DP Training - Domestic Students Enrolment Form

Domestic Student Enrolment Form
- Please make sure you complete all the sections of this application.
- DP Training is unable to finalise your enrolment if you do not provide a valid email address and a copy of a valid ID.
- If you need help completing this form, including translation services, please contact us.
Student Details

(Legal Name as per official documents)
Title*
Gender*
Name*

First NameMiddle NameLast Name
Previous Name

First NameLast Name
Date of Birth *

DayMonthYear
Date
Contact details*

Home PhoneMobile Phone
Email*
example@example.com
Residential Address*

Street Address

Street Address Line 2

SuburbState / Province

Postal / Zip Code
Is your postal address same as your residential address*
Postal Address*

Street Address

Street Address Line 2

SuburbState / Province

Postal / Zip Code
Next of Kin*

NameRelationshipPhone Number
Language and Cultural Diversity
Country of birthCity of birth
Residency Status*
Are you of Aboriginal or Torres Strait Islander origin?:*
Is English your first language?*
Please specify your first language *
Do you require English assistance?*
Disability
Do you have a disability?*
please select the ones applicable*
Please specify if other*
Education
Are you currently attending school?*
Highest school level completed*
In which YEAR did you complete that school level?*
Have you SUCCESSFULLY completed any qualifications in *
Prior Education completed in Australia, Please tick any applicable boxes:*
Please upload any Nationally Recognized Certificate II or higher qualifications you have completed from AUSTRALIA.

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Employment Status
Of the following categories, which BEST describes your current employment status?*
Employer / Organisation Name:*
Study Reason
Of the following categories, which BEST describes your main reason for undertaking this course / traineeship / apprenticeship?*
Unique Student Identifier (USI)
Developing Personnel Training & Consultancy (DPTC) 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 USI. DPTC is required to include your USI in the data we submit to NCVER. If you have not yet obtained a USI you can apply for it directly at https://www.usi.gov.au/create-your-USI/ on computer or mobile device.
If you already have a USI, please include it here:
Please upload your USI Transcript

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How did you hear about us?*
If Referred by - Name, please enter their name below:
Course Enrolment Details
Course code and Course title*
Delivery Mode*
Delivery Mode*
Delivery Mode*
Delivery Mode*
Delivery Mode*
Delivery Mode*
Recognition of Prior Learning (RPL)
DPTC offers Recognition of Prior Learning (RPL). Would you like to undertake an RPL assessment method?:*
- I understand that Recognition of Prior Learning (RPL) is an assessment method offered by Developing Personnel Training & Consultancy (DPTC) and is available when I have already attained the knowledge and skills necessary for specific units of competency (UoC) within the course that I am enrolled in, relevant to the training package requirements.
- I acknowledge that I will receive the relevant RPL Candidate’s Assessment kit relevant to the course in which I am enrolled in.
- I understand that a qualified Trainer/Assessor will contact me to discuss all associated RPL assessment requirements.
- I understand that the RPL assessment process will comply with the assessment requirements of the relevant training package that I am enrolled in, and the Principles of Assessment – Fairness; Flexibility; Validity; Reliability, and the Rules of Evidence – Validity; Sufficiency; Authenticity; Currency, and that I will only be issued with AQF certification documentation that has been assessed as meeting the requirements of the training product that I am enrolled in, as specified in the relevant training package.
- I declare that the information I provide for the RPL Assessment process will be, to the best of my knowledge true and accurate.
Credit Transfer
You may seek a credit transfer for previously completed units of competency from either DPTC or another registered training organisation. These will need to be authenticated and verified by DPTC. Are you seeking a credit transfer?:*
I hereby declare that all VET transcripts submitted herewith are genuine.

I hereby provide consent to DP Training Consultancy Pty Ltd (RTO 31888) to contact the relevant education institution to obtain verification of the VET transcripts issued by the Registrar.

