To be completed by an authorised delegate of the training provider - do not leave any section blank.

To be completed by the student – don’t leave any question blank unless you are asked to skip a question or go to the declaration. Please ask your training provider for help if you don’t understand a question.

STUDENT DECLARATION – READ AND COMPLETE THE DECLARATION BELOW.

• I understand that my enrolment may be subsidised by the Victorian and Commonwealth Government under the Skills First Program. I understand my enrolment may affect my eligibility for more Skills First training.
• I understand that the Department of Jobs, Skills, Industry and Regions may contact me to participate in a survey or interview.
  
• I confirm that I am authorised to provide the personal details presented and I consent to my information being checked with the document issuer or official record holder via third party systems for the purpose of confirming my identity.
  
• I declare the information in this form is true and accurate

Based on:
• the evidence I have sighted and retained in Section A;
• the information the student has provided, including in Section B; and
• any additional information I acquired and recorded in the ‘notes’ section below;

• commencing more than 2 Skills First AQF qualifications in the same year
• commencing more than 2 Skills First Skills Sets in the same year
• doing more than 2 Skills First programs at the same time; and

• do not currently hold a qualification at AQF level 5 (Diploma) or higher,
• are not enrolled in the Commonwealth Government’s ‘Skills for Education and Employment’ (SEE) program.

By signing this declaration, I acknowledge that:

• I am responsible for ensuring that all parts of this form are complete.
• I have reviewed Sections A and B and have confirmed they have been completed in full.