Triple A Training
Enrolment Form
CUA31015 Certificate III in
Screen and Media
Please also attach the:
•
Your Current Resume or Curriculum Vitae
•
Any other relevant information
When you have completed this document, please:
FAX it to (07) 3892 0102 or POST to:
Triple A Training,
2 Ambleside Street,
West End, QUEENSLAND, 4101
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Triple A Training Enrolment Form
For Office Use Only
Enrolment Date:
Student Portal #:
Mr.
Mrs.
Ms
Miss
Family Name
First Name
Male
Female
Date of Birth
/
/
Home Address
Suburb/Town
Postcode
Home Phone
Fax
Email Address
Your School Name
(
(
)
)
Work Phone
Mobile Phone
(
)
Are you of Aboriginal or Torres Strait Islander Origin?
Aboriginal
Torres Strait Islander
Yes
Yes
Both
Neither
Country of Birth
Language spoken at home
Education
Yr 12
Yr 10
Yr 11
Yr 9
Are you currently attending Secondary School?
Highest School level
completed
Learner Unique ID
Year finished:
Yes
No
(If Known)
Prior Education: Have you completed any of the following qualifications
Degree +
Certificate IV
Certificate I
Adv. Diploma
Certificate III
Other
Diploma
Certificate II
Title of prior Qualification
Please tick your Current Employment status
Full time Employee
Employer
Part time Employee
Volunteer
Self employed
Are you enrolling in a complete qualification? Yes
What is your reason for Studying?
To get a job
To try for a different career
To develop my existing
To get a better job
business
To start my own business
Requirement of my job
Do you have any Medical Conditions we should know about?
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Unemployed seeking Full time
Unemployed seeking Part time
Not seeking employment
Or Individual Units
Extra skills for my job
To get into another course
Self development
If yes, please specify
Employment History
Current or Previous Employer Details: The following information will help determine if you are
eligible for Recognition of Prior Learning based on your work experience.
Period of
employment
Employer
Your Position and main duties performed
Full or
Part
time?
Start Date
/
/
End Date
/
/
Start Date
/
/
End Date
/
/
Additional information can be attached to the end of this enrolment pack.
Training Considerations
Which areas of training are you most interested in within the radio broadcasting industry?
(please rank your preference from 1 to 7 for each of the following with 1 being your first preference)
Presentation
Admin
Sound
£
£
£
Production
£
Journalism
Sales
£
Multimedia
Other: _____________________________
£
£
Briefly describe your personal training aims and your goals
Where would you prefer to undertake your radio broadcasting training?
In my workplace
Within my community centre
At the Triple A Training centre
What preferences for day(s) of the week and times for training do you have?
a) …
b) …
c) …..
Please detail any other information you would like to provide Triple A Training in order to assist us
prepare an appropriate training plan for you:
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Please read the following information carefully before providing your consent. If you are under 18
years, your parent or guardian will need to sign.
Media Clearance Form
Triple A Training, as the training division of Brisbane Indigenous Media Association, often records
aspects of your training program through a variety of multimedia. The recorded multimedia may
include video footage /photos/audio of yourself while you participate in or conduct training either onsite or in the field. The majority of the multimedia and recordings is published on our training sites, the
Online Student Portal or BIMA website (http://www.989fm.com.au). Sometimes it will also be used in
promotional flyers/brochures and as evidence for funding applications and acquittals.
Exemplary samples of recorded material may also be used as a training resource, or broadcast at a
later date. By signing below, you indicate you acknowledge that the multimedia, recordings, pictures
and footage is the property of BIMA and will only be used for promotional, educational or
administrative purposes. If the video or still images or audio are required for other reasons, BIMA is
obligated to contact you.
I agree / do not agree (please circle) to have the above-mentioned multimedia used for the reasons
indicated above.
Your full name: ________________________
Signature: __________________________
If under 18, parental / guardian signature: _________________________
Date: _______________
Contact Phone Number : _________________________
Internet Policy
Students will be allocated access to an online training area; use of the internet must be in support of,
and related to, your education and research. Unacceptable use includes, but is not limited to:
•
•
•
•
•
•
Using the internet to play games, for idle activities or non-work related purposes.
Displaying offensive/inappropriate material
Downloading music or video files.
Gaining or seeking to gain unauthorised access to resources or entities, or to others’ files.
Wasting resources by indiscriminate use of hard drive space, access time, paper or printing.
Installing software or downloading information on any computer without management
approval.
All students are to comply with internationally accepted standards of social behavior when using the
internet.
I agree to adhere to the Internet policy and will only access the internet for acceptable use.
Your full name: ________________________
Signature: __________________________
If under 18, parental / guardian signature: _________________________
Date: _______________
Contact Phone Number : ________________________
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Fee Determination
This section is designed to determine your eligibility for claim under a Queensland Department of
Employment & Training competitive purchasing contract.
Are you:
1
A secondary school student?
2
A citizen and permanent resident of Australia living in QLD?
3
An employee of Triple A Training?
4
An employee of a government department or agency?
5
An apprentice or trainee as defined in the Training & Employment Act?
6
A volunteer or seasonal worker?
7
A resident of Cape York community?
Do you receive financial benefits from:
a)
ABSTUDY
b)
AUSTUDY
c)
Other Centrelink Payment
d)
QAS
e)
Cadetship
g)
Other Government Funding
Please provide details:
Yes €
Yes €
Yes €
Yes €
Yes €
Yes €
Yes €
No €
No €
No €
No €
No €
No €
No €
Yes €
Yes €
Yes €
Yes €
Yes €
Yes €
No €
No €
No €
No €
No €
No €
Have you been awarded a Certificate III of higher-level qualification
since leaving school? Yes / No
Details (if yes):
___________________
Your Signature (Candidate)
Date:
/
/
Fees