Documents issued post January 2015 will be verified through the USI Registry. DP Training Consultancy requests you provide authority to verify through the USI registry. Please provide this authority using the link below:

https://www.usi.gov.au/documents/how-do-i-give-permission-my-training-organisation-view-my-usi-transcript-online
Payment Method
Choose the most applicable payment method*
Documentation

Please upload the one of the following documents
Date of Birth
- Driver's License or
- Passport or
- Birth Certificate or Extract
File Upload*

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Career Start Eligibility Verification Documentation Declaration
Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

SuburbState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*

Area CodePhone Number
Career Start Eligibility Verification Documentation Requirements.

Important: To be eligible to receive the Queensland Government Subsidies Funding under the Career Start Program, all prospective students are required to provide evidence of their eligibility and understanding of the Queensland Government Funded Program. In order to confirm eligibility, the following documentation and signed declaration must be attached to the enrolment form. (Please note all documentation must align with the information provided on your Enrolment Form)
Date of Birth
- Driver's License or
- Passport or
- Birth Certificate or Extract
File Upload*

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Queensland Residency
- QLD Driver's License or
- Health Care or Pension Card showing current address details or
- Correspondence showing current QLD address
File Upload*

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Australian or New Zealand Citizenship / Australian Permanent Residency
- Medicare Card (Green Only) or
- Australian or New Zealand Passport or
- Australia Citizenship Certificate
*Only required for non-Australian or New Zealand Citizens
- Visa or formal documentation from the Department of Immigration showing approval for permanent visa subclass or
- Certificate of Evidence of Residence Status (CERS)
File Upload*

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Eligibility for a concessional contribution
- Current Health Care Card or Pension Card
File Upload

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Have you completed or partially completed, or are you currently enrolled in a Certificate III or higher-level qualification in any industry?

☐ Yes, I have completed, or partially completed another Certificate III level course or higher. If Yes what Year award issued _____________ – Attach a copy

☐ Yes, I am currently enrolled in another Certificate III level course or higher – Please provide details

☐ No, I am not enrolled in another Certificate III level course or higher, and I have not completed or partially completed a Certificate III level course or higher.
File Upload

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Career Start Declaration

Career Boost Eligibility Verification Documentation Declaration
Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

SuburbState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*

Area CodePhone Number
Career Boost Eligibility Verification Documentation Requirements

Instructions: To be eligible to receive the Queensland Government Subsidies Funding under the Career Boost Program, all prospective students are required to provide evidence of their eligibility and understanding of the Queensland Government Funded Program. In order to confirm eligibility, the following documentation and signed declaration must be attached to the enrolment form. (Please note all documentation must align with the information provided on your Enrolment Form)
Date of Birth
- Driver's License or
- Passport or
- Birth Certificate or Extract
File Upload*

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Queensland Residency
- QLD Driver's License or
- Health Care or Pension Card showing current address details or
- Correspondence showing current QLD address
File Upload*

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Australian or New Zealand Citizenship / Australian Permanent Residency
- Medicare Card (Green Only) or
- Australian or New Zealand Passport or
- Australia Citizenship Certificate
*Only required for non-Australian or New Zealand Citizens
- Visa or formal documentation from the Department of Immigration showing approval for permanent visa subclass or
- Certificate of Evidence of Residence Status (CERS)
File Upload*

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Eligibility for a concessional contribution
- Current Health Care Card or Pension Card
File Upload

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Have you completed or partially completed, or are you currently enrolled in a Certificate IV or higher-level qualification in any industry?

☐ Yes, I have completed, or partially completed another Certificate IV level course or higher If Yes what Year award issued _____________ – Attach a copy

☐ Yes, I am currently enrolled in another Certificate IV level course or higher – Please provide details

☐ No, I am not enrolled in another Certificate IV level course or higher, and I have not completed or partially completed a Certificate IV level course or higher.
File Upload

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Career Boost Declaration
Are you applying for - CHC62015 Advanced Diploma of Community Sector Management?*

WorkReady – Subsidised by South Australian Government
Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

SuburbState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*

Area CodePhone Number
Government Subsidy Eligibility Verification Documentation Requirements

