Short Course Enrolment
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*
Passport Number
Country of Passport
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Upload Copy of Current Passport
*
Browse Files
Cancel
of
Language(s) spoken at home
Unique Student Identifier (USI)
*
To find more about a USI, create or find, visit: https://www.usi.gov.au/
Permanent Contact Details
Permanent Home Address (e.g. overseas address)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mailing Address
Same as above
Add a different mailing address
Residential Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone
*
Mobile
Email
*
example@example.com
Emergency Contact Details
*
Contact Full Name
Relationship
Mobile Number
Email
Postal / Zip Code
Do you have any condition/disability that may affect your studies?
No
Yes
If yes, please specify from the following
Hearing
Learning
Mobility
Visual
Medical
Other
Other, Please specify
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Language, Cultural Diversity and Special Needs
Are you an Australian Aboriginal or Torres Strait Islander Origin?
*
No
Yes, I am Aboriginal
Yes, I am Torres Strait Islander
Yes, I am Aboriginal and Torres Strait Islander
Is English your first language?
Yes
No
If you answered 'No' - Please specify your highest qualification in English:
Upload Copy English Qualification (IELTS / PTE / Current CoE / Other English above intermediate)
*
Browse Files
Cancel
of
Do you require any special assistance while undertaking training with Qii/QiiT?
No
Other
Course Selection
Please select what course you would like to enrol into:
*
RSA Course (SITHFAB021 - Provide responsible service of alcohol)
First Aid (HLTAID011 - Provide first aid or HLTAID012 - Provide First Aid in an Education and Care Setting)
Preferred Date (RSA)
Currently not available
Please note that preferred dates cannot be confirmed at time of enrolment - Qii will contact if preferred date is not available.
Preferred Date (First Aid)
10th November 2022
Please note that preferred dates cannot be confirmed at time of enrolment - Qii will contact if preferred date is not available.
Terms and Conditions of Enrolment
1. Qii/QiiT reserves the right to cancel classes at any time prior to their commencement. If a class is cancelled, students will be advised by SMS and email no later than two days prior to its scheduled commencement date. 2 We require a current mobile and email address to communicate details retails relating to your application. 3. Please note: As a condition of your enrolment you will be required to provide further statistical information upon attendance at your first class. 4. NO REFUNDS or transfers will be granted on or after commencement date of a course. 5. If you wish to cancel your place in a class, you must provide us with written notification. If cancellation is requested 14 days prior to the commencement of the course, the enrolment fee will be retained and tuition fee will be refunded 6. If cancellation is requested less than 14 days prior to the commencement of the course, the student will not be entitled to any refund. 7. Course deferral requests will be assessed and approved on the grounds of compassionate or compelling circumstances. If deferral request is approved, a $30 CoE reissuance fee will apply.
Media Consent
I consent to Queensland International (If aged under 18, the student’s parent or suitable nominated relative) Institute, Queensland International Institute of Technology, their employees, agents and contractors: (a) making images or recordings of me, whether sound, digital or otherwise (‘Images and Recordings’); (b) using, publishing or reproducing the Images and Recordings in any form, in whole or in part and by any medium, including but not limited to magazines, brochures, television or other advertisements, promotional videos, websites, for promotional, public relations, commercial and advertising purposes; and (c) retaining or storing the Images and Recordings (including those incorporated into promotional materials) in hard copy of digitally by whichever method of retention or storage Queensland International Institute deems appropriate. I further understand and agree that: (d) Qii/QiiT may distribute the Images and Recordings to its employees, agents and contractors for purposes which include but are not limited to promotional, public relations, commercial and advertising purposes; (e) I shall not receive any payment, royalty or other consideration from Qii/QiiT in connection with the making, use or storage of the Images and Recordings; (f) Qii/QiiT are the owners of the copyright on the Images and Recordings and the physical Images and Recordings; (g) I may withdraw my consent for the above use of the Images and Recordings at any time, upon written notice to Qii/QiiT; and (h) a representative of Qii/QiiT has explained to me the content of this Photographic & Media Consent Form and that I am signing this form of my own free will and on the full understanding and comprehension of the terms and conditions set out above.
Student Signature
Name
*
First Name
Last Name
Signature
*
Date
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Parent or Legal Guardian's details
If the student is below 18 years of age, this agreement must be signed by the student's parent or legal guardian.
Name
First Name
Last Name
Signature
Date
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Privacy Statement
Queensland International Institute (Qii) is required to provide both State and Commonwealth Government, with student and training activity data which may include information you provide in this enrolment application form. Information is required to be provided for statistical purposes and in accordance with Information and Privacy Policy. The Education and Training Reform Act 2006, the Student Identifiers Act 2014 (Cth) and the Student Identifiers Regulation 2014 (Cth) require and Qii to collect and disclose student personal information for a number of purposes including Commonwealth’s Unique Student Identifier (USI). For more information in relation to how student information may be used or disclosed, please refer to Qii’s Privacy Policy. Privacy Notice Under the Data Provision Requirements 2012, Qii is required to collect personal information about you and to disclose that personal information to the National Centre for Vocational Education Research Ltd (NCVER). Your personal information (including the personal information contained on this enrolment form) may be used or disclosed by Qii for statistical, administrative, regulatory and research purposes. Qii may disclose your personal information for these purposes to: Employer – if you are enrolled in training paid by your employer; Commonwealth, State or Territory government departments and authorised agencies; NCVER Personal information disclosed to NCVER may be used or disclosed for the following purposes: populated authenticated VET transcripts facilitating statistics and research relating to education, including surveys and data linkage; pre-populating RTO student enrolment forms; understanding how the VET market operates, for policy, workforce, planning and consumer information; and administering VET, including program administration, regulation, monitoring and evaluation. You may receive a student survey which may be administered by a government department or NCVER employee, agent or third-party contractor or authorised agencies. Please note you may opt out of the survey at the time of being contacted. NCVER will collect, hold, use and disclose your personal information in accordance with the Privacy Act 1988 (Cth), the National VET Data Policy and all NCVER policies and protocols (including those published on NCVER’s website at www.ncver.edu.au). For more information about NCVER's Privacy Policy got to https://www.ncver.edu.au/privacy
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Visa Declaration
Are you currently holding a Student Visa?
Yes
No
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Principal Course Details: I am currently enrolled in (please choose ONE option):
ELICOS Course
VET Course
Higher Education Course
Course Name:
College / Provider Name:
Student Full Name:
I am currently enrolled with another RTO, which is my Principal Course Provider and I wish to concurrently undertake a course at Queensland International Institute (Qii) or Queensland International Institute of Technology (QiiT).I understand that I will be concurrently studying two courses and I agree that: I will remain enrolled in my principal course of study• My enrolment at Qii or QiiT will not affect my ability to achieve satisfactory course attendance form my principal course of study• My enrolment at Qii or QiiT will not affect the progress of my principal course of study.
Signature
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What Visa are you currently holding?
Student Full Name:
Signature
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Submit
Should be Empty: