Cert II - Security Operations - Student Enrolment Agreement Form

ENROLMENT AGREEMENT FORM

Op-Skill Development Group Pty Ltd - RTO ID: 41107 | NSW ML: 410887089 | SLED Approval No. 17/047
IMPORTANT:

Before completing this enrolment form - please be advised that we are unable to accept enrolments from students on a Student Visa (Subclass 500). You will need to complete your study through a CRICOS registered organisation.
PERSONAL DETAILS

Legal Name as per Photo ID, which will be sighted by the trainer to verify legal name
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
STUDENT IDENTIFICATION
Attach Image of Identification (Learners must provide a copy of their Driver's Licence, Passport, Other Official Photo ID)
UNIQUE STUDENT IDENTIFIER
USI Number*
USI Permission

By selecting this option I give permission for Op-Skill Development Group (OSDG) to access my Unique Student Identifier (USI) for the purpose of recording my results. If I do not have a USI in place, I am willing for OSDG to set up my USI on my behalf.
COURSE OF ENROLMENT
Course Title & Code*
Start Date*

DayMonthYear
Finish Date

DayMonthYear
Who will be paying for this course?
Do you have a current First Aid Certificate? (HLTAID011 or HLTAID014)*

YesNo
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.*

Cancelof
EMERGENCY CONTACT DETAILS
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?*

YesNo
AVETMISS DATA COLLECTION
Language and Cultural Diversity
Gender*

MaleFemaleOther
In which country were you born?*
Town and City of Birth*
Citizenship Status*

Australian CitizenNew Zealand CitizenAustralian Permanent ResidentVisa
Aboriginal or Torrest Strait Islander Origin*

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

No, English OnlyYes, Other - Please specify below
Please specify "Other" language spoken at home
How well do you speak English?*

Very wellWellNot wellNot at all
Disability
Do you consider yourself to have a disability, impairment or long-term condition?*

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

Hearing/DeafPhysicalIntellectualLearningMental IllnessAcquired Brain ImpairmentVisionMedical ConditionOther
Schooling
What is your highest COMPLETED school level? (Please tick ONE box only)*

Year 12 or equivalentYear 11 or equivalentYear 10 or equivalentYear 9 or equivalentYear 8 or belowNever attended school
In which YEAR did you complete that school level?*
Are you still attending secondary school?*

YesNo
Previous Qualifications Achieved
Have you successfully completed any of the following qualifications?*

YesNo - Go to Question 18
If Yes, please tick any applicable boxes

Bachelor Degree or Higher DegreeAdvanced Diploma or Associate DegreeDiploma (or Associate Diploma)Certificate IV (or Advanced Certificate/Technician)Certificate III (or Trade Certificate)Certificate IICertificate IOther education (including certificates or overseas qualifications not listed above)
Employment
Of the following categories, which best describes your current employment status? (Tick one box only)*

Full-time employeePart-time employeeSelf-employed - not employing othersEmployerEmployed - Unpaid worker in a family businessUnemployed - Seeking full-time workUnemployed - Seeking part-time workNot employed - Not seeking employment
Study Reason
Of the following categories, which best describes your main reason for undertaking this course / traineeship / apprenticeship? (Tick one box only)*

To get a jobTo develop my existing businessTo start my own businessTo try for a different careerTo get a better job or promotionIt was a requirement of my jobI wanted extra skills for my jobTo get into another course for studyFor personal interest or self developmentOther reasons
Terms and Conditions

The terms and conditions can be found at the link below or via our website www.opskill.com.au/terms
Student Declaration
I declare that the information contained in this Enrolment Agreement Form is true and correctI confirm that I have read, understood and consent to the Terms and Conditions of Enrolment and the Fee Payment and Refund ProceduresI acknowledgement and agree with the terms and conditions of enrolment with specific reference to the RTO's enrolment and selectionI consent to Op-Skill Development Group Pty Ltd providing my information to Australian Commonwealth and State Governments for the purpose of reporting to the Government as part of my enrolmentI understand that I will be required to pay a deposit with the Enrolment Agreement Form and that the deposit is non-refundableBy signing this document, I give permission for the RTO to access my Unique Student Identifier for the purpose of my trainingI understand that my rights and responsibilities as a student are outlined in the Student Handbook and that I should refer to this handbook for further information on USI, LLN Assessment, Complaints and Appeals, WHS, Support Services and other legislative and regulatory policies and procedures
Privacy Notice
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*

Clear
Date*

DayMonthYear
Date
Should be Empty:

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