MSTS Course Registration Form + Pre-Course + Acknowledgement

Course Name

Course Date

ENTER YOUR COURSE DATE

Location of Training

Other

Learners Name

First NameMiddle NameLast Name

First Name:

Middle Name:

Last Name:

Birth Date

DayMonthYear

Gender

Please let us know how you would like to be addressed. We ask this to ensure respectful communication and to support an inclusive learning environment.

Residential Address

Street Address

Street Address Line 2

CityState

PostCodeCountry

Postal Address - If different to above

Street Address or PO BOX

Street Address Line 2

CityState

PostCode

Mobile Number

Format: 0000 000 000.

E-Mail

example@example.com.au

USI - Unique Student Identifier

You will require a USI - Unique Student Identifier - visit https://www.usi.gov.au/ Please Note: This is not your School/Tafe number.

Employer

Emergency Contact Details

NameRelationship to youContact Number

Country of Birth

Other

Do you speak a Language other than English at home?

Yes, please specify

Are you of Aboriginal or Torres Strait Islander origin?

Do you consider yourself to have a disability, impairment or long-term condition? (hearing aid and wearing glasses is not classed as a disability)

If you selected ‘Yes’ above, please let us know anything you’d like your trainer to understand so we can better support your learning journey with MSTS.

Your response is confidential, and will only be shared with the relevant staff who need to be aware

What is your highest COMPLETED school level?

Are you still attending secondary school?

Have you SUCCESSFULLY completed any of the following:

Employment Status

Study Reason

I declare that the information I have provided to the best of my knowledge is true and correct.

I understand that my RTO Mandurah Safety and Training Services (MSTS) are required to submit data sourced from this enrolment form to the National Centre for Vocational Education Research Ltd (NCVER) as a regulatory reporting requirement. The information contained on my enrolment form may be used by my RTO or the following third parties, for administrative, regulatory and/or research purposes:

School – if I am a secondary student undertaking VET, including a school-based apprenticeship or traineeship.
Employer – if I am enrolled in training paid by my employer.
Government departments and authorised agencies.
NCVER.
Organisations conducting student surveys.
Researchers.

You may receive an NCVER student survey which may be administered by an NCVER employee, agent or third party contractor. Please note you may opt out of the survey at the time of being contacted.

I understand that I retain the right to withdraw my consent to receive NCVER emails at any time.

PRE-COURSE QUESTIONNAIRE

In relation to the course you are currently enrolled in:

Do you have any prior experience in performing tasks or operating the machinery relevant to this course?

If Yes, please provide details of your experience, including:

The type of work performed:

Specific duties or responsibilities:

How these relate to the learning outcomes outlined in the course handout (the handout is attached to your booking email):

LEARNER ACKNOWLEDGEMENT

Learners are to indicate that you have read and understood important information about your enrolled training course. Please read the MSTS Code of Practice that is available on our website for the details listed below.

I have access to and understand the following:

By signing this form you also acknowledge that MSTS does not guarantee that attendance alone on this training course will lead to issuance of a Statement of Attainment.

Fulfillment of a Statement of Attainment is only if you are deemed competent by an MSTS Trainer/Assessor in the applicable assessment instruments.

Enter your FULL NAME to acknowledge the above:

Parental/Guardian Consent is required for all students under the age of 18.

Parental/Guardian - Enter Your full name

Photos & Social Media

We love sharing what our students are up to! Sometimes we take photos during training to post on our social media pages and website.

Please let us know what you are comfortable with:

Consent is completely your choice.

Do you require a Wallet Card issued to you?

Do you require a Hard Copy Certificate printed? (You will be automatically emailed a copy to your email address provided)

Thank you, we will see you soon at MSTS.