TIME / Pestlearn Australian Enrolment Form

2024 Student Enrolment Form Australian (Pestlearn)

Please fill out the form carefully for registration, if you have any queries regarding this form please call TIME Education and Training on (08) 8351 9888 or email assessments@time.net.au
Time Education and Training Pty Ltd - RTO ID 40058
Student Information: To access your student handbook and our privacy document “Protecting Your Privacy” go to: https://www.time.net.au/student-information, click this STUDENT INFORMATION button or ask us to send you a copy.
Personal / Contact Information
MrMrsMissMsOther
Surname/Family Name (or single name)*
First Name*
Middle Name / Other names
Preferred Name
Former Surname
MaleFemaleOther
Birth Date*

DayMonthYear
City of Birth*
Residential Address*

Street Number

Street Name

Suburb / City / TownState

PostcodeCountry
YesNo
- Enter your Postal Address
  
  Your Po Box Number / Postal Street Number
  
  OR Your Postal Street Number
  
  SuburbState
  
  Post Code
- Home Phone
- Work Phone
- Mobile*
- Secondary Mobile
- Email address*
- Alternative Email Address
  example@example.com
- MobileEmailPost
- Emergency Contact
  
  Please note that this section is only mandatory if attending Time Education and Training classes. Workplace training students do not need to complete this section
- Emergency Contact Name*
- Relationship*
- Contact Number & Type (eg. Mobile)*
- To get a jobTo get a better job or promotionI want extra skills for my jobTo change jobs/start a new careerTo start my own businessTo develop my businessTo get into another course of studyPersonal interest / self-developmentOther
- Enrolment type (please ask if unsure)
  
  If unsure, please email us at assessments@time.net.au or call (08) 351 9888
- Program details
- Program / Enrolment Start Date (Today's date)
  
  MonthDayYear
  Date
- HIDDEN FROM JULY 2024) What Program are you enrolling into?
- 1. Full Qualification - Certificate III in Urban Pest Management CPP30119 (12 - 24 months)2. Individual Units only - (Shorter course, common for those looking to gain their Provisional License to get started in the Industry)
- NoYes
- Units 5,6 & 18 (Manage Non Timber Pests)Units 8,10 & 42 (Manage Timber Pests)Other
- Blended (Online and Face to Face)
- NoYes
- I hereby accept this course carries a monetary obligation to me / my employer whereby the first payment must be paid before program commencement.
- Please Provide Your Employer Information
- Business Name*
- Employer Contact Name*
- Employer Contact Email*
- Employer Contact Phone*
- Work Address (Street)*
- Work Address (Suburb)*
- Post Code*
- USI (Unique Student Identifier)
- YES - or you have previously provided one to TIME before, or you have one and can not remember itNO - you can authorise Time Education and Training to create your USI by completing this section that will open below by including a copy of a suitable ID (Medicare card, Drivers License, Birth Certificate, Australian Passport, VISA & Non Australian Passport or Imni-Card.
- Please enter your USI (Unique Student Identifier) here, or if you have one, but can not remember it please write "UNKNOWN" and we will try to locate it for you*
- I authorise Time Education and Training to create my USI on my behalf AND I have included a copy of my ID with this enrolment form.
- You must provide one form of ID (preferably your Drivers Licence), so we can apply for a USI for you.
- - Drivers Licence (Preferable form of ID)
- Drivers Licence number
- State of issue of the Drivers Licence number
- - Passport number
- Passport number
- Birth Certificate
- Birth Certificate - Registration Number:
- Registration state
- Please ensure you have entered either a
  - USI (Unique Student Identifier) or a
  - Drivers Licence number and State in the previous entry.
  Before continuing.
- IMPORTANT - YOU MUST HAVE A USI TO ENROL.
  
  If you have provided a valid USI above (or have provided your USI to us previously) you do not need to complete the rest of this section. If you do not have a USI it is important that you read the USI information on our website before completing this section.
  
