ETC Enrolment Form

Student Enrollment Form

Student Details
Date*

DayMonthYear
Date
Name*

First NameLast Name
Mobile Number*
Please enter a valid phone number.
Gender*

MaleFemaleOther
Email*
example@example.com
Age Declaration

I am at least 18 years of age
Do you have any limitations on study rights?*

NoYes
How many months of study rights do you have?*
Type in Number
Address*

Street Address

Street Address Line 2

SuburbState

PostcodeCountry

Course Enrolment Deails

See course ourline for delivery mode and available duration
Course Name*

CHC33021 Certificate III in Individual Support (Ageing and Disability)CHC43015 Certificate IV in Ageing SupportCHC43121 Certificate IV in DisabilityHLTAID009 Provide cardiopulmonary resuscitationHLTAID011 Provide First Aid

Language and Cultural Diversity
City of Birth*

Street Address

Street Address Line 2

City of birth as per your passportState / Province

Postal / Zip CodeCountry of Birth
Main Language Spoken*
Do you speak any other language other than English at home?*

NoYes:
Are you Aboriginal and/or Torres Strait Islander?*

NoYes, AboriginalYes, Torres Strait Islander

Employment Details:
Employment Status:*

Full - Time employeePart-time employeeSelf-employed (not employing others)Self-employed (employing others)Employed (unpaid worker in a family business)Unemployed (Seeking Full time work)Unemployed (Seeking part time work)Unemployed (not seeking employment)
Employer Business Name
Employer Number
Please enter a valid phone number.
Employer Address

Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Reason for Study:
Of the following categories, which BEST describes your main reason for undertaking this course? (At least one option or more)*

To get a jobTo try for a different careerTo get skills for community/voluntary workTo get a better job or promotionOther

Exisitng skills and Knowledge:
Please briefly explain/outline the skills and experience you believe you have that relates to the course in which you are enrolling: *
If you don't have relevant experience, please write 'NA'.
Please describe any related work or industry experience (job role, description of responsibilities, inclusive dates, etc.) you have, if any:*
Please list down any experience in relation to hospitality or medical industry.
Please list down any related qualifications you have completed recently
Qualification Name*
Any Previous Qualification Name
Provider Details*
Provider Details
Date Studied*
Date Studied
PTR Assessment*

Completed

IMPORTANT NOTE:
Encourage Training College will provide access to additional support services where required, as described in the Additional Support Policy and Procedures. However, where a student is unable to meet minimum course entry requirements such as corresponding Learning, Literacy and Numeracy Skills and/or Physical Fitness requirements of a course, Encourage Training College reserves the right to defer/terminate enrolment. If you are in doubt, please ask us about it.
UNIQUE STUDENT IDENTIFIER:
From 1 January 2015, we Encourage Training College can be prevented from issuing you with a nationally recognized VET qualification or statement of attainment when you complete your course if you do not have a Unique Student Identifier (USI). In addition, we are required to include your USI in the data we submit to NCVER. If you have not yet obtained a USI you can apply for it directly at https://www.usi.gov.au/your-usi/create-usi on computer or mobile device.

For more details, please refer to “Unique Student Identifier (USI)” www.usi.gov.au
Enter your Unique Student Identifier*
If you don't have a USI number, you can apply for one by going to the USI website and follow steps at:
https://www.usi.gov.au/students/get-a-usi
You may already have a USI if you have done any nationally recognized training, which could include training at work, completing a first aid course or RSA (Responsible Service of Alcohol) course, getting a white card, or studying at a TAFE or training organization. It is important that you try to find out whether you already have a USI before attempting to create a new one. You should not have more than one USI. To check if you already have a USI, use the ‘Forgotten USI’ link on the USI website at https://www.usi.gov.au/faqs/find-your-usi

If you have an objection to being assigned a Unique Student Identification Number (USI), you are able to apply for an exemption, directly to the Student Identifiers Registrar at www.usi.gov.au. Where the USI exemption applies, the results of the training will not be accessible through the Commonwealth and will not appear on any authenticated VET transcript.

Privacy Notice
Why we collect your personal information:

As a registered training organisation (RTO), we collect your personal information so we can process and manage your enrolment in a vocational education and training (VET) course with us. The RTO will not be able to enroll students who fail or refuse to provide personal information.

