College Australia - Enrolment Form v24.0

Are you 15 years of age or over?*

Yes

No

Are you a Queensland resident?*

Yes

No

Are you an Australian/New Zealand citizen?*

If no you will be required to provide us with your Visa information below.

Yes

No

Are you currently enrolled in any training or qualifications at another recognised educational facility (RTO, University, school, etc.) *

In relation to Certificate 3 Guarantee, Higher Level Skills, Boost or RSIS funding types. See link below for more information.

https://desbt.qld.gov.au/training/training-careers/incentives/certificate3/faq

Yes (Cannot access funding)

No

Name Prefix

First Name*

Middle Name

Last Name*

Maiden Name or Previous Known Names (if applicable)

Date of Birth*

Email Address*

Gender*

Male

Female

Indeterminate / Intersex / Unspecified

Other

Other (if applicable)

Which qualification are you enrolling into? *

Are you enrolling into a workplace-based Traineeship or Apprenticeship?*

Select yes if you have discussed your traineeship/apprenticeship with your workplace and an Australian Apprenticeship Support Network (AASN) representative. (E.g. Busy@Work, Mas Experience, Apprenticeships Australia)

Yes

No

If you are associated with any Employment Services Provider or other Agencies assisting you with your studies, please provide details. e.g. Workways Beenleigh

Are you currently employed?*

Yes

No

Company Name

Are you representing a company? If yes, complete this field with your official company name. If you are not representing a company, then just leave the company field blank.

Job Role/Title

Address Line 1

Address Line 2

City / Suburb

Postal Code

State

Country

Manager/Supervisor Name

Employer/Supervisor Email Address

Work Phone

Primary Phone

Address Line 1*

Address Line 2

City / Suburb*

Postal Code*

State*

Country*

Is your postal address different to your home address?*

Yes

No

Postal Address

Postal Address Line 2

Postal Address City / Suburb

Postal Address State

Postal Address Post Code

Postal Address Country

Identification Upload

If possible, please provide forms of identification - such as Driver licence, Medicare Card, Concessional Card etc. If you are unable to provide these at this point in time, please email a clear, coloured photograph of your identification to info@ca.edu.au

Country of Birth*

Visa Type

Student Visa

Temporary Resident Visa

Business Visa

Permanent Humanitarian Visa

Holiday Visa

No Visa or Citizenship

Visitor's Visa

Other Visa

Other Visa (please specify)

Visa Number

Passport Number

Indigenous Status*

Yes, Aboriginal

Yes, Torres Strait Islander

Yes, Aboriginal and Torres Strait Islander

No, Neither Aboriginal or Torrest Strait Islander

Employment Status*

Full-time employee

Part-time employee

Employed - unpaid worker in a family business

Self-employed - employing others

Self-employed - not employing others

Unemployed - seeking full-time work

Unemployed - seeking part-time work

Not employed - not seeking employment

What language do you speak most often? *

Do you require English assistance?*

Yes

No

Proficiency in spoken English*

Very well

Well

Not well

Not at all

What is the highest School level you have completed?*

Year of highest level of secondary school completed: (e.g. 1996)*

Are you currently attending secondary school?*

Yes

No

Do you hold any Qualifications? (E.g. Certificate III, IV, Diploma, Bachelor. Masters etc.) *

Yes

No

Please upload if you have a copy of your Certificate/s or USI Transcript

If you can't upload now, email a copy to info@ca.edu.au

*Successful enrolment will require a copy of this document

Would you like to RPL? (Recognition of Prior Learning)*

Yes

No

Do you consider that you have a disability, impairment / long term condition that may affect your participation in the course?*

Yes

No

Disability, Impairment, or long-term condition

Hearing / Deafness

Vision

Acquired Brain Impairment

Physical

Intellectual

Learning

Medical Condition

Mental Illness

Not Specified

Other

Other (if applicable)

What is your USI? (Unique Student Identifier)

We are required, by law, to verify your Unique Student Identifier (USI) upon enrolment From 1 January 2015, we College Australia can be prevented from issuing you with a nationally recognised 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/students/create-your-usi/ on computer or mobile device. Enter your Unique Student Identifier (USI) below (if you already have one). You may already have a USI if you have done any nationally recognised 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 organisation. 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/i-have-forgotten-my-usi/

Town/City of Birth*

(please write the name of the Australian or overseas town or city where you were born) If you would like us Real Group to apply for a USI on your behalf you must authorise us to do so and declare that you have read the privacy information at: http://www.usi.gov.au/Documents/Student-Identifiers-Registrar-privacy-policy-v1.1.pdf

https://www.usi.gov.au/documents/privacy-notice-when-rto-applies-their-behalf.

