Enrolment Form ABN: 23 060 557 904 RTO: 90388 ** Please write your legal name that you used when you created your USI, as your USI details and this enrolment form must be the exactly the same for reporting purposes. DOB is mandatory ** Have you previously been Unique Student Yes No enrolled at Transqual? Identifier No: As of today what is the name of the Qualification/Course you are enrolled in: PERSONAL DETAILS (Please print) Title: Mr Mrs Ms Miss Female Male Date of Birth: Middle Name: First Name: Surname: Address of usual residence: Building Name: Flat/Unit details: Suburb: Postal Address: Street No: State/Territory: Same as Residential Street Name: Postcode: Mobile: Phone: (if different please insert) Email: Emergency Contact Details: (Name, Relationship & Phone #) Company Name: LANGUAGE AND CULTURAL DIVERSITY Australia Other, please specify: In which country were you born? Are you of Aboriginal or Torres Strait Islander origin? No Yes, Aboriginal Do you speak a language other than English at home? English Other, please specify: Yes, Torres Strait Islander (Tick both if applicable) If English is NOT your first language, how well do you speak English? Very Well Well Not Well Not at all DISABILITY Do you consider yourself to have a disability, impairment or long term condition? No Yes If you indicated the presence of a disability, impairment or long term condition, please select the area(s) in the following list: Hearing/deaf Mental illness Learning difficulties Acquired brain impairment Intellectual Medical Condition Physical Vision Would you like any additional assistance to prevent any disadvantages during your learning? Other: No N/A Yes If “Yes”, please explain: Concession card held? Yes (Copy required) No SCHOOLING What is your highest completed School Level? Year 12 Year 11 Year 10 Year 9 Year 8 or Lower Still attending School In which year did you complete that school level? PREVIOUS QUALIFICATIONS ACHIEVED Have you successfully completed any of the following qualifications? Bachelor Degree or higher Advanced Diploma or associate degree Diploma (or associate diploma) Certificate IV (or advanced certificate/technician) No Yes (If Yes, please tick below) Certificate III (or trade certificate) Certificate II Certificate I Other certificates other than the above Name of Qualification completed: EMPLOYMENT Of the following categories, which best describes your current employment status? (Tick ONE only) Full time employee Part time employee Employer Casual Self Employed – not employing others Employed – unpaid worker in family business Unemployed seeking F/T work Unemployed seeking P/T work Transqual Enrolment Form – V9.0 October 2016 Not employed – not seeking employment Date Employment Started: Hours worked per week: Page 1 of 6 Enrolment Form ABN: 23 060 557 904 RTO: 90388 STUDY REASON Of the following categories, which best describes the main reason for undertaking this course/traineeship? (Tick ONE only) To get a job To develop my existing business To start my own business To try for a different career To get a better job or promotion It was a requirement for my job I wanted extra skills for my job To get into another course of study For personal interest or self development Other reasons COURSE CREDIT OR RECOGNITION OF PRIOR LEARNING I wish to apply for credit transfer: I wish to apply for RPL process: No Yes - If yes, I will provide evidence from a nationally recognised statement of attainment or qualification No Yes – a separate RPL Form will be need to be completed and processed PARTICIPANT DECLARATION I understand that information supplied may be disclosed to relevant State and Federal Government agencies and bodies (ie DoE, ASQA), as appropriate to report enrolment details and progress information for those individuals completing government funded traineeships. I give permission to provide assessments results and other progress information to my employer (where applicable) I give permission to provide all relevant course information (i.e. attendance, participation, assessment results) and other p rogress information to my Jobactive provider (If applicable). (Please tick √) Yes No (if un-ticked it will be an automatic no response) I grant Transqual Pty Ltd permission to use images of myself for the purposes of any Transqual Pty Ltd publications, record keeping, marketing & publicity. (please tick √) Yes No (if un-ticked it will be an automatic no response) I have been fully informed on the short course, unit/s of competency or qualification I am about to complete I acknowledge that I have read AND understood OR been made aware of the Learner Handbook in particular such points as: Privacy Policy Workplace Health & Safety Discrimination Assessment expectations Attendance expectations Complaints and Appeals Student and Trainer Behaviour I declare that, to the best of my knowledge that the information and any supporting evidence that I have provided on this for m is true and correct in all regards. I understand that it is a criminal offence to provide false or misleadi ng information. Participant Signature: To be completed for: Date: PILOT & ESCORT VEHICLE DRIVING, DANGEROUS GOODS & FORKLIFT COURSE Licence & Medical Declaration: I _____________________________________________________ declare that: I have no license suspensions, cancellation or disqualifications in the preceding five (5) years. I have no existing medical condition that may affect my ability this complete this course. Signed X _____________________________________ Date: Witness Name: ____________________________________________ Witness Signature: OFFICE USE TO BE COMPLETED BY TRAINER/ASSESSOR – Participant’s Photo ID attached, signed and dated by Trainer declaring they have sighted the original ID. Date & initials___________________________ ADMINISTRATION Enrolment form and USI Privacy notice (if applicable) has be returned completed and signed Course participant enrolled in: _____________________________________________ ____________ Information entered into student database Date & initials Invoice No:__________________________ Date & initials Transqual Enrolment Form – V9.0 October 2016 WISENET ID #__________________________ Page 2 of 6 Learner Assessment Information & Declaration Document ABN: 23 060 557 904 RTO: 90388 The following information is designed for use by learners who are undertaking activities and assessment to gain a nationally recognised qualification or statement of attainment. Please ensure you read the below information pertaining to your assessments throughout this qualification or course and sign the acknowledgement page. An Electronic copy of the Learner Handbook and a copy of this Learner Assessment Declaration can be found at: http://www.transqual.com.au/forms-policies/ What your assessor will do adhere to all relevant organisational policies and procedures determine if you require any training prior to assessment determine if the scope of assessment is to be an assessment only; RPL pathway; or a combination assessment strategy ensure that you are made aware of the time, date, venue and purpose of assessment, the competency units being assessed and requirements of the assessment explain to you the assessment process, appeals process, as well as assessment task inform you of the amount of time you have to complete the assessment. support and encourage you provide feedback to you throughout the process and at the outcome of the assessment upon completion record assessment decisions and complete all assessment documentation ensure you sign and date all relevant assessment tools and Assessment Competency Reports ask you to complete any evaluation forms What assessors don’t do provide coaching during assessment provide training during assessment lead you to the ‘right’ answer during assessment use inappropriate sites for assessment that do not relate to the units of competency and the assessment context put themselves in compromising situations What do you have to do? Assessment involves you ‘proving’ what you can do and what you know. There are lots of ways you can prove you have the required skills and knowledge. You and your trainer/ assessor will discuss the assessment & activity tasks; each task is evidence. A number of tasks have been developed to assist in you gathering this ‘proof’. Reasonable adjustment 'Reasonable adjustment’, is designed to ensure that all people are treated equally in the assessment process. Therefore any learner who requires an adjustment because of an existing disability, special need or unjustifiable hardship should request the required changes as early as possible in the enrolment process. Submission of Assessments When submitting assessments: If not already supplied, include the Unit of competency being assessed on the top of the first page and, Ensure you put your “Full Legal Name” on the top of the required sections Initial each section where applicable Unfortunately assessments are not returned due to RTO audit requirements, therefore we ask that you (where applicable) save a copy of your completed assessment activities to your computer before submitting each assessment activity Transqual Enrolment Form – V9.0 October 2016 Page 3 of 6 Learner Assessment Information & Declaration Document ABN: 23 060 557 904 RTO: 90388 Please note that if your assignment is not submitted by the date you will receive a “Not yet competent” result Transqual takes plagiarism seriously as it is a form of cheating and may result in a participant being excluded from the course. Plagiarism can be in the form of the following - Handing in assessments similar to or copied as one’s own work - Presenting the work of another individual or group as their own work - Handing in assessments without adequate acknowledgement of sources/references used, including and not limited to taking wholly or partial information from the internet Copyright – owners of materials may take legal action against you, if the owner’s copyright has been infringed. What decisions can be made? The assessor will determine whether you are ‘competent’ or ‘not yet competent’ following the assessment and collection of proof of your skills and knowledge. If you are deemed competent, you will be issued with the relevant qualification or statement of attainment for the competencies achieved. If you are deemed not yet competent, the assessor will explain your options to gain the qualification or statement of attainment. This will often include attending some training or gaining further experience prior to re-assessment. There may be an instance where your assessor may ask for additional evidence as they do not have sufficient to make a decision. What if you are unhappy with the decision? Participants have the right to appeal a not competent decision. Transqual have an Appeals policy and procedure which must be adhered to all times throughout the process. The same right to appeal assessment is provided to participants for Recognition of Prior Learning. PARTICIPANT ASSESSMENT DECLARATION I _____________________________________________(Print Name), hereby declare that I have read and understood the Assessment Information & Declaration which outlines what assessors can and cannot assist with when conducting assessment throughout all units of competency that I am to undertake. I also understand assessment evidence and requirements from me when submitting assessments as outlined in this document. Participant Signature: Transqual Enrolment Form – V9.0 October 2016 Date: Page 4 of 6 Unique Student Identifier Privacy Notice ABN: 23 060 557 904 RTO: 90388 If you do not already have a Unique Student Identifier (USI) and you want Transqual Pty Ltd to apply for a USI to the Student Identifiers Registrar (Registrar) on your behalf, Transqual Pty Ltd will provide to the Registrar the following items of personal information about you: your name, including first or given name(s), middle name(s) and surname or family name as they appear