Equity & Participation - Enrolment Form

Enrolment Form - Equity and Participation

Welcome to the Australian Institute of Maintenance Engineering.
All intakes are conducted Face to Face in Cockburn

All government funded training is subject to DTWD confirmed placements
SECTION 1 - COURSE ENROLMENT

Please select 1 Course only (1 enrolment form per course)
MEM11019 - Certificate I in Engineering Intakes - Jan 2025 to Jul 2025
AUR20720 - Certificate II in Automotive Intakes - Jan 2025 to Jul 2025
MEM30522 Certificate III in Engineering Technical Intakes - Jan2025 to Jul 2025
Please select one of the below with regards to AIME transportation
Bus pick up times from Cockburn Central Station*

8.40am8.50amOwn transportPick from Alternative Locations *should you require AIME transportation from one of the alternative locations, this may affect your commencement date.
Additional Pick Up Locations.

JoondalupBalcattaFremantleMidlandKalamundaCanningtonArmadaleOwn Transport
SECTION 2 - REFERRER & STUDENT DETAILS

Student Details
Do you understand, by completing this enrolment you are required to provide Brokerage*

Yes
Which Referral Agency are coming through?*

Department of EducationDepartment of CommunitiesYouth Justice TeamJob Provider (i.e. Matchworks)Disability Services CommissionJobs & Skills CentreWA PoliceSMYLOther
Referring Name (provider Company / Employer or N/A MUST be included.Please ensure that ALL contact details for individuals requiring inclusion in correspondence are provided.
Referrers Site/Location
Referrers Contact Email and/ or phone number
example@example.com
Title

MrMrsDrMsOtherOther
Name

First NameMiddle NameLast Name
Date of Birth

DayMonthYear
Date
Gender

FemaleMaleOtherOther
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Postal Address if different from address
Email
example@example.com
Mobile

Area CodePhone Number
Home

Area CodePhone Number
Emergency Contact - Name
Emergency contact - No.

Area CodePhone Number
Emergency Contact - Email
example@example.com
Residency Status*
SECTION 3 - STUDENT PERSONAL INFORMATION

Under the Data Provision Requirements 2012, AIME is required to collect personal information about you and to disclose that personal information to the National Centre for Vocational Education Research Ltd (NCVER).
Do you speak any other lanuage other than English at home?

No, English onlyYes, other – please specifyOther
Are you of Aboriginal or Torres Strait Islander origin?

YesNoPrefer not to say
If answered yes above

AboriginalTorres Strait Islander
Student Educational Background
What is the highest COMPLETED school lever (tick one box only) If you are currently enrolled in secondary education, the Highest school level completed refers to the highest school level you have actually completed and not the level you are currently undertaking.For example, if you are currently in Year 10 the Highest school level completed is Year 9.

Year 12 or equivalentYear 11 or equivalentYear 10 or equivalentYear 9 or equivalentYear 8 or equivalentNever attended school
Name of current school (or previous secondary school)
Is the school located in WA?

YesNo
In what calendar year did you finish secondary school?
Have you SUCCESSFULLY completed any of the qualifications listed below?

None of the belowBachelor degree or higher degreeAdvanced diploma or associate degreeDiploma (or associate diploma)Certificate IV (or advancedcertificate/technician)Certificate III (or trade certificate)Certificate IICertificate IOther education (including certificates or overseas qualifications not listed above)
Student Disability
Do you consider yourself to have a disabilitry, impairment, or long-term medical condition

YesNo
If you answered yes to above question, please specify the nature of disability (you can select more than one):

Acquired brain impairmentIntellectualLearningMental health disorderMobilityUnspecifiedVisionHearingMedicalPhysicalOther
Are you interested in information about disability support services, equipment, and facilities?

YesNo
SECTION 4 - STUDENT STATUS & DECLARATION

Unique Student Identifier (USI) (Please note that AIME will not be able to enrol you without a USI)
USI Number (10 character field)
I confirm that:*

I have or will supply AIME my USI.I understand the privacy Notice relating to USI and understand that this information is protected by the Student Identifiers Act 2014.I understand that the personal information provided in connection to my USI is collected by the Registrar for the purposes of applying for, verifying, and creating a USI and may disclosed as required under the Privacy Act 1988.
By clicking here, I acknowledge all USI points above.
Study Reason Of the following categories, which best describes your main reason for undertaking this course/ traineeship or apprenticeship? (Select one only)*

Extra Skills/ requirement of my current jobFor interest or personal developmentFor personal interestI want extra skills for my jobIt was a requirement of my jobNot SpecifiedOther ReasonsTo develop my existing businessTo get a better job or promotionTo get a jobTo get into another course of studyTo get skills for community/voluntary workTo start/develop my own businessTo try a different career
Employment Status*

Employed - unpaid worker in a family businessEmployerFull time employeeNot employed - not seeking employmentNot stated (question asked of the client but no answer provided)Part time employeeSelf employed - not employing othersUnemployed - seeking full time workingUnemployed - seeking part time work
If working - currently how many hours per week? (if not working please put N/A)*
ONLY TO BE COMPLETED IF APPLICANT IS UNDER 18
SECTION 5 - PRE-ENROLMENT BOOKING

All applicants under 18 are now required to attend a mandatory Induction session two weeks prior to commencement. If you would like to view the facilities earlier, please arrange below
Appointment
SECTION 6 - GUARDIAN CONSENT AND HEALTH INFORMATION
Parent/Guardian Name

