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SHB 50121 Diploma of Beauty Therapy Pre-Enrolment Form_Gold Coast Training College RTO:40816
1.
Your status
Mr
Miss
Ms
Other
2.
First Name
3.
Surname
4.
Have you ever been known by any other surname? Add surname below if this applies.
5.
Email address
6.
Residential Address
7.
Suburb
8.
Postcode
9.
Contact number (mobile)
10.
Contact number (home)
11.
Gender
Male
Female
12.
Date of Birth
13.
Were you born in Australia
Yes
No
14.
If you were not born in Australia please specify country of birth
15.
Do you speak a language other that english at home
Yes
No
16.
How well do you speak english
Very well
Well
Not well
Not at all
17.
Are you of aboriginal or torres strait islander origin
No
Yes Aboriginal
Yes Torres Strait Islander
18.
Do you consider yourself to have a disability, impairment or long term condition
Yes
No
19.
If yes please indicate below
Vision
Learning
Hearing
Physical
Medical condition
Other
20.
What is your highest completed school level (tick one box only)
Year 12
Year 11
Year 10
Year 9
Year 8 or below
21.
In what year did you complete that school level
22.
Are you still attending secondary school
23.
Have you successfully completed any other qualifications
Yes
No
24.
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
25.
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
26.
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
27.
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
28.
I would like to book for the following course commencement date
March 2020
Thank you for completing your enrolment form and we will be touch with you shortly.
*
29.
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; E
mployer – 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 Consent
I 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 consent