Alice Springs May 2026 First Aid Enrolment Form

First Aid Enrolment Form

Response Employment and Training RTO 90278
Alice Springs 15 May 2026

Desert Knowledge Precinct - Akaltye Room - 8.30am - 4pm
Response Services - Employment & Training is collecting the personal information requested on this form for reporting requirements only. No information will be given or sold to any organisation. As part of the Australian Government Regulatory requirements the following information is needed for statistical purposes. The individual answers are not available for anyone to view; they form part of the data that is required to be collected.
Course Selection*

HLTAID09/10/11 Provide First AidHLTAID009 Provide Cardiopulmonary Resuscitation (CPR)
Have you completed a First Aid qualification before?*

YesNo
To successfully complete the practical assessment for this course, participants are required to kneel on the floor for approximately two (2) minutes to perform CPR. Are you able to meet this physical requirement?*

YesNo
Your USI (Unique Student Identifier)
Leave blank if unknown or If you do not have a USI, please create one at: https://www.usi.gov.au/your-usi/create-usi
Permission to search or verify Unique Student Identifier

The Australian Government requires all students undertaking vocational training in Australia to hold a Unique Student Identifier Number. On occasion, Response Services may need to search or verify your Unique Student Identifier Number, and this requires your permission.
Consent/Permission to search or verify Unique Student Identifier*

Yes, I consentNo, I do not consent
Family Name (Surname)*
Given Name/s (as shown on identification)*
Title*
Date of Birth*

DayMonthYear
Gender*
Email (Personal)*
example@example.com
Contact Phone Number*
e.g. 0412 345 678
Residential Address*

Street Address

Street Address Line 2

City/SuburbState /Territory

Post code
Were you born in Australia?*

YesNo
Country of Birth*
Are you Aboriginal and/or Torres Strait Islander?*
Is English the main language used at home**

YesNo
What Language do you mainly use at home.*
What is your employment status?*

Full-time employeePart-time employeeUnpaid/Volunteer employmentUnemployed - seeking full-time workUnemployed - seeking part-time workUnemployed - not seeking workSelf-employed (not employing others)Self-employed (employing others)
Employer/Workplace*
Job title*
Please select your highest level of schooling*

Year 8 or belowYear 9 or belowCompleted Year 10Completed Year 11Completed Year 12Did not attend school
In which YEAR did you complete your highest level of schooling?*
e.g. 2014
Have you completed any other qualifications? Please select all that apply*

Certificate ICertificate IICertificate IIICertificate IVDiplomaAdvanced Diploma or Associate DegreeBachelor Degree or HigherNo other qualifications
Do you have a disability, impairment, or long-term medical condition that may impact your studies or require support?*

YesNo
*

Hearing loss/impairment/deafAcquired brain injuryIntellectual disabilityLearning disabilityMental IllnessPhysical disabilityVision loss or impairmentPrefer not to disclose
Emergency Contact*

Full NamePhone NumberRelationship to you
What is your citizenship status?*
If a Visa holder please include your Visa type here.

Please attach one form of photo ID to this enrolment form:

Licence which includes your photograph and signature (eg: Driver’s Licence)
Adult proof of age card
Social security card which includes your photograph and signature
A recognised proof of age card (eg: Australia Post Keypass identity card)
Current passport or passport preceding 2 years
Please attach a copy of your ID here: *

Cancelof
Privacy Statement and Student Declaration

I declare that the information I have provided is true and correct. I acknowledge the consequences that may arise from providing false, misleading, or incomplete information, including potential cancellation of my enrolment or withdrawal of any offer made by Response Services.

I understand that Response Services, as a Registered Training Organisation (RTO), is required to submit data collected from this enrolment form to the national VET administrative collection to meet regulatory reporting requirements.

I consent and acknowledge that my enrolment details, course information, course progress, results, and awards may be shared by Response Services with the following third parties for administrative, regulatory, research, and reporting purposes:

School – if I am a school-based apprentice, trainee, or VET in Schools student.
Employer – if my enrolment in the training program is funded or paid for by my employer. This information may be shared with my employer both during my employment and after my employment with them has ceased.
Government departments, agencies, and authorised VET-related bodies.
VET regulators.
By enrolling, I acknowledge and accept these conditions regarding the sharing of my personal and educational information as outlined above.
I have read the Privacy Statement and Student Declaration and I:*

Agree to the above
Consent/Permission to give Response Services Employment and Training permission to use photos and recordings in promotional material for Response Services Employment & Training.*

Yes, I consentNo, I do not consent
Are you 18 years of age or older?*

YesNo
Please sign here:*
Under 18 - Legal Guardian Consent

If you are under the age of 18 please ensure your legal guardian signs this form.
Guardian Name:*

PrefixFirst NameLast Name
Guardian Email*
example@example.com
Guardian Contact Number*
Relationship to *
Guardian Signature*
Should be Empty:

First Aid Enrolment Form

Alice Springs 15 May 2026

Under 18 - Legal Guardian Consent