Enrolment Form

Training - Enrolment - NWP50118 Diploma

Your Details

First Name(s) This is a required field.

Legal First Name(s)

Last Name(s) This is a required field.

Legal Last Name(s)

Contact Number (preferred) This is a required field.

Contact Number (alternate)

Email Address This is a required field.

Country of Birth This is a required field.

Date of Birth This is a required field.

Select date...

Gender This is a required field.

Gender This is a required field. Male Female Indeterminate or Intersex or Unspecified

Your Address

What is the address and postcode of the suburb, locality or town in which you usually live?

Please provide the physical address (street number and name not post office box) where you usually reside rather than any temporary address at which you reside for training, work or other purposes before returning to your home.

If you are from a rural area, use the address from your state’s or territory’s ‘rural property addressing’ or ‘numbering’
system as your residential street address.

Street Address This is a required field.

City / Town / Suburb This is a required field.

State This is a required field.

Not in Australia

Post Code This is a required field.

Is your postal address the same as your address? This is a required field.

Is your postal address the same as your address? This is a required field. Yes No - enter a new address

Postal Address

If you are from a rural area, use the address from your state’s or territory’s ‘rural property addressing’ or ‘numbering’
system as your residential street address.

Street Address This is a required field.

City / Town / Suburb This is a required field.

State This is a required field.

Post Code This is a required field.

Country This is a required field.

Your Contact Details

Employer Details

Company Name This is a required field.

Company Contact Number This is a required field.

Company Address This is a required field.

Company Email This is a required field.

Emergency Contact

Emergency Contact Name This is a required field.

Emergency Contact Number This is a required field.

Administration

Survey Contact Status This is a required field.

As referred to in privacy notices.

Survey Contact Status This is a required field. Yes No

Language Spoken at Home This is a required field.

Do you speak a language other than English at home? If more than one language, indicate the one that is spoken most often.

Language Spoken at Home This is a required field. English only

Other

Aboriginal or Torres Strait Islander Origin This is a required field.

Are you of Aboriginal or Torres Strait Islander origin?

Aboriginal or Torres Strait Islander Origin This is a required field. No, neither Yes, Aboriginal Yes, Torres Strait Islander Yes, both Aboriginal and Torres Strait Islander

CV / Resume This is a required field.

This is for AHA to get an idea of experience and your background.

Impairment / Condition Evaluation

Schooling

Highest Completed School Level This is a required field.

Highest Completed School Level This is a required field. Completed Year 12 Completed Year 11 Completed Year 10 Completed Year 9 or Equivalent Completed Year 8 or Lower Never attended school

Attending Secondary School This is a required field.

Are you still attending secondary school?

Attending Secondary School This is a required field. Yes No

Completed Qualifications This is a required field.

Have you successfully completed any qualifications?

Completed Qualifications This is a required field. Yes No

Prior Education Achievement Recognition Identifiers

Please enter one of these Prior Education Achievement Recognition Identifiers any applicable qualification level. Note: If you have multiple Prior Education Achievement Recognition Identifiers for any one qualification, use the following priority order to determine which identifier to use: A – Australian E– Australian equivalent I – International

Question 35: Prior Education Achievement Recognition Identifiers
	A - Australian	E - Australian Equivalent	I - International
008 - Bachelor Degree or Higher Degree	A - Australian	E - Australian Equivalent	I - International
410 - Advanced Diploma or Associate Degree	A - Australian	E - Australian Equivalent	I - International
420 - Diploma (or Associate Diploma)	A - Australian	E - Australian Equivalent	I - International
511 - Certificate IV (or Advanced Certificate/Technician)	A - Australian	E - Australian Equivalent	I - International
514 - Certificate III (or Trade Certificate)	A - Australian	E - Australian Equivalent	I - International
521 - Certificate II	A - Australian	E - Australian Equivalent	I - International
524 - Certificate I	A - Australian	E - Australian Equivalent	I - International
990 - Certificates other than the above	A - Australian	E - Australian Equivalent	I - International

Victorian Students Aged up to 24 years

Victorian Student Aged up to 24 Years This is a required field.

