoiced on receipt of your enrolment, this will be checked and accepted by you prior to use, commencing or taking any payments. Thank you
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