Enrolment Form

Course Information

Program*

Course Location

Personal Details

Tick this box if you have one name only - write your single name in the ‘Surname’

Single Name Only

Name

Prefix First Middle Surname

Sex

Date of Birth

Mobile

Home Phone

Work phone

Email

Residential Address

Street Address Address Line 2 City State Postcode Country

Please provide the physical address (street number and name not a 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 or territory’s ‘rural property addressing’ or ‘numbering’ system as your residential street address. Building/property name is the official place name or common usage name for an address site, including the name of a building, Aboriginal community, homestead, building complex, agricultural property, park or unbounded address site.

Is your residential address the same as your postal address?

Yes
No

Postal Address

Street Address Address Line 2 City State Postcode Country

Indigenous Status

Aboriginal and Torres Strait Islander
Aboriginal
Torres Strait Islander
Neither

Country of Birth

Australia

Australian Citizen

Yes
No

Permanent Resident

Yes
No

Humanitarian Visa Holder

Yes
No

Language spoken at home

English

How well do you speak English?

Very well
Well
Not well
Not at all

Do you consider yourself to have a disability?

Yes
No

If yes, then please indicate the area of disability, impairment or long-term condition (you may indicate more than one area)

Hearing / deaf
Mental Illness
Learning
Intellectual
Medical Condition
Vision
Physical
Acquired brain impairment
Other (specify)

Please specify the area of disability, impairment or long-term condition

Emergency Contact

Name

First Last

Relationship

Phone

Employment

Employed Full time
Employed Part time
Seeking part time work
Employer of other staff
Seeking full time work
Not seeking work
Unpaid worker in family business
Self-employed (not employing others)

Industry

You selected Employment Full Time, Part Time or Self-Employed, please select the Industry employed in:

And in what role (Occupation Identifier):

You selected Employment Full Time, Part Time or Self-Employed, please select the role for the Industry you're employed in:

Manager
Professional
Technician and Trade Worker
Community and Personal Service Worker
Clerical and Administrative Worker
Sales Worker
Machinery Operators and Driver
Labourer
Other

Education and Qualifications

Are you enrolled in secondary or senior education?

Yes
No

What is the highest completed school level?

If you are still in school, it is the level you have completed and not the level you are in this year.

Previous qualifications achieved

Have you successfully completed qualification/s either in Australia or overseas?

Yes (indicate below)
No

What is the highest completed school level?

If you are still in school, it is the level you have completed and not the level you are in this year.

Bachelor Degree or Higher Degree
Advanced Diploma or Degree
Diploma or Associate Diploma
Certificate IV or Advanced Certificate / Technician
Certificate III or Trade Certificate
Certificate II
Certificate I
Other education (including certificates or overseas qualifications not listed above)

Study Reason

Identification

Identification Upload (max file size 5MB)

To ensure that all Statements of Attainment and/or Certificates are awarded to the correct person, it is a requirement of Quality Service Skills to confirm your identity. This may be completed by uploading a selfie of yourself holding a formal item of identification (drivers licence, passport etc). Please ensure that you are in a well lit area, and both your face and the identification is clear.

Accepted file types: jpg, jpeg, png, Max. file size: 5 MB.

USI - Unique Student Identifier*

From Jan 1st, 2015 all students across Australia are required to be issued a Unique Student Identifier (USI) for all accredited training. This Identifier will allow you to access all of your Vocational Training Records from a central data-base, run by the Federal Government. You can create a USI at www.usi.gov.au and you only need to do so once. (Please note enrolment cannot commence until USI number is provided. Please ensure the USI is legible and accurate as it cannot be validated otherwise)

Thank you for completing this enrolment form. Please take a moment to re-check all sections to ensure you have:

Correctly spelled your name as you would like it printed on your Statement and/or Certificate
Provided a current postal (or residential) address for posting your Statement and/or Certificate

Quality Service Skills are required under the Standards for Registered Training Organisations 2015 to issue your Statement or Certificate within 30 days of completion of the training program, on the assumption that:

Your fees are paid in full
All assessments are completed and submitted, and you have been deemed Competent by your trainer

If any of your contact details change between filling out this form, and issuing of your Statement or Certificate, contact Quality Service Skills by emailing info@qss.edu.au or calling 0438 848 850 to update your records.

