QUALIFICATION QUEST ENROLMENT FORM
By completing this form, you'll enrol within a qualification with Learning Coach College | Learnivation (RTO: 45570). a real-world learning experience in collaboration with Cultivate the Chaos.
Choose your Qualification Quest
Please Select
Event Spark: SIT30522 - Certificate III in Events
Business Spark: BSB30220 - Certificate III in Entrepreneurship and New Business
Spark Leadership: BSB42015 - Certificate IV in Leadership and Management (RPL Delivery)
1. LEARNER / PARTICIPANT DETAILS
The name recorded above should be as shown on the following documents - Australian Passport, Australian Driver Licence, Australian Birth Certificate, Medicare Card, Visa with Non- Australian Passport; for international students Certificate of Registration by Descent, Citizenship Certificate, ImmiCard
What is your name?
*
First Name
Middle Name
Last Name
Other Names
Preferred Name (if different from above)
Previous Last Names (if any - e.g. maiden name)
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Male
Female
Other/ Unspecified/ Indeterminate
Town/City of Birth
*
Country of Birth
*
Unique Student Identifier (if known)Visit www.usi.gov.au to apply for your USI
*
If you haven't got one, lost it you can give us permission to search for your or create one for you, simply type 'permission granted'.
Learner Identification Number (we require this if you'd like to link your QCAA to the Qualification)Visit https://myqce.qcaa.qld.edu.au/ to apply or locate your LUI
*
If you haven't got one, lost it you can give us permission to search for your or create one for you, simply type 'permission granted'.
Please upload a copy of your Proof of ID (Drivers License, Passport, Birth Certificate, Student ID etc)
*
Browse Files
Drag and drop files here
Choose a file
a scan or photograph on your phone is perfect
Cancel
of
Please upload a copy of your medicare license or other secondary ID Proof
*
Browse Files
Drag and drop files here
Choose a file
a scan or photograph on your phone is perfect
Cancel
of
2. YOUR BEST CONTACT DETAILS
Email
*
example@example.com
Best Phone Number
*
Please enter a valid phone number.
Other Contact Numbers (work or business)
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Postal Address (Where different to home address)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
3. YOUR CULTURAL DIVERSITY AND CITIZENSHIP
Do you identify yourself with any of the following ethnic groups?
*
Aboriginal
Torres Strait Islander
Both Aboriginal / Torres Strait Islander
None of These
Select one of the following to identify your citizenship status
*
Please Select
Australian Citizen
New Zealand Citizen
Australian Permanent Resident
Student Visa
Temporary Resident Visa
Visitor Visa
Business Visa
Holiday Visa
Other Visa
3. YOUR EMPLOYMENT STATUS
Where Employed add your employer details, where running a business add your business details.
Employment Status – Of the following categories, which best describes your current employment status? (Tick all boxes that apply)
*
Employed full time by someone else
Employed part time or casual by someone else or school based apprentice
Employed unpaid family now
Self employed- not employing other people
Unemployed- looking for full time work
Not employed- not looking for employment
Unemployed- looking for part time work
Employer - someone who employs other people
Full time Student
Employer and or Business Details
Where Employed add your employer details, where running a business add your business details.
Company Name
Company Contact
Company Email
example@example.com
State
Phone
5. YOUR LANGUAGE
Do you speak other language/s at home apart from ENGLISH?
(Where you select 'NO') Go to Section 6)
*
No
Yes
Please specify the main language spoken at home
Very Where English is NOT the main language spoken at home, please clarify how well you speak English? (Tick the relevant box below)
Ok
Well
Not well
Not at all
(If assistance is required contact Learnivation to discuss your needs)
Is English language assistance required? No
Yes
6. YOUR EDUCATION BACKGROUND
As per Australian Government regulations, we need to confirm your educational background leading up to your enrolment.
What is your highest completed school level?
*
Year 12
Year 11
Year 10
Year 9 or equivalent
Year 8 or lower
Did not go to school
Currently at school
Currently home schooling
What year did you finish school
*
Where your still at school, simply type still at school.
Name of current or last school
*
Name of your school.
Have you successfully completed any of the following qualifications?
*
Certificate I
Certificate II
Certificate III or Trade Certificate
Certificate IV or Advanced Certificate
Diploma or Associate Diploma
Advanced Diploma or Associate Degree
Certificates other than above
Bachelor Degree or Higher
None - Yet
7. PURPOSE OF ENROLMENT & PAYMENT OPTIONS
Of the following options listed below which BEST describes your main reason for undertaking this training?
*
Please Select
To get a job
To start a new business
To develop an existing business
To get a better job or promotion
It was a requirement of my job
I want extra skills for my job or business
To get into another course or study program
For personal interest or self development
Tick ONE box only.
How would you like to pay for the program?
Please Select
Weekly Payments
Fortnightly Payments
Monthly Payments
Quarterly Payments
Please note all payment options, will require an upfront enrolment deposit of $500, invoiced once enrolment form is complete.
8. LEARNING & SUPPORT NEEDS
Pre-Enrolment Questionnaire: To personalise your training experience, please complete this brief questionnaire about your skills and learning style and support needs.
How would you rate your ability to WRITE in English?
*
I am not very good at written english
It's ok, needs a bit of improvement
I am competent in written english
I excel at written english (It's second nature)
How would you rate your ability to SPEAK in English?
*
I am not very good at speaking english
I'm ok at speaking english, needs a bit of improvement
I am competent in speaking english
I excel at speaking english and clearly
Numbers are a big part of event planning! How confident are you handling calculations for budgets, timelines, and other event logistics?
*
I am not confident I can do this
I'm ok at this and aim to improve
I am competent I can easily do this
I am very confident I can do this (numbers are my nature)
9.1 GUARDIAN & OR EMERGENCY CONTACT DETAILS
To ensure we can support you at all times during your time working with us, please share your best contact details for an emergency and or guardian contact.
Name
*
First Name
Last Name
Contact Type (Please select all that apply)
Emergency Contact
General Program Communications
Payments & Invoices
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Secondary Phone Number
Please enter a valid phone number.
9.2 SECOND GUARDIAN & OR EMERGENCY CONTACT DETAILS (Optional)
To ensure we can support you at all times during your time working with us, if you'd like to add a second guardian guardian contact for all program and course communications.
Name
First Name
Last Name
Contact Type (Please select all that apply)
Emergency Contact
General Program Communications
Payments & Invoices
Phone Number
Please enter a valid phone number.
Email
example@example.com
10. PRIVACY STATEMENT & LEARNER/CANDIDATE DECLARATION
Learning Coach College is collecting your personal information in accordance with the Privacy Act 1988 and ASQA Standards 2015-24 to manage your enrolment, training progress, and administration. For specific cohorts of students and as a matter of routine, your personal information (including attendance details, progress, and results) will be disclosed to the following people and organisations: See Participant Privacy Statement
By signing this enrolment form, you confirm the accuracy of the information contained within this form and any identification documents provided. You confirm you sought information and understand my qualification fee structure and fee expectations. You confirm you understand that you enrolment is accepted under the privacy statement, conditions of payment, and Learning Coach College RTO 45570's policies and procedures as set out in the Learner guide and pre-enrolment information. You confirm you have read and agree to abide by Learning Coach College RTO 45570's policies, procedures and student expectations and acknowledge that facilities made available for my use will be used only in accordance with the principles of proper use and relevant student rules as outlined in the Learner Playbook.
Learner/Participant Signature:
*
Parent or Guardian Signature (where under 18 years)
Submit
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