How we use your personal information:

We use your personal information to enable us to deliver VET courses to you, and otherwise, as needed, to comply with our obligations as an RTO.

How we disclose your personal information:

We are required by law (under the National Vocational Education and Training Regulator Act 2011 (Cth) (NVETR Act)) to disclose the personal information we collect about you to the National VET Data Collection kept by the National Centre for Vocational Education Research Ltd (NCVER). The NCVER is responsible for collecting, managing, analysing and communicating research and statistics about the Australian VET sector.

We are also authorised by law (under the NVETR Act) to disclose your personal information to the relevant state or territory training authority.

How the NCVER and other bodies handle your personal information:

The NCVER will collect, hold, use, and disclose your personal information in accordance with the law, including the Privacy Act 1988 (Cth) (Privacy Act) and the NVETR Act. Your personal information may be used and disclosed by NCVER for purposes that include populating authenticated VET transcripts; administration of VET; facilitation of statistics and research relating to education, including surveys and data linkage; and understanding the VET market.

The NCVER is authorised to disclose information to the Australian Government Department of Education, Skills and Employment (DESE), Commonwealth authorities, State and Territory authorities (other than registered training organisations) that deal with matters relating to VET and VET regulators for the purposes of those bodies, including to enable:

·         administration of VET, including program administration, regulation, monitoring and evaluation

·         facilitation of statistics and research relating to education, including surveys and data linkage

·         understanding how the VET market operates, for policy, workforce planning and consumer information.

The NCVER may also disclose personal information to persons engaged by NCVER to conduct research on NCVER’s behalf.

The NCVER does not intend to disclose your personal information to any overseas recipients.

For more information about how the NCVER will handle your personal information please refer to the NCVER’s Privacy Policy at www.ncver.edu.au/privacy.

If you would like to seek access to or correct your information, in the first instance, please contact your RTO using the contact details listed below.

DESE is authorised by law, including the Privacy Act and the NVETR Act, to collect, use and disclose your personal information to fulfil specified functions and activities. For more information about how the DESE will handle your personal information, please refer to the DESE VET Privacy Notice at https://www.dese.gov.au/national-vet-data/vet-privacy-notice.

If for any reason you cannot access the privacy notice electronically on the Department’s website, please get in touch with us at info@etccollege.com.au to obtain a copy of the notice.

Surveys

You may receive a student survey which may be run by a government department or an NCVER employee, agent, third-party contractor or another authorised agency. Please note you may opt out of the survey at the time of being contacted.

Contact information

At any time, you may contact Encourage Training College to:

·         request access to your personal information

·         correct your personal information

·         make a complaint about how your personal information has been handled

·         ask a question about this Privacy Notice

Refund Policy
Details of the Company Fees and Charges / Refund Policy can be found in the Fee Administration and Refund Policy, Student Handbook and Company website.

Declaration
I,*

First NameLast Name
Of,*

Full Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth*

DayMonthYear
Date
Would like to apply for enrolment in the above course with Encourage Training College (RTO # 45622). I have read and understood the entry and course requirements and other course information on Encourage Training College website. I have read the Encourage Training College Student Handbook including the Privacy Policy, Fee Administration and Refund Policy, and other policies and procedures prior to enrolling. By signing this enrolment application, I agree to allow Encourage Training College to provide my employer, or the organisation that has funded my training, my personal information about my enrolment, course progression, assessment status, and other course information on a periodic basis, during and/or after my enrolment period.

I understand that I will be required to supply a USI to Encourage Training College in accordance with national legislation. I declare that I have answered all questions truthfully to the best of my knowledge. I understand that all my personal details including my USI, are confidential and are protected by relevant privacy laws. I give my consent to Encourage Training College to release my name, date of birth, contact details and statistical information, including my USI, to the relevant Federal government bodies for the purpose of auditing, regulation of training, obtaining feedback and as statistical information.