To be eligible to receive the South Australian Government Subsidies Funding under WorkReady, all prospective students are required to provide evidence of their eligibility and understanding of the South Australian Government Funded Program to meet the programs criteria. In order to confirm eligibility, the following documentation and signed declaration must be attached to the enrolment form. (Please note all documentation must align with the information provided on your Enrolment Form)
Date of Birth
- Driver's License or
- Passport or
- Birth Certificate or Extract
File Upload*

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South Australian Residency
- SA Driver's License or
- Health Care or Pension Card showing current address details or
- Correspondence showing current SA address
File Upload*

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Australian or New Zealand Citizenship / Australian Permanent Residency
- Medicare Card (Green Only) or
- Australian or New Zealand Passport
- Australia Citizenship Certificate
*Only required for non-Australian or New Zealand Citizens
- Visa or formal documentation from the Department of Immigration showing approval for permanent visa subclass or
- Certificate of Evidence of Residence Status (CERS)
File Upload*

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Eligibility for a concessional contribution
- Current Health Care Card or Pension Card
File Upload

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WorkReady Declaration

Privacy Statement
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. 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 TrainingRegulator Act 2011 (Cth) (NVETR Act)) to disclose the personal information we collect about you to the National VET Data Collectionkept 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 Employment and WorkplaceRelations (DEWR), 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.DEWR 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 DEWR will handle your personal information, pleaserefer to the DEWR VET Privacy Notice at https://www.dewr.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 contractors 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 DP Training 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
For more information, please refer to our Privacy policy.
Consent for publication of a student’s photo and work
Student Declaration
- I consent to the collection, use and disclosure of my personal information in accordance with the Privacy Statement above.
- I provide DP Training permission to search for my USI and I acknowledge and agree to the USI Privacy Statement available to me at the Government USI website.
- If, and for so long as, my education and training is paid for by a parent, guardian, or sponsor, or I am under a training contract with an employer, I consent to the release by DP Training of information relevant to my progress and results to such parent, guardian, sponsor or employer.
- I agree to adhere to the relevant Code of Conduct – Student; Enrolment Policy; Student Handbook, including otherDP Training Policies & Procedures and the relevant Department of Education and/or Training Conditions of Use Policies and/or Funding requirements applicable within each State and Territory.
- I consent to DP Training contacting me in accordance with the contact details provided on this form.
- I understand confirmation of course enrolment will be subject to viable numbers.
- I have read and understand DP Training’s Fees, Charges and Refund Policy.
- I understand that after passing the date when I am no longer eligible for a refund, I cannot claim a discount for credit transfers.
- I agree that all fees incurred are to be paid in full, and should I default in full or in part, the total value of outstanding fees may be passed on to a Collection Agency for further action, and costs may be added to outstanding fees, and my enrolment may be cancelled.
- I agree that I am required to notify Services Australia of any change in circumstances that may affect my payment.
- I understand that I will not be eligible for my Testamur or Statement of Attainment for this course until all fees are paid.
- I declare that the information I have provided, to the best of my knowledge, is true and correct.
- I understand and fully acknowledge that if I marked ‘*subsidised’ in this enrolment form, I have calculated my eligibility for the applicable subsidy and confirm that I have read all relevant Fact Sheets, Eligibility Criteria requirements applicable to my State and/or Territory AND understand that if my application for funding assistance is not approved, I will be required to pay all associated Course Fees and Charges to proceed with the enrolment as advertised.
Is the student above 18 years of age?*
Name*

First NameLast Name
Date*

DayMonthYear
Signature*

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*Parental/guardian consent is required for all students under the age of 18.
Name of parent/guardian*
Signature*

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Date*

DayMonthYear
Should be Empty:

Language and Cultural Diversity

Disability

Education

Employment Status

Study Reason

Unique Student Identifier (USI)

Course Enrolment Details

Recognition of Prior Learning (RPL)

Credit Transfer

Payment Method

Documentation

Career Start Eligibility Verification Documentation Requirements.

Career Start Declaration

Career Boost Eligibility Verification Documentation Requirements

Career Boost Declaration

Government Subsidy Eligibility Verification Documentation Requirements

WorkReady Declaration

Privacy Statement

Consent for publication of a student’s photo and work

Student Declaration

*Parental/guardian consent is required for all students under the age of 18.