CHC43121 Certificate IV in Disability Support Application Form Ver 005 Ref APEX/QMS/SAM/FM-13 Revision Date:

APPLICATION FORM

This application form consists of:

1) Applicant information questions

2) Suitability for the industry questions

3) Training preferences questions

4) A language and literacy test

5) A numeracy test

6) Student declaration

Apex Training Institute will comply with the national privacy principles in the handling of the personal information of students.

IMPORTANT DOCUMENTS

Kindly note you must review the course fact sheet of the course you wish to enrol in before applying and enrolling. You can access all course fact sheets 24 hours a day, 7 days a week via the following link: http://www.apextraining.edu.au/course-fact-sheets. ( Shortened link: http://bit.ly/2kB3ubk )

You are also required to review the Student Handbook before applying and enrolling. You can access the Handbook 24 hours a day, 7 days a week on the Resources Page of the Apex site: https://www.apextraining.edu.au/resources
Email*
Alternative email address (optional)

APPLICANT NAME
Do you have*

Both a first and last nameA single name only
Name

First NameLast Name
Single Name
Have you previously been known by any other name(s)?*

YesNo
Your previous name was

Both a first and last nameA single name only
Name

First NameLast Name
Single Name

APPLICANT INFORMATION
Date of Birth*

DayMonthYear
Date
Gender*

MaleFemaleOther
What is the address of your usual residence?*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is your postal address the same as the address of your usual residence?*

YesNo
Postal address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile number*
Please enter a valid phone number.
Work phone number
Please enter a valid phone number.
Home phone number
Please enter a valid phone number.
Course applying for (select all that apply)*

CHC43121 Certificate IV in Disability SupportOther
When do you want to start studying?*

MonthDayYear
Date
Citizenship*
Visa Subclass (If None, Type N/A)*

UNIQUE STUDENT IDENTIFIER (USI)
Kindly note that a USI is mandatory to study at Apex. For that reason, you must have a USI or obtain one within 14 days of enrolment at Apex-

It is also mandatory to grant Apex Training Institute access to one's USI transcript; the transcript will be accessed in line with Apex's privacy policies and procedures which can be found in the Student Handbook ( https://www.apextraining.edu.au/resources )
Do you have a Unique Student Identifier (USI)?*

YesNo
Unique Student Identifier (USI)

OBTAIN AND PROVIDE A USI

If you don't already have one
I acknowledge that I will visit www.usi.gov.au, obtain a Unique Student Identifier, and submit it to Apex within 14 days of enrolment

YesNo

COURSE POLICY AND PROCEDURE INFORMATION

Verifying students have all relevant information about the course, Apex policies and procedures prior to enrolment
Have you reviewed the student handbook in full? (including complaints policy, refund policy, code of practice, rights and responsibilities, etc.)*

YesNo
Have you reviewed the course fact sheet for your course in full?*

YesNo

SUITABILITY FOR INDUSTRY
A DAY IN THE LIFE OF A DISABILITY SUPPORT WORKER

This qualification reflects the role of workers in a range of community settings and clients’ homes, who provide training and support in a manner that empowers people with disabilities to achieve greater levels of independence, self-reliance, community participation and well-being. Workers promote a person-centred approach, work without direct supervision and may be required to supervise and/or coordinate a small team. A disability support worker would develop and implement programs to support clients to maximise their independence and develop skills and competencies. They also may facilitate outings and engagements with the community around them from facilitating a client's visit to the supermarket to their regular trips to their recreational activity of choice, all the way to helping them stay connected with lifelong friends and relatives. They may be required to work evenings, weekends and rostered shifts. They need to also be on the lookout for any safety hazards that may pose risks to themselves, other staff and their clients. In addition, they also must know how to use equipment such as hoists to lift the client in and out of bed, or swivel cushions to ease movement for the client. They may also utilise special communication technologies, such as software that produces spoken output for people with hearing difficulties, and magnifies or presents information as Braille for those with sight disabilities. A disability support worker may also need to be familiar with vehicle modifications such as wheelchair hoists and modified driving controls. They also need to be able to provide emotional support and companionship to their clients.
Is this the type of work environment you are expecting to work in after successfully completing this qualification?*

YesNo
Do you have any previous qualification or units of competency relevant to this course?*

YesNo
If you answered yes, please provide us with a copy of the certificate by attaching it below or send it to supportteam@apex.edu.au within 14 days of enrolment.

