TLI41222 Certificate IV in Driving Instructor Training (Car)

Student Enrolment Form

TLI41222 Certificate IV In Driving Instructor Training (Car)
Please note: The data collected on this form is required in accordance with the Australian Vocational Education and Training Management Information Statistical Standard (AVETMISS) for VET providers. This national data standard ensures consistent and accurate capture and reporting of VET information about students.
Personal Details
Name*

PrefixFirst NameLast Name
Gender*

FemaleMaleOther
Date of Birth*

DayMonthYear
Date
Address*

Number

Street Name

CitySuburb

Post Code
Postal Address (If different)

Number

Street Name

CitySuburb

Post Code
Mobile Number*
Home Number
Email*
Emergency Contact Name*

First NameLast Name
Emergency Contact Number*
Why did you choose us?
Why did you choose PVET Institute? *

PriceFlexible Training OptionsReferral
How did you find us?

GoogleEligibility LetterMy Skills WebsiteReferralOther
Were you recommended a Trainer?

If so, please type Trainers name below
Trainer's Name
Licence Information
Licence Number*
Licence Expiry Date*

DayMonthYear
Date
How many years have you held a driver's licence?*
Copy of Licence*

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Unique Student Identifier (USI)
From January 1st 2015, all students undertaking nationally recognised training need to have a Unique Student Identifier (USI). The USI is a reference code made up of numbers and letters and is linked to the National Vocational Education and Training (VET) Data Collection. An individual's nationally recognised training and qualifications gained in Australia will be recorded under this system.

Please use the following link to obtain a USI or retreive a forgotten USI if you have undertaken training since 2015.

https://www.usi.gov.au/
Unique Student Identifier*
RMS Letter of Eligibility*

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Schooling
What is your highest completed school level? *

Year 8Year 9Year 10Year 11Year 12Did not go to school
What (calendar) year did you leave school?*
Main reason for undertaking this course*

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 or studyPersonal interest/self-developmentOther reasons
Is a business paying for the course?

if you would like invoices to be made out to a business name, please provide the following details:
Business Name
Contact Name

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Background
Are you of Aboriginal or Torres Strait Islander origin? *

AboriginalTorres StraitBothNone
In which country were you born? *
Do you speak a language other than English at home? *

NoYes
If yes, please specify main language spoken
How well do you speak English? *

Very WellWellNot Well
Do you consider yourself to have a disability, impairment or long-term condition? *

NoYes
If so, please specify and outline any provisions you may require.
Employment
Which best describes your current employment status? *

Full-time employeePart-time employeeSelf-employed (not employing others)EmployerEmployed (Unpaid worker in a family business)Unemployed - Seeking full-time workUnemployed - Seeking part-time workNot Employed - Not seeking employment
Current Occupation*
Previous 3 positions held
Position 1
Position 2
Position 3
Prior Education
Have you successfully completed any of the following qualifications? *

Certificate ICertificate IICertificate IIICertificate IVDiplomaAdvanced Diploma or Associate DegreeBachelor Degree or HigherNone
What is the highest level obtained/in which field?
Country where obtained
Do you want to apply for Recognition of Prior Learning (RPL) or Credit Transfer?

RPLCredit TransferNone
Terms and conditions of enrolment
By clicking 'Submit' I have read and understand the terms and conditions of my enrolment, as stated on the PVET Institute website. I acknowledge and agree with the terms and conditions with specific reference to PVET Institute's enrolment and selection, course fees, payments and refunds, course requirements, privacy, complaints and grievances, work health and safety, access and equite, harassment and bullying policies and procedures.
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Student Enrolment Form

Personal Details

Why did you choose us?

Were you recommended a Trainer?

Licence Information

Unique Student Identifier (USI)

Schooling

Is a business paying for the course?

Background

Employment

Prior Education

Terms and conditions of enrolment