Welcome to your Survey Monkey course booking form for HLTAID004.
Please complete the following survey monkey form which is also your course date booking form. Simply complete the information and submit your form at the end of the last question.
Thank you and have a great day.

Your status

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* 1. Your status

First Name

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* 2. First Name

Surname

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* 3. Surname

Email address

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* 4. Email address

Residential Address

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* 5. Residential Address

Suburb

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* 6. Suburb

Postcode

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* 7. Postcode

Contact number (mobile)

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* 8. Contact number (mobile)

Contact number (home)

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* 9. Contact number (home)

Gender

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* 10. Gender

Date of Birth

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* 11. Date of Birth

Were you born in Australia

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* 12. Were you born in Australia

Town of Birth

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* 13. Town of Birth

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

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

Do you speak a language other that english at home

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

How well do you speak english

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* 16. How well do you speak english

Are you of aboriginal or torres strait islander origin

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* 17. Are you of aboriginal or torres strait islander origin

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

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

If yes please indicate below

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* 19. If yes please indicate below

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

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

In what year did you complete that school level

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

Are you still attending secondary school

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* 22. Are you still attending secondary school

Have you successfully completed any other qualifications

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* 23. Have you successfully completed any other qualifications

What qualifications have you completed (if any)

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

What is your employment status

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* 25. What is your employment status

Study reason

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* 26. Study reason

Please insert your Unique Student Identifier number. If you do not have a USI please visit www.usi.gov.au and generate your USI.

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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.

I would like to book into the following first aid course

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* 28. I would like to book into the following first aid course

Thank you for completing your first aid course enrolment form.   You are now booked into your first aid course. Once your payment has been made we will send you your login where you can complete your online component. Once that is complete you will be ready for the practical day which you have booked into. We will send you another email prior to your course day to remind you about your course including times and parking.
 Thank you and have a great day.
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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* 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; 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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