  To access information regarding USI requirements please click here
- Your Background
  
  Registered Training Organisations are required to collect and report student information including the demographic information contained in this section. This information is provided directly (or via the relevant state training authority) to the National Centre for Vocational Education Research (NCVER). Additional information is contained within the document “Protecting your Privacy” which can be accessed via http://www.time.net.au/student-information
- AboriginalTorres Strait IslanderBothNeither
- YESOther
- YESNO
- If "YES", What is your current SACE / Student ID?*
- What is your current school name?*
- If NOT at school, what is the highest school level you completed? For example: “year 11”*
- In what year did you complete this level?*
- Where did you complete this level? (The town or city)*
- Australian CitizenPermanent ResidentVisa Holder
- YESNO
- If "NO", What is the Main Language Spoken at Home?
- Very WellWellNot WellNot at all
- YES (Please specify below)NO
- Acquired Brain ImpairmentHearing/DeafIntellectualLearningMedical ConditionMental IllnessPhysicalVisionsOther
- YESNO
- Full Time EmployeePart Time EmployeeUnemployed Seeking Full Time WorkUnemployed Seeking Part Time WorkNot Employed - Not Seeking WorkSelf EmployedEmployed - Unpaid Worker in Family Business
- YESNO
- YESNO
- YESNO
- Post-School Qualifications
  
  Select from the options below. (You can select more than one option). STATUS: For each selection, indicate if achieved in Australia or overseas (International). NOTE: If achieved overseas but the qualification has been formally recognised as an Australian Equivalent qualification, select “Australian Equivalent”
- Certificate I*
- Certificate II*
- Certificate III / (Trade Certificate)*
- Certificate IV *
- Diploma*
- Advanced Diploma or Associate Degree*
- Bachelor or Higher Degree*
- Other / Miscelaneous*
- PRIVACY STATEMENT STUDENT DECLARATION
- TIME Student Information link
  
  Under the Data Provision Requirements 2012, Student Declaration Time Education and Training is required to collect personal information about you and to disclose that personal information to the National Centre for Vocational Education Research Ltd (NCVER). Your personal information (including the personal information contained on this enrolment form and your training activity data) may be used or disclosed by Time Education and Training for statistical, regulatory and research purposes. Time Education and Training may disclose your personal information for these purposes to third parties, including:
  - School – if you are a secondary student undertaking VET, including a school-based apprenticeship or traineeship;
  - Employer – if you are enrolled in training paid by your employer;
  - Commonwealth and State or Territory government departments and authorised agencies;
  - NCVER;
  - Organisations conducting student surveys; and
  - Researchers
  Personal information disclosed to NCVER may be used or disclosed for the following purposes:
  - Issuing a VET Statement of Attainment or VET Qualification, and populating Authenticated VET Transcripts;
  - facilitating statistics and research relating to education, including surveys;
  - understanding how the VET market operates, for policy, workforce planning and consumer information; and
  - administering VET, including program administration, regulation, monitoring and evaluation.
  You may receive an NCVER student survey which may be administered by an NCVER employee, agent or third party contractor. You may opt out of the survey at the time of being contacted.
  NCVER will collect, hold, use and disclose your personal information in accordance with the Privacy Act 1988 (Cth), the VET Data Policy and all NCVER policies and protocols (including those published on NCVER’s website at www.ncver.edu.au).
- I declare that the information I have provided to the best of my knowledge is true and correct and consent to the collection, use and disclosure of my personal information in accordance with the Privacy Notice above
- Photo of the FRONT of your drivers licence or other photo id (if you press the take photo, and your computer does not have a camera, it will then give you the option to upload a photo)*
- Photo of the BACK of your drivers licence or other photo id (if you press the take photo, and your computer does not have a camera, it will then give you the option to upload a photo)*
- A "selfie" of the Student holding the drivers licence up to their face (if you press the take photo, and your computer does not have a camera, it will then give you the option to upload a photo)*
- Students Signature Options: The student signature field is a Digital signature field. To sign digitally, click on the field and sign your name.
- Student Acceptance
  
  Student Signature
- Date*
  
  DayMonthYear
  Date
- Parental Consent: if the student is under 18 years of age, the parent/guardian can use the digital signiture field. For this option, a day time contact number must be provided for verifivation purposes.
- Parental /Guardian acceptance
  
  Parent/guardian Signature
- Date
  
  DayMonthYear
  Date
- Print Parent / Guardian Name
- Parent / Guardian Contact Number
- Should be Empty:

2024 Student Enrolment Form Australian (Pestlearn)

Time Education and Training Pty Ltd - RTO ID 40058

Personal / Contact Information

Emergency Contact

Enrolment type (please ask if unsure)

Program details

Please Provide Your Employer Information

USI (Unique Student Identifier)

You must provide one form of ID (preferably your Drivers Licence), so we can apply for a USI for you.

- Drivers Licence (Preferable form of ID)

- Passport number

Birth Certificate

Your Background

Post-School Qualifications

PRIVACY STATEMENT STUDENT DECLARATION