First NameLast Name
Address

Full Address

treet Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Work Number

Area CodePhone Number
Mobile Number

Area CodePhone Number
Home Number

Area CodePhone Number
Work Number

Area CodePhone Number
HEALTH CARE INFORMATION – Please list any medical conditions that the minor has that may impact on their ability to undertake their course at AIME
Please note: It is a guardian’s responsibility to inform AIME if your child's medical information changes throughout the course of their enrolment. In the event of an emergency, every effort will be made by AIME to contact you.
As the parent/guardian/responsible adult of the above-named student, I acknowledge that the information I have provided is correct and I consent to the student undertaking studies at AIME.
Parent / Guardian Name

First NameLast Name
Date

DayMonthYear
Date
SECTION 7 - TERMS AND CONDITIONS OF ENROLMENT
Provision of information: I will obtain a Unique Student Identifier (USI) from usi.gov.au and provide this to AIME and understand that if I do not provide this, I may be refused enrolment. I also consent to provide my personal information for statistical purpose as requested as part of my enrolment and understand that should I not provide this information that my enrolment may be cancelled. I will keep my personal information up to date while I have an active course enrolment and retain a current email address through which AIME will communicate with me.

Legal Obligations and Student Code of Conduct: By enrolling in a course provided by AIME, I agree to the following conditions of enrolment and agree to abide by all AIME terms and conditions, which are detailed in the Student Code of Conduct. The Student Code of Conduct is a set of guidelines that outlines what is required of students with regards to academic integrity and behaviour, what constitutes misconduct and the sanctions that can be imposed. These documents can be found on the Institutes website aime.wa.edu.au

Payment of Fees: I understand that I am required to pay my fees in full at the time of enrolment OR enter a payment plan arrangement. Full details on payment options are available on the College website. If I have entered into a payment plan, which is a legally binding agreement with AIME, I am required to have sufficient funds to pay the agreed instalments on the due date. Defaulting on my instalments/payments may result in sanctions being imposed. Arrangements must be made to pay outstanding instalments to avoid access to AIME services and facilities being cancelled. I understand that should I continue to default on my scheduled payments and have not contacted AIME to negotiate an alternative arrangement the matter may be referred to a debt collection agency and may lead to the cancellation of my enrollment.

Admission Refusal: I acknowledge that if I have not paid my course fees in full or have breached the Student Code of Conduct that I may not be permitted to re-enroll in further units of study.

Discontinued Students: Students who have ceased to participate in classes, learning activities and/or assessments relating to the VET unit of study and have not officially withdrawn, will be withdrawn at the conclusion of the unit of study and will be liable for the full payment of outstanding fees.

Minors: If you are under 18 years old at the time of enrolling and are planning to set up a Fees Payment Agreement (instalment plan), you must be accompanied by your parent or an adult guardian. Your parent or an adult guardian must be able to provide evidence of your relationship (for example, their name on your birth certificate or your name on their Medicare card).

Results: I understand that results will not be given over the phone. I acknowledge that if I have enrolled in assessable units or examinable subjects and do not complete the assessment requirements, I will receive a Not Competent result. I acknowledge that if I am an Apprentice or Trainee, my employer can access my results. I acknowledge that no results will be given out without full payment of the course.

By enrolling at AIME, I agree that I:

1. Have read and understood these obligations and conditions governing my enrolment at AIME; and certify that all information provided is true and accurate; and agree to abide by the above conditions, the college's By-laws, policies, and the Student Code of Conduct;

2. Declare that the information I have provided to the best of my knowledge is true and correct. I understand it is an offence to give incorrect residency, identity, or USI details to access a State funded place;

3. Consent to the collection, use and disclosure of my personal information in accordance with the Privacy Notice above;

4. Have read the information on the AIME website regarding refunds and understand the refund policy. I acknowledge that, subject to the Refund Policy, if I am on a payment plan that I may be liable for unpaid fees even if I withdraw; and

5. Grant permission for AIME to use testimonials, photos, videos, etc. in which I appear for the purpose of printed and online marketing communications.
By clicking here I acknowledge and agree to AIME's terms and conditions.
Concession card Number (must be uploaded below as evidence).
*Most courses are Government subsidised; this means that if any fees are payable we will contact you to advise prior to processing your application.
Name

Full NameLast Name
Date

DayMonthYear
Date
Please upload ID and all required documentation (NOA, Concession card etc.) Enrolment cannot be completed without this documentation.

Browse Files

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Would you like to book in a site visit/walk through?

YesNo
*AfterPay available up to $1500 - to be paid at Cockburn Campus only.
Before submitting this form, please ensure you have uploaded the your 2 forms of ID, Notice of Arrangement/Exemption (if applicable), and Concession card (if applicable).
Should be Empty:

Enrolment Form - Equity and Participation

All intakes are conducted Face to Face in Cockburn

SECTION 1 - COURSE ENROLMENT

SECTION 2 - REFERRER & STUDENT DETAILS

SECTION 3 - STUDENT PERSONAL INFORMATION

SECTION 4 - STUDENT STATUS & DECLARATION

ONLY TO BE COMPLETED IF APPLICANT IS UNDER 18

SECTION 5 - PRE-ENROLMENT BOOKING

SECTION 6 - GUARDIAN CONSENT AND HEALTH INFORMATION

SECTION 7 - TERMS AND CONDITIONS OF ENROLMENT