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* 1. Your status

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* 2. First Name

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* 3. Surname

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* 4. Email address

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* 5. Residential Address

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* 6. Suburb

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* 7. Postcode

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* 8. Contact number (mobile)

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* 9. Contact number (home)

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* 10. Gender

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* 11. Date of Birth

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* 12. Were you born in Australia

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* 13. Town of Birth

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* 14. If you were not born in Australia please specify country of birth

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* 15. Do you speak a language other that english at home

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* 16. How well do you speak english

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* 17. Are you of Aboriginal or Torres Strait Slander Origin

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* 18. Do you consider yourself to have a disability, impairment or long term condition

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* 19. If yes please indicate below

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* 20. What is your highest completed school level (tick one box only)

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* 21. In what year did you complete that school level

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* 22. Are you still attending secondary school

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* 23. Have you successfully completed any other qualifications

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* 24. What qualifications have you completed (if any)

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* 25. What is your employment status

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* 26. Study reason

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* 27. Please insert your Unique Student Identifier number. If you do not have a USI please visit www.usi.gov.au and generate your USI.    https://www.usi.gov.au/ Please be advised you will not be issued with your certificate if you do not provide your USI or if it is incorrect. Please ensure you enrol in this course using the same name that you created your USI with. Certificates not issued on the day due to USI inaccuracies will incur a $5 postage fee.

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* 28. Drivers licence number and driver licence card number for USI checks (Drivers licence card number can be found at the bottom of your drivers licence)

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* 29. I am interested in doing

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* 30. Enter your Groupon Code if you purchased from Groupon

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* 31. Enter your Groupon Security Code. This is the security code on your Voucher. Bookings require this code to be confirmed.

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* 32. I confirm I have read the Gold Coast Training College website terms and conditions and student handbook

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* 33. 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.

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* 34. Please provide photo ID which shows your name

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