Application Form for Online Courses

AUSTRALIAN COLLEGE OF STUDIES

RTO CODE: 110069 | CRICOS CODE: 03400D
Application Form for Online Courses

This confidential Application Form asks for personal information about you. The main purpose for collecting this information is for administrative, regulatory and/or research purposes and to ensure our course is suitable for your needs. All staff at Australian College of Studies (ACOS) are required by law to protect the information provided on this Application Form. More information about privacy is included in the notice at the end of this form.
Enter your Full Name*

First NameMiddle NameLast Name
Please write the name that you used to apply for your Unique Student Identifier (USI), including any middle names. If you do not yet have a USI and wish ACOS to apply for a on your behalf, you must write your name, including any middle names, exactly as written in the identity document you choose to use. See USI section, page 5.
Gender
Enter your birth date

DayMonthYear
Date
Phone Number

Area CodePhone Number
Email*
example@example.com
Residential Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Residency/Visa Information

Please provide the following details so we can better assess your application.
Current Location*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
If currently in Australia, what is your status?
If you are a Temporary Resident / Visa Holder, please upload your Visa Grant Notice here:

Cancelof

Emergency Contact

Please provide a contact ACOS may notify in the event of an emergency during your studies. Please ensure your contact is aware that they have been nominated as an emergency contact and agree to their details being provided to ACOS.
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Email
example@example.com

Language and cultural diversity
Birth country
Do you speak a language other than English at home?
If more than one language, indicate the one that is spoken most often.
Are you of Aboriginal or Torres Strait Islander origin? For persons of both Aboriginal and Torres Strait Islander origin, mark both boxes.

NoYes, AboriginalYes, Torres Strait Islander

Schooling
What is your highest COMPLETED school level?
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.
Are you still enrolled in secondary or senior secondary education?

YesNo
Previous Qualification achieved

Kindly skip if it not applicable
Name of qualification
Country Completed

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Year Completed:

DayMonthYear
Date

Employment
Of the following categories, which BEST describes your current employment status?

Full-time employeePart-time employeeSelf-employed – not employing othersSelf-employed –employing othersEmployed – unpaidworker in a family businessUnemployed – seeking full-timeworkUnemployed – seekingpart-time workNot employed – notseeking employment

Unique Student Identifier (USI)

From 1 January 2015, ACOS can be prevented from issuing you with a nationally recognised VET qualification or statement of attainment when you complete your course if you do not have a Unique Student Identifier(USI).If you have not yet obtained a USI you can apply for it directly at http://www.usi.gov.au/create-your-USI/
Enter your Unique Student Identifier (USI)
If you already have one
If you do not have a USI, would you like us to apply for a USI on your behalf?

Yes – please complete ‘Applying on your behalf’, questions and declaration.No – skip to next section
APPLYING ON YOUR BEHALF

If you would like ACOS to apply for a USI on your behalf you must authorise us to do so and declare that you have read the privacy information at https://www.usi.gov.au/documents/privacy-notice-when-rto-applies-their-behalfYou must also provide some additional information as noted at the end of this form so that we can apply for a USI on your behalf. Please provide your town/city of birth and ensure that the name written in ‘Personal Details’ section is exactly the same as written in the identity document you select below. In accordance with section 11 of the Student Identifiers Act 2014, ACOS will securely destroy personal information which we collect from individuals solely for the purpose of applying for a USI on their behalf as soon as practicable after we have made the application or the information is no longer needed for that purpose, unless we are required by or under any law to retain it.
Town/City of Birth

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
We will also need to verify your identity to create your USI.

Please provide details for one of the forms of identity below (numbered 1 to 7). Write N/A if none.
Australian Driver’s License/Foreign License
State / License Number
Medicare Card
Medicare card number; Individual reference number (next to your name on Medicare card); Card colour; Expiry date (format DD/MM/YYYY)
Australian Passport
Passport Number
Foreign Passport
Country of Issue / Passport Number
USI APPLICATION DECLARATION

I authorise ACOS to apply pursuant to sub-section 9 (2) of the Student Identifiers Act 2014, for a USI on my behalf.I have read and Iconsent to the collection, use and disclosure of my personal informationpursuant to the information detailed athttp://www.usi.gov.au/Training-Organisations/Pages/Privacy-Notice.aspx
Signature

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CONSENT TO USE AND DISCLOSURE OF PERSONAL INFORMATION
I,   First Name   Last Name   , of         City   State   Zip         with date of birth   Date   understand and agree, that under the National Vocational Education and Training Regulator (Data Provision Requirements) Instrument 2020, Australian College of Studies Co, is required to collect personal information (information or an opinion about me), collected from me, my parent or guardian, such as my name, Unique Student Identifier, date of birth, contact details training outcomes and performance, sensitive personal information (including my ethnicity or health information) and other enrolment and training activity-related information (together Personal Information) and disclose that Personal Information to the National Centre for Vocational Education Research Ltd (NCVER).

My personal Information (including the personal information contained on my enrolment for and my training activity data) may be used or disclosed by Australian College of Studies Co for statistical, information for these purposes. Australian College of Studies Co may disclose my personal information for these purposes to third parties, including:

-      School – if I am a secondary student undertaking VET, including a school-based apprenticeship of traineeship
-      Employer – if I am enrolled in training paid by my employer;
-      Commonwealth and State or Territory government departments and authorised agencies including the NSW Department of Education (DEPARMENT)
-      NCVER;
-      Organisations (including the Department) conducting student surveys; and
-      Researchers.
Personal information disclosed to NCVER may be used or disclosed for the following purposes:
-     Issuing a VET Statements 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.

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 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.

Application Checklist
Provide a copy of the following documents with your application (you will need to bring the originals to your orientation day for verification): Please tick those that you are providing.*

100 points of Photo ID (passport, license, Medicare, etc.) (JP Signed/Notarised)School Documents
File Upload*

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Category 1 Documents (70 points)
Passport
Birth Certificate
Citizenship Certificate

Category 2 Documents (40 points for first one then 25 points):
Driver Licence (Australian issued)
(Uni card) – Current Tertiary Institution Photo ID

Category 3 Documents (25 points):
Medicare Card/Private Health Care Card
Credit/Debit Card – each one from a separate bank
Seniors Card
Foreign Driver Licence

For more detailed information see the following links as a guide:
https://www.teach.nsw.edu.au/documents/schoolcounsellorsponsorship/Appendix6-Proof-of-Identity.pdf
https://www.health.nsw.gov.au/art/Documents/100-point-id-check.pdf

If you have any problems with the ID check contact us directly to discuss how we can establish your identity.

Student Declaration and Consent
I declare that the information I have provided to the best of my knowledge is true and correct.I consent to the collection, use and disclosure of my personal information in accordance with the Privacy Notice above
Student Name*
Date*

DayMonthYear
Date
Signature*

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AUSTRALIAN COLLEGE OF STUDIES

Application Form for Online Courses

Residency/Visa Information

Emergency Contact

Language and cultural diversity

Disability

Schooling

Previous Qualification achieved

Employment

Study Reason

Unique Student Identifier (USI)

APPLYING ON YOUR BEHALF

We will also need to verify your identity to create your USI.

CONSENT TO USE AND DISCLOSURE OF PERSONAL INFORMATION

Learning Details

Application Checklist

Student Declaration and Consent