I have read and consent to the collection, use and disclosure of my personal information pursuant to the information detailed at Privacy Notice section of this form and the RTO’s Privacy Policy found in the company website.
Signature*

Clear
Date*

DayMonthYear
Date

Disability Supplement
Introduction:

The purpose of the Disability supplement is to provide additional information to assist with answering the disability question. Disability in this context does not include short-term disabling health conditions such as a fractured leg, influenza, or corrected physical conditions such as impaired vision managed by wearing glasses or lenses.
‘11 — Hearing/deaf’

Hearing impairment is used to refer to a person who has an acquired mild, moderate, severe or profound hearing loss after learning to speak, communicates orally and maximises residual hearing with the assistance of amplification. A person who is deaf has a severe or profound hearing loss from, at, or near birth and mainly relies upon vision to communicate, whether through lip reading, gestures, cued speech, finger spelling and/or sign language.

‘12 — Physical’

A physical disability affects the mobility or dexterity of a person and may include a total or partial loss of a part of the body. A physical disability may have existed since birth or may be the result of an accident, illness, or injury suffered later in life; for example, amputation, arthritis, cerebral palsy, multiple sclerosis, muscular dystrophy, paraplegia, quadriplegia or post-polio syndrome.

‘13 — Intellectual’

In general, the term ‘intellectual disability’ is used to refer to low general intellectual functioning and difficulties in adaptive behaviour, both of which conditions were manifested before the person reached the age of 18. It may result from infection before or after birth, trauma during birth, or illness.

‘14 — Learning’

A general term that refers to a heterogeneous group of disorders manifested by significant difficulties in the acquisition and use of listening, speaking, reading, writing, reasoning, or mathematical abilities. These disorders are intrinsic to the individual, presumed to be due to central nervous system dysfunction, and may occur across the life span. Problems in self-regulatory behaviours, social perception, and social interaction may exist with learning disabilities but do not by themselves constitute a learning disability.

‘15 — Mental illness’

Mental illness refers to a cluster of psychological and physiological symptoms that cause a person suffering or distress and which represent a departure from a person’s usual pattern and level of functioning.

‘16 — Acquired brain impairment’

Acquired brain impairment is injury to the brain that results in deterioration in cognitive, physical, emotional or independent functioning. Acquired brain impairment can occur as a result of trauma, hypoxia, infection, tumor, accidents, violence, substance abuse, degenerative neurological diseases or stroke. These impairments may be either temporary or permanent and cause partial or total disability or psychosocial maladjustment.

‘17 — Vision’

This covers a partial loss of sight causing difficulties in seeing, up to and including blindness. This may be present from birth or acquired as a result of disease, illness or injury.

‘18 — Medical condition’

Medical condition is a temporary or permanent condition that may be hereditary, genetically acquired or of unknown origin. The condition may not be obvious or readily identifiable, yet may be mildly or severely debilitating and result in fluctuating levels of wellness and sickness, and/or periods of hospitalisation; for example, HIV/AIDS, cancer, chronic fatigue syndrome, Crohn’s disease, cystic fibrosis, asthma or diabetes.

‘19 — Other’

A disability, impairment or long-term condition which is not suitably described by one or several disability types in combination. Autism spectrum disorders are reported under this category.

Emergency Contact Detail

Please fill the details of your emergency contact
Name:*

First NameLast Name
Phone Number:*
Please enter a valid phone number.
Email:
example@example.com
Relationship:*

Declaration

I declare that all the information I have given above is correct and complete.
Signature*

Clear
Date*

DayMonthYear
Date

Upload your 100 Points

Please upload your 100 Points (Passport, Visa Copy, Photo ID/ Australian DL) and your Payment Screenshot (Refer below for Payment Details)
Our Account Details:

Account Name: KU College Pty Ltd

BSB: 062-107

Account Number: 1129 3271

Please write your full name and Date of Birth in the description.
Total Amount*
The amount Paid Upfront*
The Paid you are paying upfront Today.
Remaining Due Amount*
Remaining due amount to be paid before placement
Upload the files here*

Please upload your Passport, Visa (if applicable), Photo ID/ Australian DL and Payment Screenshot.
Cancelof
Should be Empty:

Student Enrollment Form

Course Enrolment Deails

Language and Cultural Diversity

Disability

Education and Training Details

Employment Details:

Reason for Study:

Exisitng skills and Knowledge:

Additional Information

Declaration

Emergency Contact Detail

Declaration

Upload your 100 Points