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BSB30220 - Certificate III in Entrepreneurship and New Business Pre-Enrolment Form . Please complete this form and submit it to book your self into the course you would like to attend.
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1.
Please indicate which level of Government funding you are eligible for. If you are not eligible please tick box 3 below.
(Required.)
I am over 15, I live in Queensland, I am an Australian or New Zealand resident or Aboriginal and I have a Health Care Card.
I am over 15 , I live in Queensland, I am an Australian or New Zealand resident but I do not have a Health Care Card.
I am not sure which category I am and request that I be contacted to discuss my eligibility.
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2.
Please indicate which pricing category below you belong in. Please be advised that you will be required to provide proof of concessional status and address.
(Required.)
Concessional $80
Non Concessional $100
3.
How would you like to commence your course
100% online
4.
Your status
Mr
Miss
Ms
Other
5.
First Name
6.
Surname
7.
Have you ever been known by any other surname? Add surname below if this applies.
8.
Email address
9.
Residential Address
10.
Suburb
11.
Postcode
12.
Contact number (mobile)
13.
Contact number (home)
14.
Gender
Male
Female
*
15.
Date of Birth
(Required.)
16.
Were you born in Australia
Yes
No
17.
If you were not born in Australia please specify country of birth
18.
Do you speak a language other that english at home
Yes
No
19.
How well do you speak english
Very well
Well
Not well
Not at all
20.
Are you of aboriginal or torres strait islander origin
No
Yes aboriginal
Yes torres strait islander
21.
Do you consider yourself to have a disability, impairment or long term condition
Yes
No
22.
If yes please indicate below
Vision
Learning
Hearing
Physical
Medical condition
Other
23.
What is your highest completed school level (tick one box only)
Year 12
Year 11
Year 10
Year 9
Year 8 or below
24.
In what year did you complete that school level
25.
Are you still attending secondary school
26.
Have you successfully completed any other qualifications
Yes
No
27.
Are you currently enrolled in any other course - Please answer Yes, No or add the name of the course (example - Diploma of Business BSB50515.
28.
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
29.
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
30.
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
31.
Unique student identifier number (if known) If you do not have a USI please visit usi.gov.au and generate your USI. Please note you can enrol without a USI however you will be required to submit your USI prior to the course commencement date
32.
Thank you for completing your enrolment form. We will contact you shortly. If you require to submit any further information please use the box below. Prior to completing this form please ensure you have read the terms and conditions available on our website. Prior to being accepted into the program we will be required to check your availability for funding under the Certificate 3 Guarantee program for QLD Residents or Smart and Skilled funding for NSW Residents.
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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.
(Required.)
Yes, I agree