Student Declaration

Signature*

I declare that the information I have provided to the best of my knowledge is true and correct.

Please Print Name

Date

Parent/Guardian Signature

Parental/Guardian Consent is required for students under 18

Please Print Name

Date

Privacy Notice

Why we collect your Personal Information: As a registered training organisation (RTO), we collect your personal information so we can process and manage your enrolment in a vocational education and training (VET) course with us. If you do not provide all of the required information on this form, we may not be able to provide a full service to you. For example, you cannot enrol into Accredited Training without providing your Unique Student Identifier (USI) - unless you have an exemption – see more information at the USI website at: www.usi.gov.au/students/individual-exemptions)

How we use your Personal Information We use your personal information to enable us to deliver VET courses to you, and otherwise, as needed, to comply with our obligations as an RTO.

How we disclose your Personal Information We are required by law (under the National Vocational Education and Training Regulator Act 2011 (Cth) (NVETR Act)) to disclose the personal information we collect about you to the National VET Data Collection kept by the National Centre for Vocational Education Research Ltd (NCVER). The NCVER is responsible for collecting, managing, analysing and communicating research and statistics about the Australian VET sector. We are also authorised by law (under the NVETR Act) to disclose your personal information to the relevant state or territory training authority. Quality Service Skills do not store or disclose any personal or sensitive information to an overseas entity.

How the NCVER and other bodies handle your personal information: The NCVER will collect, hold, use and disclose your personal information in accordance with the law, including the Privacy Act 1988 (Cth) (Privacy Act) and the NVETR Act. Your personal information may be used and disclosed by NCVER for purposes that include populating authenticated VET transcripts; administration of VET; facilitation of statistics and research relating to education, including surveys and data linkage; and understanding the VET market. The NCVER is authorised to disclose information to the Australian Government Department of Education, Skills and Employment (DESE), Commonwealth authorities, State and Territory authorities (other than registered training organisations) that deal with matters relating to VET and VET regulators for the purposes of those bodies, including to enable: • administration of VET, including program administration, regulation, monitoring and evaluation • facilitation of statistics and research relating to education, including surveys and data linkage • understanding how the VET market operates, for policy, workforce planning and consumer information. The NCVER may also disclose personal information to persons engaged by NCVER to conduct research on NCVER’s behalf. The NCVER does not intend to disclose your personal information to any overseas recipients. For more information on how the NCVER will handle your personal information please refer to the NCVER Privacy Policy at www.ncver.edu.au)

If you would like to seek access to or correct your information, in the first instance, please contact your RTO using the contact details listed below. DESE is authorised by law, including the Privacy Act and the NVETR Act, to collect, use and disclose your personal information to fulfil specified functions and activities. For more information about how the DESE will handle your personal information, please refer to the DESE VET Privacy Notice at https://www.dese.gov.au/national-vet-data/vet-privacy-notice If you would like a hard copy of the DESE VET Privacy Notice please advise your trainer and we will email or post to you.

Surveys You may receive a student survey which may be run by a government department or an NCVER employee, agent, third-party contractor or another authorised agency. Please note you may opt out of the survey at the time of being contacted.

Contact Information At any time, you may contact Quality Service Skills to: • request access to your personal information • correct your personal information • make a complaint about how your personal information has been handled • ask a question about this Privacy Notice You can contact Quality Service Skills at: • Ph: 0438848850 • jackie@qss.edu.au And our Privacy & Confidentiality Policy can be found at https://www.qss.edu.au/#student

Course Information

Personal Details

Emergency Contact

Employment

Education and Qualifications

Identification

Student Declaration

Parent/Guardian Signature

Privacy Notice

Enrolment and Eligibility Form

Course Information

Personal Details

Emergency Contact

Employment

Education and Qualifications

Identification

Student Declaration

Parent/Guardian Signature

Privacy Notice