LUI (QLD school Students only)

Learner Unique Identifier - usually located on your school ID. Please leave blank if not applicable to you.

Emergency Contact Name

Contact Number

Contact Email

Relationship

Which of the following statements best describes your reason for enrolling in this course?*

Personal interest or self-development

To start my own business

To get a job

To develop my existing business

To get a better job or promotion

To try for a different career

I want extra skills for my job

Meet CPD / licence / vocational requirements

Requirement of my job

To gain a qualification

To get skills for community/voluntary work

To get into another course of study

Do you hold a concessional Card? (E.g. Pensioner or Health Care Card)*

Yes

No

Please upload a copy of your concession card

Who is responsible for arranging payment for your enrolment?*

Invoices/receipts will be raised and sent within 7 days of enrolment date.
Payment must be made before commencement of course.
The course fees are payable immediately. If applicable.
Cancellation fees may apply, refer to refund policy.

Self

Employer

Other

If employer or other please provide details for invoicing for example Company Name, Contact Person’s email, phone etc.

How did you hear about us?*

Email received

Job Services Agency

My Skills

Internet Search

Employer

Word of Mouth

I am a past Student

Other

Photo/Video Authorisation and Release Photo/Video Authorisation and Release*

I authorise and grant permission for College Australia to use, re-use, publish and republish materials in all forms of media (including printed material, voice, and video recording) for educational and administration purposes only. This includes the right to share the photo/s and/or video/s in an educational setting for the purpose of learning, assessment, and student administration.

Yes

No

Under the Data Provision Requirements 2012, College Australia is required to collect personal information about you and to disclose that personal information to the National Centre for Vocational Education Research Ltd (NCVER).

The Primary purpose of collecting person information that you supply on this form is to process your enrolment and government reporting. We may also use these details to keep you informed of upcoming events and will not disclose your information to a third party.

NCVER will collect, hold, use and disclose your personal information in accordance with the Privacy Act 1988 (Cth), the National VET Data Policy and all NCVER policies and protocols (including those published on NCVER's website at www.ncver.edu.au).

For more information about NCVER's Privacy Policy go to https://www.ncver.edu.au/privacy.

I acknowledge that courses offered by College Australia will require access to a computer and internet.

Clients who withdraw from a course prior to the commencement of the course may be entitled to a part refund. For a full copy of the Refund Policy visit our website:
https://ca.edu.au/wp-content/uploads/2023/07/Student-Policies-V23.0.pdf

I understand that if I access government funding through the Certificate 3 Guarantee or Higher-Level Skills program through the Queensland Government and complete the course that I will not be able to access further funding. You may refer to following fact sheets for further information: -

Certificate 3 Guarantee:

https://desbt.qld.gov.au/__data/assets/pdf_file/0018/8145/c3g-factsheet-student.pdf

Higher Level Skills:

https://desbt.qld.gov.au/__data/assets/pdf_file/0026/7784/hls-student-factsheet.pdf

User Choice:

https://desbt.qld.gov.au/training/training-careers/incentives/userchoice

I acknowledge some courses offered by College Australia may require me to provide a National Police Check or Blue Card and Yellow Card

The student handbook is located here. Click the link to download a copy.
https://ca.edu.au/wp-content/uploads/2024/05/Student-Handbook-V24.1.pdf

I declare that I have provided all information pertaining to previous study undertaken.

By signing this enrolment form you acknowledge that you will be liable for all collection fees and charges should non-payment of our invoice/s result in the matter being handed to our Debt Collection Agency.

I hereby agree that I will meet the due dates of my training plan, if for some reason I am unable to meet the dates I will contact student services to organise an extension.

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Signature

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By signing this form, I agree that all the information provided is true and correct and any untrue information may delay my enrolment process.

I declare that I have answered all questions truthfully to the best of my knowledge. If my course is government funded and I provide false or misleading information the course fee may become payable by me in full. I understand that these details are confidential and are protected by relevant privacy laws.  I give my consent to College Australia to release my name, date of birth, contact details and statistical information to the relevant Government bodies for the purpose of auditing, regulation of training, obtaining feedback and as statistical information.

Enrolment Form v24.0

Domestic Enrolment Form

Funding Eligibility

Personal details

Workplace Details

Workplace Address

Contact Details

Citizenship / Visa Details

Recognition of Prior Learning

Disability Status

We are required, by law, to verify your Unique Student Identifier (USI) upon enrolment

Your USI *

Emergency Contact Details

Reason for Studying

Fees

Terms and Conditions

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