HLTAID011 Provide First Aid (Darwin 22 September 2026)

First Aid and CPR Enrolment Form Darwin 22 September 2026

Enrolment form Response Employment and Training RTO 90278
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.
HLTAID009 Provide cardiopulmonary resuscitation
HLTAID010 Provide basic emergency life support
HLTAID011 Provide first aid

Clinton Howe Drysdale MLA Office, Gateway Shopping Centre, 1 Roystonea Avenue, Yarrawonga, NT 0831
To successfully complete the practical assessment for First Aid, participants are required to kneel on the floor for approximately two (2) minutes to perform CPR. Are you able to meet this physical requirement?
Have you completed a First Aid qualification before?
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
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
Name

PrefixFirst NameMiddle NameLast Name
Date of Birth

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

Street Address

Street Address Line 2

City/SuburbState /Territory

Post code
Emergency Contact

Full NamePhone NumberRelationship to you
What is your employment status?
Employer/Workplace
Work Number
Job title
Are you Aboriginal and/or Torres Strait Islander?
Country of Birth
What is your citizenship status?
Please provide your visa subclass
What Language do you mainly use at home.
Please select your highest level of schooling
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
Do you have a disability, impairment, or long-term medical condition that may impact your studies or require support?

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:
Consent/Permission to give Response Services Employment and Training permission to use photos and recordings in promotional material for Response Services Employment & Training.
Are you 18 years of age or older?
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 and CPR Enrolment Form Darwin 22 September 2026

Under 18 - Legal Guardian Consent