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What work experience or existing knowledge do you have of the industry that you want to apply to study (e.g. previous work in aged care facility)?
Why does this course appeal to you?*
What do you hope to achieve from gaining this qualification (e.g. skills and knowledge to get a job or a pathway to a higher qualification)?*
If already working in the industry, do you enjoy working in it (and why)?

PAYMENT METHOD

For more information on the various prices, please refer to the relevant course fact sheet ( https://www.apextraining.edu.au/course-fact-sheets )
How do you wish to pay?*

Pay in full upfront via debit or credit cardPay weekly, fortnightly or monthly via direct debitPay in full upfront via Bank Transfer

STUDENT DECLARATION
PRIVACY NOTICE

Please Note that your Enrolment form can only be assessed if the information provided by you is correct.

Why do 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 do 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 the NCVER and other bodies handle your personal information?

The 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.

The NCVER is authorised to disclose information to the Australian Government Department of Education, Skills and Employment (DESE), 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.
The NCVER may also disclose personal information to persons engaged by NCVER to conduct research on NCVER’s behalf.

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

For more information about how the 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.

DESE 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 the DESE will handle your personal information, please refer to the DESE VET Privacy Notice at https://www.dese.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 Apex Training Institute 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

Apex Training Institute

Brisbane Branch

Street Address: 1374 Logan Road, Mount Gravatt, QLD 4122

Postal Address: PO Box 6803, Upper Mount Gravatt, QLD 4122

Phone Number: 07 3420 5861

Email - supportteam@apex.edu.au

The Apex Training Institute privacy policy can be found in the Student Handbook which can be accessed on the resources page of the Apex website: https://www.apextraining.edu.au/resources
I have read the privacy notice and all the information provided by me is correct.*

Yes

STUDENT APPLICATION DECLARATION AND AGREEMENT

I, the undersigned, declare and agree as follows:
- That the information entered on this form is, to the best of my knowledge, true, correct and complete.
- While a student at Apex Training Institute, I agree to be bound by the codes of conduct, regulations, policies and procedures of Apex Training Institute while I remain an enrolled student.
- I agree to be bound by the policies, procedures and rules as laid out in the Apex Training Institute Student Handbook. The student handbook can be accessed 24 hours a day, 7 days a week via this link: http://www.apextraining.edu.au/resources
- I agree to comply with any and all reasonable instructions given to me by staff members of Apex Training Institute.
- I authorise and approve of the release of details of my course and grades at Apex Training Institute to education institutions and academically relevant professional bodies. If Apex Training Institute is required to by law, it may disclose student details to State and Commonwealth authorities.
- I declare that should I have any existing condition or injury which may prevent me from either participating in learning and assessment at Apex Training Institute or performing functions associated with vocational placement, I agree to provide full details of any such limitations to Apex Training Institute staff.
Agreement 1*

Please select this checkbox to declare and agree to the above
Agreement 2*

Please select this checkbox to declare you have read and understood the relevant course fact sheet and student handbook
Name*

First NameLast Name
Signature*

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APPLICANT NAME

APPLICANT INFORMATION

UNIQUE STUDENT IDENTIFIER (USI)

OBTAIN AND PROVIDE A USI

Digital Literacy Self-Assessment

Can you confidently do the following?

🗣️ Tell Us More (Optional)

COURSE POLICY AND PROCEDURE INFORMATION

TRAINING PREFERENCE QUESTIONS

SUITABILITY FOR INDUSTRY

WORK PLACEMENT

HOW DID YOU FIND OUT ABOUT APEX?

PAYMENT METHOD

STUDENT DECLARATION