Gold Coast Training College NSW Security License course 1AC NSW Security License course Please complete this form to register your interest in this training and we will get back to you as soon as possible. Prior to being accepted in this program you will be required to provide additional identification documents. These are listed on the Gold Coast Training College Website. Prior to the course you will also be required to attend a sign on day and complete a pre course Language, Literacy and Numeracy Test. OK Question Title * 1. Which of the following applies to your residency I am Australian Citizen I am a New Zealand Citizen I am a Permanent Resident I hold a Humanitarian Visa I hold another Visa Not Listed Above OK Question Title * 2. Before you begin you will need to grant the Gold Coast Training College permission to provide your personal information to the NSW Department of Education. Please provide your answer below, Yes I grant permission for the Gold Coast Training College to provide my personal information to the NSW Department of Education, No I do not give permission OK Question Title * 3. Which of the following matches your current circumstances A young person aged 17-24 at commencement of training, regardless of employment status, including Year 12 school leavers A person who is a recipient of a Commonwealth Government welfare benefit (or dependant) An unemployed person An employed person who is expected to become unemployed. You will need a letter from your current employer and additional evidence. OK Question Title * 4. Name of Your Jobactive Provider OK Question Title * 5. Your CRN Number for Centrelink OK Question Title * 6. Please upload evidence of your eligibility. For example if you are unemployed or receiving a Centrelink payment, you will need to provide your most recent Centrelink Income statement. Birth Certificate if you are under 24 or a letter from your employer stating you are about to become unemployed. Letters must be on letterhead and will be checked with the Employer. Failure to upload evidence will result in your application not progressing. PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Please upload evidence of your eligibility. For example if you are unemployed or receiving a Centrelink payment, you will need to provide your most recent Centrelink Income statement. Birth Certificate if you are under 24 or a letter from your employer stating you are about to become unemployed. Letters must be on letterhead and will be checked with the Employer. Failure to upload evidence will result in your application not progressing. OK Question Title * 7. Your status Mr Miss Ms Other OK Question Title * 8. First Name OK Question Title * 9. Surname OK Question Title * 10. Have you ever been known by any other surname? Add surname below if this applies. OK Question Title * 11. Email address OK Question Title * 12. Residential Address OK Question Title * 13. Suburb OK Question Title * 14. Postcode OK Question Title * 15. Contact number (mobile) OK Question Title * 16. Contact number (home) OK Question Title * 17. Gender Male Female OK Question Title * 18. Date of Birth OK Question Title * 19. Were you born in Australia Yes No OK Question Title * 20. If you were not born in Australia please specify country of birth OK Question Title * 21. Do you speak a language other that english at home Yes No OK Question Title * 22. How well do you speak english Very well Well Not well Not at all OK Question Title * 23. Are you of aboriginal or torres strait islander origin No Yes aboriginal Yes torres strait islander OK Question Title * 24. Do you consider yourself to have a disability, impairment or long term condition Yes No OK Question Title * 25. If yes please indicate below Vision Learning Hearing Physical Medical condition Other OK Question Title * 26. What is your highest completed school level (tick one box only) Year 12 Year 11 Year 10 Year 9 Year 8 or below OK Question Title * 27. In what year did you complete that school level OK Question Title * 28. Are you still attending secondary school OK Question Title * 29. Have you successfully completed any other qualifications Yes No OK Question Title * 30. What qualifications have you completed (if any) Bachelor degree Advanced diploma or associate degree Diploma Certificate IV Certificate III Certificate II Certificate I Certificate other than above OK Question Title * 31. What is your employment status Full time employee Part time employee Casual employee Employer Not employed and not seeking work Unemployed seeking full time work Unemployed seeking part time work Employed unpaid, working in a family business OK Question Title * 32. Study reason 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 of my job I wanted extra skills for my job To get into another course of study For personal interest or self development other reason OK Question Title * 33. Unique student identifier number If you do not have a USI please visit usi.gov.au and generate your USI. Please note that your application will not be able to progress without your valid USI number. OK Question Title * 34. I would like to enrol in the following face to face security training days. Chatswood Sydney commencing 21 April 2021 VENUE - Quest Hotel Conference Venue 38 Albert Avenue Chatswood. This course may be brought forward. Chatswood Sydney commencing 20 May 2021 VENUE - Quest Hotel Conference Venue 38 Albert Avenue Chatswood OK Question Title * 35. Please acknowledge the below privacy notice Under the Data Provision Requirements 2012, Gold Coast Training College is required to collect personal information about you and to disclose that personal information to the National Centre for Vocational Education Research Ltd (NCVER). Your personal information (including the personal information contained on this enrolment form and your training activity data) may be used or disclosed by Gold Coast Training College for statistical, regulatory and research and advertising purposes. Gold Coast Training College may disclose your personal information for these purposes to third parties, including: School – if you are a secondary student undertaking VET, including a school-based apprenticeship or traineeship; Employer – if you are enrolled in training paid by your employer; Commonwealth and State or Territory government departments and authorised agencies; NCVER; National Centre for Vocational Education and Research. Organisations conducting student surveys; and Researchers. Personal information disclosed to NCVER may be used or disclosed for the following purposes: Issuing a VET Statement of Attainment or VET Qualification, and populating Authenticated VET Transcripts; facilitating statistics and research relating to education, including surveys; understanding how the VET market operates, for policy, workforce planning and consumer information; and administering VET, including program administration, regulation, monitoring and evaluation. You may receive an NCVER student survey which may be administered by an NCVER employee, agent or third party contractor. You may opt out of the survey at the time of being contacted. NCVER will collect, hold, use and disclose your personal information in accordance with the Privacy Act 1988 (Cth), the VET Data Policy and all NCVER policies and protocols (including those published on NCVER’s website at www.ncver.edu.au). Student Declaration and ConsentI declare that the information I have provided to the best of my knowledge is true and correct. I consent to the collection, use and disclosure of my personal information in accordance with the Privacy Notice above. Yes I consent OK Question Title * 36. Please submit your eligibility documents below. These must be in colour thank you. OK Question Title * 37. Please upload your birth certificate PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Please upload your birth certificate OK Question Title * 38. Please upload your Australian Citizenship Certificate, Humanitarian Visa or Other Visa PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Please upload your Australian Citizenship Certificate, Humanitarian Visa or Other Visa OK Question Title * 39. Please upload your Drivers license or Government Issued photo card PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Please upload your Drivers license or Government Issued photo card OK Question Title * 40. Please upload your Medicare card, and or your most recent Centrelink letter which shows your current address PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Please upload your Medicare card, and or your most recent Centrelink letter which shows your current address OK THANK YOU PLEASE CHECK YOUR EMAIL FOR THE LINK TO THE LLN TEST .SUBMIT THIS FORM.