SHBBINF001 Maintain Infection Control
Please complete this form and submit it to book your self into the course. We will be in contact with you shortly after you submit your form.

Course Enrolment Form

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1. Your status

Miss

Other

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2. First Name

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3. Surname

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4. Have you ever been known by any other surname? Add surname below if this applies.

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5. Email address

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6. Residential Address

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7. Suburb

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8. Postcode

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9. Contact number (mobile)

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10. Contact number (home)

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11. Gender

Male

Female

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12. Date of Birth

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13. Were you born in Australia

Yes

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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

Yes

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16. How well do you speak english

Very well

Well

Not well

Not at all

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17. Are you of aboriginal or torres strait islander origin

Yes aboriginal

Yes torres strait islander

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

Yes

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19. If yes please indicate below

Vision

Learning

Hearing

Physical

Medical condition

Other

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

Year 12

Year 11

Year 10

Year 9

Year 8 or below

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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

Yes

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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

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25. Are you currently enrolled in any other course - Please answer Yes, No or add the name of the course (example - Diploma of Business BSB50515.

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26. 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

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27. 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

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28. Unique student identifier number (if known) If you do not have a USI please visit usi.gov.au and generate your USI. (Required.)

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29. I would like to book into the following course

21 September 2020

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30. 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

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31. I agree to abide by the Gold Coast Training College Terms and conditions as documented on gctrainingcollege.com.au (Required.)

Yes

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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. Have you ever been known by any other surname? Add surname below if this applies.

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* 5. Email address

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* 6. Residential Address

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* 7. Suburb

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* 8. Postcode

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* 9. Contact number (mobile)

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* 10. Contact number (home)

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* 11. Gender

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* 12. Date of Birth

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* 13. Were you born in Australia

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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 islander 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. Are you currently enrolled in any other course - Please answer Yes, No or add the name of the course (example - Diploma of Business BSB50515.

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* 26. What is your employment status

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* 27. Study reason

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* 28. Unique student identifier number (if known) If you do not have a USI please visit usi.gov.au and generate your USI. (Required.)

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* 29. I would like to book into the following course

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* 31. I agree to abide by the Gold Coast Training College Terms and conditions as documented on gctrainingcollege.com.au (Required.)

1. Your status

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

12. Date of Birth

13. Were you born in Australia

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

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

16. How well do you speak english

17. Are you of aboriginal or torres strait islander origin

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

19. If yes please indicate below

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

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

24. What qualifications have you completed (if any)

25. Are you currently enrolled in any other course - Please answer Yes, No or add the name of the course (example - Diploma of Business BSB50515.

26. What is your employment status

27. Study reason

28. Unique student identifier number (if known) If you do not have a USI please visit usi.gov.au and generate your USI. (Required.)

29. I would like to book into the following course

31. I agree to abide by the Gold Coast Training College Terms and conditions as documented on gctrainingcollege.com.au (Required.)