Evidence collection form

Please note: The uploaded document must be letter from a health professional stating what your disability is and clearly indicate that you require additional support/resources as a result. 

Please note: The letter should clearly show the Centrelink Reference Number (CRN) and the benefit or allowance category.

Please note: The concession card should clearly show the benefit or allowance category.

Please note: The Centrelink income statement should clearly show the CRN and the benefit or allowance category.

Please note that the statutory declaration uploaded must include all of the following:

• The name of the employer
• Job title of the Employee
• Length of service with the employer
• Details of what duties are being undertaken in the Building and Construction Industry

This form can be obtained from https://immi.homeaffairs.gov.au/form-listing/forms/1359.pdf

Apply for credits from other qualifications
If you want to apply for credits from other qualifications that you have previously completed at the same level, please attach a copy of your transcript for the relevant qualification(s). This needs to show the code and names of the units you completed.

I {name} of {address} with date of birth {dateOf} understand that:

For accurate and up-to-date information about CSQ funding, I need to go to https://www.csq.org.au

I understand that my application will not guarantee me CSQ funding. Example reasons: If I am not eligible under the eligibility requirements or if GTI has no funding available to allocate.

Global Training Institute are able to offer this course at a discount due to a partial subsidy provided by CSQ (Construction Skills Queensland). CSQ provides us the subsidy directly as you complete your units, and we pass it on to you via a discounted course cost upfront. The fee quoted is based on me successfully completing all required units within the CSQ Contract Period. Any units completed after contract end date will mean me paying full fees for those units.

I understand that if I do NOT complete my qualification within the CSQ contract funding period, that I am linked with, I will need to pay the full rate for those units not completed.
 
By signing you agree that you may be contacted by Construction Skills Queensland and asked to; participate in a Review and/or 1 or more Destination Surveys about this training program, and/or; for the purposes of advising you of Construction Skills Queensland products and services, whether current or future.
I am to contact Global Training Institute if I have any questions, queries, or complaints regarding my application or CSQ funding.

I {name} of {address} with date of birth {dateOf} understand and agree that personal information (information or an opinion about me), date of birth, contact details, training outcomes and performance, or sensitive personal collected from me, my parent or guardian, such as my name, Unique Student Identifier, date of birth, contact details, training outcomes and performance, or sensitive personal information (including my ethnicity or health information) (together Personal Information) collected by Global Training Institute may be disclosed to the Department of Industry, Skills and Regional Development (Department).

The Department may disclose my Personal Information to other Australian government agencies, including those located in States and Territories outside New South Wales.

The above government agencies may use my Personal Information for any purpose relating to the exercise of their government functions, including but not limited to the evaluation and assessment of my training, the determination of my eligibility to receive subsidised training or for any Fee Exemptions or Concessions. My Personal Information may also be disclosed to other third parties if required by law.

I consent to the collection, use and disclosure of my Personal Information in the manner outlined above.

I also acknowledge and agree that the Department may contact me by telephone email or post during or after I have ceased subsidised training with Global Training Institute for the purposes of evaluating and assessing my subsidised training.

I {name} of {address} with date of birth {dateOf} acknowledge and agree that:

1. I have:

a) honestly and accurately provided information and evidence for the purposes of enrolment and eligibility;

b) consented to the collection, use and storage of personal information by the Recipient;

c) been informed by the Recipient that the enrolment may impact their future entitlement to government subsidised Training; and

d) agrees to the conditions of access determined through the Upfront Assessment of Need.

2.   I wish to participate in an activity funded by Department for Education (Skills SA);

3.   I accept that the Minister for Education, Training and Skills (Minister) will allocate to me a Participant Number, to be used to record my participation in, and the results of, activities funded by the Department for Education (Skills SA);

4.   I accept that the assessment as to whether I am eligible to enrol in any specific activity funded by the Department for Education (Skills SA) will be undertaken by a training provider who has a Contract with the Minister;

5.   I consent to the Minister, its employees, agents and contractors collecting from the training provider my results in all courses which I have been enrolled and using this information for the purpose of determining whether I am eligible to enrol in an activity funded by the Department for Education (Skills SA). I consent to the Minister, its employees, agents and contractors using this information for the performance measurement and reporting activities;

6.   I consent to the Minister, its employees, agents and contractors collecting and using any student identifier (as that term is defined in the Student Identifiers Act 2014) assigned to or relating to me and using that student identifier to obtain transcripts and other information relating to me and using this information to determine my eligibility for an activity funded by the Department for Education (Skills SA) and to record and track my progress through the activities funded.

7.   I accept and agree that the Minister, its employees, agents and contractors will be in receipt of my Personal Information and that they may be required to share my personal information with:

- registered training organisations who have a current Contract with the Minister;

- other South Australian government agencies (including regulators) responsible and / or involved in training and education (whether accredited or not), including but not limited to funding, monitoring training and / or compliance;

- Commonwealth government agencies (including regulators) responsible and / or involved in training and education (whether accredited or not), including but not limited to policy, development, funding, monitoring and / or compliance; and

- government agencies (including regulators) in other Australian states and territories responsible and / or involved in the training and education (whether accredited or not), including but not limited to policy, development, funding, monitoring and / or compliance.

8.   By providing my Personal Information as outlined above, I am consenting to the Minister, its employees, agents and contractors contacting me during or after I have ceased my training or education for the purposes of:

- statistical reporting and analysis in respect to training outcomes and the program;

- undertaking an evaluation of the training;

- promoting the training (or any other program run by the Minister which relates to training);

- assessing quality of training;

- recording the information about my training;

9.   I agree to notify the Minister if the Personal Information outlined above changes;

10.   Where required by the Minister, I agree to access my student profile maintained by the Minister and its employees, agents and contractors and advise if any of the Personal Information contained in my student profile is incorrect.