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Download a printable version of the form (pdf)
Enrolment Form
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Applicant Details
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Title
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First Name
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Family Name
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Postal Address
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Number and Street
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Suburb or Town
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State
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Postcode
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Home Address (if different from above)
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Number and Street
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Suburb or Town
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State
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Postcode
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Home Phone Number
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Work Phone Number
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Mobile Phone Number
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Fax Number
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Email Address
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Gender
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Male
Female |
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Date of birth (DD/MM/YY)
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Country of birth:
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Disability
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Do you consider yourself to have a disability, impairment or long-term condition?
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(If yes, please indicate the areas of disability, impairment or long term condition by ticking the applicable box(s):
Hearing / Deaf
Physical
Intellectual
Learning
Mental Illness
Acquired Brain Impairment
Vision - visual/sight/seeing
Medical Condition
Other - Please Specify |
Pre-existing medical condition - outline in detail:
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Prior Education
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Are you still attending secondary school?
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Yes
No |
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| Have you successfully completed any of the following School level / Qualifications? |
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School Level
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Completed year 12
Completed year 11
Completed year 10
Completed year 9
Completed year 8 or below
Did not go to high school |
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In which year did you complete that school level?
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Qualifications
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If YES, please indicate:
Bachelor Degree or Higher Degree
Advanced Diploma or Associate Degree
Diploma Level
Certificate IV
Certificate III
Certificate II
Certificate I
Certificate other than the above |
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Please list the certificate held
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Year of last qualification
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Language and Cultural Diversity
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Do you speak a language other than English at home?
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If yes, please specify the language at home spoken most often
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Please indicate how well you speak English.
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Are you of Aboriginal and/or Torres Strait Islander Origin?
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No, Neither Aboriginal nor Torres Strait Islander
Yes, I am Aboriginal
Yes, I am a Torres Strait Islander
Yes, I am Aboriginal and a Torres Strait Islander |
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Emergency Contact Details
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Name
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Relationship
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Contact Number
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RPL/RCC/CT
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Do you wish to claim Recognition of Prior Learning (RPL) / Recognition of Current Competency (RCC) for unit/s completed elsewhere?
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If YES, please specify.
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Course(s) Seeking Enrolment (Select applicable course(s)):
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Diploma of Management
BSB51107
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Yes No |
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Diploma of Business
BSB50207
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Yes No |
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Certificate IV in Business Administration
BSB40507
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Yes No |
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Certificate IV in Business
BSB40207
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Yes No |
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Certificate III in Business
BSB30107
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Yes No |
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Certificate II in Business
BSB20107
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Yes No |
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Certificate II in Customer Contact
BSB20207
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Yes No |
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Certificate III in Customer Contact
BSB30207
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Yes No |
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Certificate IV in Customer Contact
BSB40307
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Yes No |
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Certificate IV in Training and Assessment
TAE40110
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Yes No |
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Certificate IV in Frontline Management
BSB40807
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Yes No |
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Employment
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Which best describes your current employment status (Select applicable box(s)):
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Full time employee
Part time employee
Self Employed - Not employing others
Employer
Unemployed - Seeking full time work
Unemployed - Seeking part time work
Not Employed - Not seeking employment
Employed - Unpaid worker in family business
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Date of commencement of employment
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Hours of work per week
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Reason For Study
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Which best describes your main reasons for undertaking this course/ these courses
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To get a job
Extra skills for my job
To get a better job or promotion
Start my own business
Requirement of my job
Try for a different Career
Develop my own business
Get into another course of study
Personal Interest / self development
Other |
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Supporting Documents
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If you believe you may be eligible for funding please provide supporting certified/attested copies of supporting documents from each section to admin@aspintraining.com.au |
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Current drivers License
Current Passport
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Medicare Card
Citizenship Certificate
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Commonwealth Health Care Card
Pensioner Concession Card
Veteran Gold Card
Other
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Intended course start date:
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Do you have a concession Card?
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If YES, please list your concession card number.
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Citizenship / Residency Status
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Australian citizen
Australian Permanent Resident (holder of permanent visa)
Holder of Special Category Visa (sub-class 444, New Zealand citizen)
East Timorese asylum seeker
Holder of Temporary Protection Visa
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Victorian Student Number
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Do you have VSN Number ?
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Yes
Yes - but the VSN is unknown
No - I am new to the Victorian Education System. I have never attended a school, Tafe or other VET training provider in Victoria.
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My Victorian student number is (nine digits in length)
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Privacy:
No information about your enrolment will be divulged to an external body or other person without your written authority. The exceptions to this are where we are legally obliged to provide it (ie. National Student Outcomes Survey). All information retained is subject to the regulations of the Privacy Act 1988. Please refer to the Privacy Statement below.
Statistics:
The statistical information collected on this form will be used at State and National level to enable the accurate, reliable and consistent measurement of activity in the vocational education and training sector. Strict privacy and confidentiality precautions are taken by the relevant State Training Authority and the National Centre for Vocational Education and Research (NCVER)* to ensure no collected data can be associated with an individual. (* there is a possibility you will receive a survey by NCVER).
Privacy Statement:
I understand that Aspin Pty Ltd is required to provide the Victorian Government, through Skills Victoria, with student and training activity data which may include information I provide in this enrolment form. Information is required to be provided in accordance with the Victorian VET Student Statistical Collection Guidelines (which are available at www.skills.vic.gov.au/corporate/statistics/submit_data ).Skills Victoria may use the information provided to it for planning, administration, policy development, program evaluation, resource allocation, reporting and or research activities. For these and other lawful purposes, Skills Victoria may also disclose information to its consultants, advisers, other government agencies, professional bodies and/or other organisations. The Education and Training Reform Act 2006 requires Aspin Pty Ltd to collect and disclose my personal information for a number of purposes including the allocation to me of a Victorian Student Number and updating my personal information on the Victorian Student Register. For more information in relation to how student information, may be used or disclosed please contact Aspin's Privacy officer on 1300 754 771 or email info@aspingroup.com.au.
I acknowledge and agree to the terms described in this privacy statement and agree to be bound by the applicable standards of conduct, regulations, policies and procedures of Aspin Training while I remain an enrolled student, including any variations, through due process and during my course of study.
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I declare to the best of my knowledge that the information entered on this form is correct and complete. (Please tick confirm)
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Confirm
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Date
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* A copy of this application will be sent to the email you provided.
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