Student Contribution Fees are a Participant's contribution to the cost of tuition for
Certificate II and above.

Where a Participant does not commence a Unit of Competency/Module, then Triple A
Training will reimburse the Participant for all student contribution fees collected in relation
to that Unit of Competency/Module.

Where a Participant withdraws from a Unit of Competency/Module after participating in a
learning activity, then a proportionate re-payment of the student contribution fee will be
reimbursed.

The student contribution fee for this course is $3,600, payable in three installments,
$1400 at enrolment, $1,400 after completion of 5 units, $800 on completion of course.
I agree to adhere to the Fees policy.
Your full name: ________________________
Signature: __________________________
If under 18, parental / guardian signature: _________________________
Date: _______________
Contact Phone Number : ________________________
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Partial Fee Exemption
If you fall into one of the following exemption categories you may be required to pay only 25% of
the full tuition fee:

If you have a disability, OR (yes/no)

Hold a current health care card or pensioner card issued under the commonwealth law,
or is the partner or a dependant of a person who holds a health care card or pensioner
concession card, and is named on the card (yes/no).
Card #_______________ Expiry Date____________ Sighted/Copied_______________

Identify as Aboriginal or Torres Strait Islander (yes/no)
Student Name ________________________________________________
Enrolled in (course details) _______________________________________
Partial fee of $______ has been approved due to the above indicated circumstances
_______________________
Tiga Bayles
General Manager
Date:
/
/
Refund Policy
1. A full refund will be provided for tuition fees charged for training delivery that has not
commenced at the time of the cancellation of enrolment.
2. A proportionate refund will be provided where the participant has withdrawn from a unit of
competency/module that has commenced but not been completed.
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Literacy & Numeracy Information
These questions are designed to provide you the opportunity to realize the literacy and numeracy
levels required for this course. Having difficulty with these questions does not necessarily mean
you are ineligible for the course, but you may need some tutoring before you commence the
training, or undertake the training at an alternative level.
The following job appeared in a local paper recently.
Position: Aboriginal Health Worker
Description: The North QLD Aboriginal Corporation for Community Health. Currently our service
is seeking the services of an Aboriginal Health Worker who is the holder of a current certificate in
Aboriginal Primary Health Care, or is willing to obtain one. This is a generalist health worker
position. Our role is to provide a safe, friendly, confidential and culturally-appropriate Aboriginal
primary health care service in line with community needs which upholds the direction of the
NAHS.
Closing Date: 30 August 2008
More information: John on (07) 2345 6789
To demonstrate your comprehension of this job advertisement, please identify,
a) The position being advertised ______________________________________________
b) What qualification is required ______________________________________________
c) What the organization does
______________________________________________
Circle two words you could remove from the following statement without changing its
meaning:
“I myself personally believe that training is one way to improve the chances of getting a job.”
When working in radio, you need to appreciate sums in time. If it is 4:42pm and two songs
are to be played – one is 3 minutes 30 seconds, and the other is 2 minutes 30 seconds –
what time will it be after both songs have been played?
Use this space to demonstrate your workings:
Your answer: ________________
How long will it be before 5:00pm? Your answer: ________________
Why do you want to do this course ?
How do you want to do this course (e.g. online, blended online/block, blended online/on-site
BIMA, blended online/block/onsite elsewhere)?
Thank You, Triple A Training, 07 3892 0100
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