in an identification document; your date of birth, as it appears, if shown, in the chosen document of identity; your city or town of birth; your country of birth; your gender; and your contact details When we apply for a USI on your behalf the Registrar will verify your identity. The Registrar will do so through the Document Verification Service (DVS) managed by the Attorney -General's Department which is built into the USI online application process if you have documents such as a Medicare card, birth certificate, driver licence, Australian passport, citizenship document, certificate of registration by descent, ImmiCard or Australian entry visa. If you do not have a document suitable for the DVS and we are authorised to do so by the Registrar we may be able to verify your identity by other means. If you do not have any of the identity documents mentioned above, and we are not authorised by the Registrar to verify your identity by other mean s, we cannot apply for a USI on your behalf and you should contact the Student Identifiers Registrar. In accordance with section 11 of the Student Identifiers Act 2014 Cth (SI Act), we will securely destroy personal information which we collect from you solely for the purpose of applying for a USI on your behalf as soon as practicable after the USI application has been made or the information is no longer needed for that purpose, unless we are required by or under any law to retain it. The personal information about you that we provide to the Registrar, including your identity information, is protected by the Privacy Act 1988 Cth (Privacy Act). The collection, use and disclosure of your USI are protected by the USI Act. If you ask Transqual Pty Ltd to make an application for a student identifier on your behalf, Transqual Pty Ltd will have to declare that Transqual Pty Ltd has complied with certain terms and conditions to be able to access the online student identifier portal and submit this application, including a declaration that Transqual Pty Ltd has given you the following privacy notice: You are advised and agree that you understand and consent that the personal information you provide to us in connection with your application for a USI: is collected by the Registrar for the purposes of: o applying for, verifying and giving a USI; o resolving problems with a USI; and o creating authenticated vocational education and training (VET) transcripts; may be disclosed to: o Commonwealth and State/Territory government departments and agencies and statutory bodies performing functions relating to VET for: the purposes of administering and auditing Vocational Education and Training (VET), VET providers and VET programs; education related policy and research purposes; and Transqual Enrolment Form – V9.0 October 2016 Page 5 of 6 Unique Student Identifier Privacy Notice ABN: 23 060 557 904 RTO: 90388 to assist in determining eligibility for training subsidies; VET Regulators to enable them to perform their VET regulatory functions; VET Admission Bodies for the purposes of administering VET and VET programs; current and former Registered Training Organisations to enable them to deliver VET courses to the individual, meet their reporting obligations under the VET standards and government contracts and assist in determining eligibility for training subsidies; o schools for the purposes of delivering VET courses to the individual and reporting on these courses; o the National Centre for Vocational Education Research for the purpose of creating authenticated VET transcripts, resolving problems with USIs and for the collection, preparation and auditing of national VET statistics; o researchers for education and training related research purposes; o any other person or agency that may be authorised or required by law to access the information; o any entity contractually engaged by the Student Identifiers Registrar to assist in the performance of his or her functions in the administration of the USI system; and will not otherwise be disclosed without your consent unless authorised or required by or under law o o o Privacy policies and complaints You can find further information on how the Registrar collects, uses and discloses the personal information about you in the Registrar’s Privacy Policy or by contacting the Registrar on email [email protected] or telephone the Skilling Australia Information line on 13 38 73, international enquiries +61 3 5454 5280. The Registrar’s Privacy Policy contains information about how you may access and seek correction of the personal information held about you and how you may make a complaint about a breach of privacy by the Registrar in connection with the USI and how such complaints will be dealt with. You may also make a complaint to the Information Commissioner about an interference with privacy pursuant to the Privacy Act, which includes the following: misuse or interference of or unauthorised collection, use, access, modification or disclosure of USIs; and a failure by Us to destroy personal information collected by you only for the purpose of applying for a USI on your behalf For information about how Transqual collects, uses and discloses your personal information generally, including how you can make a complaint about a breach of privacy, please refer to Transqual Pty Ltd’s privacy policy which can be found at http://www.transqual.com.au/privacy-policy/ (Signature of acceptance by student)_____________________________________________________ Name of student____________________________________________________________________ Date_____________________________________________________ Transqual Pty Ltd collects information from your enrolment form and Proof of Identification to create your USI. However we also require the following in order to complete the application: Town/City of birth_________________________________________ Transqual Enrolment Form – V9.0 October 2016 Page 6 of 6
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