FS - Application Form - VETDSS - MidWest Region

Welcome to Central Regional TAFE's Application for VETDSS

Midwest Region - 2027
An interview will be conducted to determine successful applicants for each program.

Successful students will be notified by their school VET Coordinator and invited to attend an orientation session on campus.

To successfully complete this form, please ensure you have the following information handy:
1. Unique Student Identifier (USI): All students must have a USI to enrol and study at TAFE. If you don't have a USI yet, here's how to get one.
2. SCSA: Your SCSA is an eight digit number that was allocated to you by the School Curriculum and Standards Authority. You will find it on your school report or SmartRider card.
3. Proof of Australian Citizenship or Permanent Residency: If you were not born in Australia and/or are here on a visa, you will need to provide a copy of your passport or visa document.
4. Supporting Documents: Ensure you have electronic copies of these documents handy to upload.
  - School Report: a copy of your most recent school report.
  - Letter of Application: a letter outlining why you are interested in the course you are applying for.
  - Permission Form: to be completed by your parent/guardian and your school, giving permission for you to enrol in a VETDSS course.
Please note: these documents are considered highly confidential and will be stored securely against your student record.

It should take you about 5-10 minutes to complete this form. If you need assistance completing the form, please don't hesitate to:
- call us on 1800 672 700, or
- email us at clientsupport@crtafe.wa.edu.au

Consent and Health Care Information Form
Student Name

First NameLast Name
Date of Birth

DayMonthYear
Health Care Information

Information is treated confidentialy and provided to Central Regional TAFE (CRTAFE) staff as required, including those staff organising excursions, and employers of students attending industry placement.
Emergency Contact Person 1

First NameLast Name
Phone Number
Please enter a valid phone number. If a landline, please include the area code.Format: 0000000000.
Email
example@example.com.au
Emergency Contact 1 Relationship to You
Emergency Contact Person 2

First NameLast Name
Phone Number
Please enter a valid phone number. If a landline, please include the area code.Format: 0000000000.
Email
example@example.com.au
Emergency Contact 2 Relationship to You
Medical Conditions
Do you have any medical condition that the staff at CRTAFE should be aware of that may impact your ability to undertake the course? For example, diabetes, severe allergy, pregnancy, physical impairment etc.
Please list your medical conditions. Click on the plus (+) sign to add extra rows.
Student Signature Signature* Date Date*
IMPORTANT: Students are advised that should they have an accident whilst on campus and the attending CRTAFE First Aid Officer considers it necessary to call an ambulance, due to their injured on unconscious state, the student will be responsible for all costs associated with the calling of the ambulance.

Students, or where the student is under 18 years of age their parent / guardian / responsible adult, are required to inform CRTAFE of any medical information changes throughout the course of their enrolment.
Students Under 18 Years of Age Consent
Please identify your relationship to the student listed above:
Parent/Guardian/Responsible Adult Name

First NameLast Name
As the parent / guardian / responsible adult of the above-named student, I acknowledge that the information I have provided is correct and I have read and understood the Information for Parents and Guardians and I consent to the above-named student undertaking studies at CRTAFE.
Please note: If your child has a medical condition, please ensure you contact the Manager Student Support Services on 1800 672 700 to discuss the management of your child's medical condition.

In the event of an emergency every effort will be made by CRTAFE to contact you.
Parent/Guardian Signature Signature* Date Date*

Talent Release Form

Project title:	VETDSS Photo and Film shoot for generic media stock library.
Format type:	Photo and video shoot of students at CR TAFE.
Location & date:	CR TAFE Campus Geraldton and BCMI - 01/04/2027 and 08/04/2027.

I give consent to Central Regional TAFE capturing and using my image, voice or likeness for the stated event or activity. This consent includes use by the Department of Training and Workforce Development (DTWD) and the Government of Western Australia where applicable.

Consent may be used across all media, in full or in part, and may be reused for the stated purpose without further consent. If a different purpose is intended, consent will be sought again. For participants who identify as Aboriginal and/or Torrest Strait Islander, consent is required for each use.

I understand that I may withdraw my consent at any time by contacting marketing@crtafe.wa.edu.au.
Please indicate your consent:
Exclude name
Student Name

First NameLast Name
Student Phone Number
Please enter a valid phone number.Format: 0000000000.
Student Email
example@example.com
Are you Aboriginal or Torres Strait Islander?
Student Signature Signature* Date Date*
If aged under 18, then your parent or guardian must complete the section below.
Parent/Guardian/Responsible Adult Name

First NameLast Name
Parent/Guardian Phone Number
Please enter a valid phone number.Format: 0000000000.
Parent/Guardian Email
example@example.com
Parent/Guardian Signature Signature* Date Date*

Supporting Documents

Please upload your most recent school report, application letter and permission form.
Latest school report

Cancelof
Application letter

Cancelof
Permission form

Cancelof
Declaration and Consent

Confirm that the information provided is true and correct and that you agree to our Terms & Conditions.
Student Declaration and Consent
Student Name

First NameLast Name
Student Signature Signature* Date Date*
Parent/Guardian/Responsible Adult of a Student Under 18 Years of Age
The learning and social environment at Central Regional TAFE is very different from secondary education.

As the parent/guardian/responsible adult of a CR TAFE student under 18 years of age, please read and consider the issues and differences outlined in our Information Concerning Students Under 18 Years of Age document.
Parent/Guardian/Responsible Adult Consent
Parent/Guardian/Responsible Adult Name

First NameLast Name
Parent/Guardian Signature Signature* Date Date*
Should be Empty:

Welcome to Central Regional TAFE's Application for VETDSS

VETDSS Application Form

School Information

Course Preferences

Personal Contact Details

Citizenship and Cultural Details

Disability and Health Care Information

Educational Background

Previous qualifications achieved

Consent and Health Care Information Form

Health Care Information

Medical Conditions

Students Under 18 Years of Age Consent

Talent Release Form

If aged under 18, then your parent or guardian must complete the section below.

Supporting Documents

Declaration and Consent

Parent/Guardian/Responsible Adult of a Student Under 18 Years of Age