Cert II - Security Operations - Student Enrolment Agreement Form

Full Name*

First NameLast Name

Organisation Name (If applicable)

Date of Birth*

DayMonthYear

Street Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Mobile Number*

Email*

example@example.com

Attach Image of Identification (Learners must provide a copy of their Driver's Licence, Passport, Other Official Photo ID)

USI Number*

USI Permission

Course Title & Code*

Start Date*

Finish Date

Who will be paying for this course?

Do you have a current First Aid Certificate? (HLTAID011 or HLTAID014)*

If yes, please upload a clear scanned copy, screenshot or photo of your First Aid Certificate. Please ensure that you include the entire document in the uploaded file.*

Contact Name*

Contact Number*

In the event of an emergency do you give OSDG permission to organise transport and treatment and agree to pay all costs related to the emergency?*

Gender*

In which country were you born?*

Town and City of Birth*

Citizenship Status*

Aboriginal or Torrest Strait Islander Origin*

Do you speak a language other than English at home?*

Please specify "Other" language spoken at home

How well do you speak English?*

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

If yes, then please indicate the areas of disability, impairment or long-term condition: (You may select more than one)

What is your highest COMPLETED school level? (Please tick ONE box only)*

In which YEAR did you complete that school level?*

Are you still attending secondary school?*

Have you successfully completed any of the following qualifications?*

If Yes, please tick any applicable boxes

Of the following categories, which best describes your current employment status? (Tick one box only)*

Of the following categories, which best describes your main reason for undertaking this course / traineeship / apprenticeship? (Tick one box only)*

*

Under the Data Provision Requirements 2012 and National VET Data Policy (which includes the National VET Provider Collection Data Requirements Policy at Part B), Registered Training Organisations are required to collect and submit data compliant with AVETMISS for the National VET Provider Collection for all Nationally Recognised Training. This data is held by the National Centre for Vocational Education Research Ltd (NCVER), and may be used and disclosed for purposes that include:

• populating authenticated VET transcripts

• administering VET, including program administration, regulation, monitoring and evaluation

• facilitating statistics and research relating to education, including surveys and data linkage

• understanding how the VET market operates, for policy, workforce planning and consumer information.

NCVER is authorised by the National Vocational Education and Training Regulator Act 2011 (NVETR Act) to disclose to the following bodies, personal information collected in accordance with the Data Provision Requirements or any equivalent requirements in a non-referring State (Victoria or Western Australia), for the purposes of that body:

• a VET regulator (the Australian Skills, Quality Authority, the Victorian Registration and Qualifications Authority or the Training Accreditation Council Western Australia)

• the Australian Government Department of Education, Skills and Employment

• another Commonwealth authority

• a state or territory authority (other than a registered training organisation) that deals with or has responsibility for matters relating to VET.

NCVER may also disclose personal information to persons engaged by NCVER to conduct research on NCVER’s behalf.

Student Signature*

Date*

Date

ENROLMENT AGREEMENT FORM

IMPORTANT:

PERSONAL DETAILS

STUDENT IDENTIFICATION

UNIQUE STUDENT IDENTIFIER

COURSE OF ENROLMENT

EMERGENCY CONTACT DETAILS

AVETMISS DATA COLLECTION

Language and Cultural Diversity

Disability

Schooling

Previous Qualifications Achieved

Employment

Study Reason

Terms and Conditions

Student Declaration

Privacy Notice