Are you Victorian student aged up to 24 years?

Victorian Student Aged up to 24 Years This is a required field. Yes and I know my Victorian Student Number (VSN) Yes but I do not know my Victorian Student Number (VSN) No

Unique Student Identifier

From 1 January 2015, we Timber Training Creswick Ltd can be prevented from issuing you with a nationally
recognised VET qualification or statement of attainment when you complete your program if you do not have a
Unique Student Identifier (USI). If you have not yet obtained a USI, you can apply for it directly at
http://www.usi.gov.au/create-your-USI/ on computer or mobile device.

Do you already have a USI? This is a required field.

Do you already have a USI? This is a required field. Yes No - I will apply myself No - I would like Timber Training Creswick Ltd to apply for a USI on my behalf

Privacy Notice (updated 28 March 2019)

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

Your personal information (including the personal information contained on this enrolment form), may be used or disclosed by Timber Training Creswick for statistical, administrative, regulatory and research purposes. Timber Training Creswick may disclose your personal information for these purposes to:

Commonwealth and State or Territory government departments and authorised agencies; and
NCVER.

Personal information that has been disclosed to NCVER may be used or disclosed by NCVER for the following purposes:

populating authenticated VET transcripts;
facilitating statistics and research relating to education, including surveys and data linkage;
pre-populating RTO student enrolment forms;
understanding how the VET market operates, for policy, workforce planning and consumer information; and
administering VET, including program administration, regulation, monitoring and evaluation.

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

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).

The Government, through the Department of Education and Training in each relevant state (the Department), develops, monitors and funds vocational education and training. (VET) in Victoria. The Government is committed to ensuring that Australians have access to appropriate and relevant VET services. Any personal information collected by the Department for VET purposes is protected in accordance with the Privacy and Data Protection Act 2014 (Vic) and the Health Records Act 2001 (Vic).

Collection of your data

Timber Training Creswick Ltd is required to provide the Department with student and training activity data. This includes personal information collected in the Timber Training Creswick Ltd enrolment form and unique identifiers such as the Victorian Student Number (VSN) and the Commonwealth’s Unique Student Identifier (USI).

Timber Training Creswick Ltd provides data to the Department in accordance with the state VET Student Statistical Collection Guidelines.

Further information

For further information about the way Departments collect and handles personal information, including access, correction and complaints, go to relevant states education department website.

For further information about Unique Student Identifiers, including access, correction and complaints, go to http://www.usi.gov.au/Students/Pages/student-privacy.aspx.

Privacy Notice Declaration This is a required field.

Privacy Notice Declaration This is a required field. I acknowledge that I have read the Government Privacy Notice

Privacy Notice Signature

Signature This is a required field.

Sign Here

Date This is a required field.

Full Name This is a required field.

Student Declaration

I declare that to the best of my knowledge and belief, the information contained on this form is correct and complete. I understand that any offer or subsequent enrolment in a training place made on the basis of false information may be withdrawn, and associated costs charged to myself.

I hereby agree to be bound by the Policies and Procedures of Timber Training Creswick Limited related to my learning program.

I am aware that classes will not be conducted if insufficient numbers of students have enrolled.

I hereby authorise Timber Training Creswick to release information concerning my record to:

(a) any government department, providing confidentiality is assured.

(b) to any relevant licensing or industry organisation (e.g. AHA) providing confidentiality is assured.

I understand that I am entitled to access of my training records during the period of my training.

Student Declaration This is a required field.

Student Declaration This is a required field. I acknowledge that I have read the Student Declaration

Student Declaration Signature

Signature This is a required field.

Sign Here

Date This is a required field.

Full Name This is a required field.

Submit

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Collection of your data

Further information

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