ENROLMENT FORM 2018

Your enrolment application may be delayed if all sections are not fully completed
1. Is this thefirst timeyou have enrolle dat Hope Training College of Australia? Yes No
2. Are you applying forRecognition of Prior Learning Yes No and/or Credit Transfer Yes No

Which Course You Are Enrolling
CHC33015 Certificate in Individual Support - Ageing + Home & Community or/and Disability
HLTAID003 - Provide First Aid
HLTAID001 - Provide Cardiopulmonary Resuscitation
HLTWHS005 Conduct Manual Tasks Safely
Manual Handling Workshop
Other (Not listed here)
Applicant Details(PLEASE WRITE CLEARLY & IN BLOCK CAPITALS)

Title: (Please Xone box only)

Preferred Name you are known by:
First Given Name
Second Given Name
Family/Last Name
Gender
Date of Birth
Home Phone
Work Phone
Mobile
Email
Home Address
Flat/ Unit Number
Building/ Property Name
Street Number
Street Name
Suburb
State
Post Code
Country: Australia
Mailing Address (if different from Home Address)Same as Home Address (Please go to next question)
Post Office BoxCare of (who or place):
Street Number
Street Name
Suburb
State
Post Code
Country: Australia
Applicant Details (PLEASE WRITE CLEARLY & IN BLOCK CAPITALS) Continues
Emergency Contact / Next to Kin
Contact Name
Relationship
Home Phone
Mobile
Work Phone
Email
Language and Cultural Diversity(Tick X and Complete all area that applies to you)
In which country were you born?
Australia or Other (Please specify)
City/Place of Birth
Are you an Australian Citizen? Yes No
Are you a Permanent resident? Yes No
Are you International student? Yes No Other Visa
(if you are an International student, we cannot offer you any course)
If you are not a citizen of Australia please provide a certified copy of your visa
Are your of Aboriginal or Torres Strait Islander origin?(Tick X one box only)
No
Torres Strait Islander
Aboriginal
Both Aboriginal and Torres Strait Islander
Employment Status: Which of the following best describes your current employment?(Tick X)
Full time employee
Unemployed – seeking full time work
Part time employee
Unemployed – seeking part time work
Self- employed
Unemployed – not looking for work
Employer
Unpaid family worker
Do you speak a language other than English at home?
English Only Yes What Language
How well do you speak English? (tickX which one you believe you do)
Very Well
Well
Not Well
Not at all
Education: What is your highest COMPLETED school level?(Tick X ONE box only)
Never attended school
Year 10 or equivalent
Year 8 or below
Year 11 or equivalent
Year 8 or below
Year 12 or equivalent
Yes No
What year did you complete school? I'm still at school
Have you successfully completed any of the following qualifications? (Tick X if you have any qualifications)
Certificate I
Diploma (or Associate Diploma)
Certificate II
Advanced Diploma or Associate Degree
Certificate III (or Trade Certificate)
Other Certificate not listed
Certificate IV (or Advanced Certificate/Technician)
Do you identify yourself as having a disability?(Tick X all that applies to you)
No
Hearing/ Deaf
Intellectual
Vision
Learning
Physical
Medical
Other
What disability do you have that is not listed: (specify if applicable)
Unique Student Identifier (USI)

From 1 January 2015 legislation states that Registered Training Organisations (RTOs) must not issue a Statement
of Attainment or a Qualification unless the student has been assigned a USI You are required to provide your
Unique Student Identifier with your application

My Unique Student Identifier is:

To Create Your USI Please Visit at https://www.usi.gov.au or Talk to reception for the help.
DO NOT HAVE and will apply my own and provide to HTCA.
DO NOT HAVE and Iam giving authority to create a USI behalf of me.

Which categories best describes your reason for undertaking this course?
(Tick X one box only)
To get a job
It was a requirement of my job
To develop my existing business
I wanted extra skills for my job
To start my own business
To get into another course of study
To try a different career
For personal interest or self-development
To get a better job or promotion
Other reasons
ENROLLING STUDENT DECELERATION OF UNDERSTANDING
Privacy Notice

I understand that:
Hope Training College of Australia is required to provide to the Government through the relevant Department, with student and training activity data which may include information I provide in the enrolment form. Information is required to be provided in accordance with the Australian Skills Quality Authority (www.asqa.gov.au - Activity Data Collection). The Department may use the information provided to it for planning, administration, policy development, program evaluation, resource allocation, and reporting and / or research activities. For these and other lawful purposes, the Department may also disclose information to its consultants, advisers, other government agencies, professional bodies and / or other organisation's. I may be contacted and requested to participate in a National Centre for Vocational Education research survey or a Department endorsed project or audit or review.
For further information in relation to how student information may be used or disclosed, please contact Hope Training College of Australia Campus Manager on phone 1300 464673.

Terms and Conditions of your enrolment

I agree to be bound by the College's Student Code of Conduct, policies and procedures whilst I remain an enrolled student.
I agree to pay all fees and charges relating to my enrolment, unless payment is to be made by my employer or other contracted third party, in which case a purchase order or authority to invoice letter will be presented at time of fees payment.
I acknowledge and agree to the terms and conditions.
By signing this form, I certify that the information provided is true and correct. I further certify that:

1. I acknowledge that any false information and/ or failing to disclose any relevant information on my application for enrolment may result in the withdrawal of any offer, particularly as it relates to my eligibility to obtain an offer of government subsidised training, and / or cancellation of enrolment at the discretion of Hope Training College of Australia;
2. I have the Student Handbook supplied to me and have been informed about my rights and obligations. Or accessed the website www.hope.edu.au to review ;
3. I have received the course fees and payment plan (if applicable)and have been informed of the refund policy;
4. I have received the relevant course information and have been informed of the training and assessment services and the related educational and support services to be provided and the units of competency to be completed;
5. If applicable to my course, I have received the information about any materials, documents and / or resources which I have to provide /or obtain myself;
6. If applicable to my course, I have been informed about the practical placement requirements which I must attend to achieve my qualification;
7. If applicable to my course, I have received the information about the implications which relates to any government training entitlements and subsidy arrangements;
8. I acknowledge that my Certificate and/ or Statement of Attainment will be issued by Hope Training College of Australia within 30 days from being deemed competent in my course; however release of my certificate or statement of attainment may be delayed if all payments have not been receipted in full, or I have not provided my Unique Student Identifier number;
9. I understand that my personal information is protected by law under the Privacy Act 1988 and Privacy Amendment Act 2014, and is collected by Hope Training College of Australia to assess my eligibility of enrolment. The information is required to process my application. My information may be used by Hope Training College of Australia. Personal information will only be provided to other persons or agencies with my permission or where required by law.

Applicants Full Name:
Sign:
Date:
Parent/ Guardian Details and Deceleration
(if applicant were under 18 years old)
Sign:
Date:
Hope Training College of Australia Representative

By signing this form, I represent Hope Training College of Australia to certify that Hope Training College of Australia will make every effort to deliver on the services outline to students and provide every possible opportunity to students to complete their planned qualification

Full Name:
Position:
Sign:
Date: