Skill Set Application Form

  • Skill Set Course Application Form

    CHCSS00144 - Supporting Children and Families with Complex Needs
  • Please select your preferred title*

  • Contact Details

  • What is the address of your usual residence?

    Please provide the physical address (street number and name not post office box) where you usually reside rather than any temporary address at which you reside for training, work or other purposes before returning to your home.

    If you are from a rural area use the address from your state or territory’s ‘rural property addressing’ or ‘numbering’ system as your residential street address.

    Building/property name is the official place name or common usage name for an address site, including the name of a building, homestead, building complex, agricultural property, park or unbounded address site.

  • Do you have a postal address different from above?*

  • Next of Kin

  • Who we should contact in case of emergency?

    This is the legal person for Imagine Education Australia to contact in the event of an emergency. This person must be legally responsible for your welfare i.e. a family member.

  • Language and Cultural Diversity

  • Are you of Aboriginal or Torres Strait Islander origin?*
  • Do you speak a language other than English at home?*
  • How well do you speak English?*

  • Disability

  • Do you consider yourself to have a disability, impairment or long-term condition or require any adjustments to accommodate you in your course?*
  • If you indicated the presence of a disability, impairment or long-term condition, please select the area(s) in the following list

  • Schooling

  • What is your highest COMPLETED school level?*
  • Are you still enrolled in secondary or senior secondary education?*

  • Study Reason

  • Of the following categories, select the one which BEST describes the main reason you are undertaking this course/traineeship/apprenticeship*

  • Previous Qualifications Achieved

  • Have you successfully completed (or partially completed) any of the following qualifications?*
  • If yes, tick ANY applicable boxes below
  • What is your highest education achieved?*

  • Employment

  • Of the following categories, which BEST describes your current employment status?*

  • Unique Student Identifier (USI)

  • From January 1st 2015, Imagine Education can be prevented from issuing you with a nationally recognised VET qualification or statement of attainment when you complete your course if you do not have a Unique Student Identifier (USI). If you have not yet obtained a USI, you can apply for it directly at http://www.usi.gov.au/create-your-USI/. 

  • Do you have a USI number?*

  • If you do not have a USI number, Imagine Education will apply for one on your behalf. To do this you must authorise us to do so and declare that you have read the privacy information at https://www.usi.gov.au/documents/privacy-notice-when-rto-applies-their-behalf. 

    I authorise Imagine Education to apply, pursuant to sub-section 9(2) of the Student Identifiers Act 2014, for a USI on my behalf. I have read and I consent to the collection, use and disclosure of my personal information pursuant to the information detailed at https://www.usi.gov.au/documents/privacy-notice-when-rto-applies-their-behalf 

  • Existing Worker

  • CHCSS00144 - Supporting Children and Families with Complex Needs

    Students must be an Existing Worker in Early Childhood Education and Care who already hold a Certificate III or higher level qualification.

    Existing worker means a current employee who has a one month or more employment relationship with their employer and has actively fulfilled work duties for this period. The one month working relationship could be full-time or on a part-time/casual employment equivalent basis. Existing workers have access to employee entitlements and therefore do not include volunteers. Registration with a Labour Hire Company does not satisfy the ‘existing worker’ requirement, unless at the commencement of the training the prospective student has been engaged in employment for a period of one month or more and is currently employed.

    Evidence to prove the student is an existing worker in the required industry is an official letter or email (with signature block) from the employer listed within the student’s enrolment form. This letter or email must include statements confirming the student’s employment status, the length of current employment and confirmation the student has been actively fulfilling work duties for this period. This evidence from the nominated employer is able to be obtained by the Supplier up to 7 calendar day before or after the student’s enrolment into the qualification.

  • Course

  • Course Start Date*
     - -

  • Prior Learning

  • Do you wish to apply for Credit Transfer?

  • Document Collection

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  • Declaration

  • I declare that the information provided by me on this application form is true and correct, and that it relates specifically and solely to me as an individual.

    I accept that Imagine Education Australia makes decisions based on this information and may seek further information or clarification as required.

    I understand that if offered a place in a course of training I will be required to pay fees and meet requirements specific to that course before my enrolment is confirmed.

    I accept that failure to attend the scheduled sessions may compromise my ability to satisfy some or all of the course requirements.

    I further accept that any additional training may be required if I do not meet the course requirements, that this training is at an additional cost to myself, and that any requirement to undertake this extra training is at the discretion of Imagine Education Australia.

  • Date*
     - -

  • Imagine Education Australia reserves the right in its absolute discretion to reject any application for enrolment, and shall be under no obligation whatsoever to give reasons for its decision.

    Enrolments at Imagine Education Australia must be completed prior to the commencement date of the program/ courses and a non-refundable fee must be paid to secure the enrolment.

    Imagine Education Australia does not accept students who have not enrolled prior to the commencement of programs or courses.

  • If nothing happens when you click "Submit Application", please ensure that all required* fields are completed.

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