North Queensland College of Ministries

F.AD.001.01 Enrolment Application

Enrolment Application Training and Assessment

Complete the Application Form and return to:

Enrolment Officer The Training Collaborative Office Use Only 4 Cadagi St Date Rec’d ___/___/__ Meridan Plains, Qld, 4551 Appl’n Deposit Rec’d Y / N Or scan and email to [email protected] Accpt’d/Decl_____Y___N Online Direct Deposit Information: Receipt No.______Account name: Training Collaborative Fees Account (note enrolment fee) Student No.______BSB: 704-913 Acc No: 001582 Or attach cheque to application.

1. Personal particulars Mr/Mrs/Miss etc ……….. Male: ☐ Female: ☐ Family Name: ...... Given Names: ...... What is the FULL address of your usual residence? Please provide the physical address (street address not post office box) where you usually reside rather than any temporary address at which you reside for training, work or other purposes before returning home. If you are from a rural area use the address from your state or territory’s ‘rural property addressing’ or ‘numbering’ system as your residential street address.

Building/property name Flat/unit details Street or lot number Street name (e.g. 205 or Lot 118) Suburb, locality or town State/territory Postcode What is your postal address (if different from above)?

Postal delivery information (e.g. PO Box 254) Building/property name Flat/unit details Street or lot number Street name (e.g. 205 or Lot 118) Suburb, locality or town State/territory Postcode

Phone Home ( )...... Work ( )......

Enrolment Application TAA 15.07 F.AD.001.01 Enrolment Application

Mobile:...... Email:...... Date of Birth: ...... Person to contact in case of emergency: …………………………………………Phone: …………...... USI (Unique Student Identifier please click to obtain one): ……………………………………………..

Were you born in Australia? ☐ Yes ☐ No If no: In what country were you born?...... What year did you arrive in Australia? ......

Are you an Australian citizen? ☐ Yes ☐ No

What type of visa do you hold? ☐ Permanent Humanitarian ☐ Temporary

☐ Other ...... Are you of Aboriginal or Torres Strait Islander origin? ☐ No ☐ Aboriginal ☐ Torres Strait Islander ☐ Both Aboriginal and Torres Strait Islander

2. Application for  Certificate IV in Training and Assessment (FULL COURSE) TAE40110  Certificate IV in Training and Assessment (TAELLN411 Unit) TAE40110  Certificate IV in Training and Assessment (Skill Set ______) TAE40110

 Full Time ☐ Part Time (please list subjects below) Semester:………. Year:………….

For part-time study only - Please list the Unit(s) you are applying for...... DISCLOSURE Under certain circumstances The Training Collaborative is bound by law to disclose enrolment details for the purposes mentioned in the VETE Act 1991 and ESOS Act 2000. Agencies, such as Commonwealth and State Government departments, will be granted access to enrolment, attendance and study progress details.

3. Educational background Schooling What is the highest COMPLETED school level?

 Year 12 or equivalent  Year 11 or equivalent  Year 10 or equivalent  Year 9 or equivalent  Year 8 or below  Never attended school (go to question 3b)

3.1 In which year did you complete this school level? …………… What suburb/town/locality were you living in if and when you completed Year 12? (ONLY if you completed Year 12 within the last 12 months)………………….. Postcode: ……….. 3.2 Are you still attending secondary school?  Yes  No

3.3 Have you successfully completed any of the following qualifications?  Yes  No If yes, tick and name the qualification. If you think this qualification might entitle you to claim an exemption

(Credit) from Unit(s) in The Training Collaborative course for which you are enrolling, tick CREDIT. DATE Name of Qualification CREDIT COMPLETED  Bachelor Degree or Higher Degree Advanced Diploma (or Associate Degree) Diploma (or Associate Diploma) Certificate IV (or Advanced Certificate/Technician) Certificate III (or Trade Certificate) Certificate II Certificate I Certificates other than the above

Recognition of Prior Learning (RPL): As part of the orientation processes you will be given opportunity to apply for RPL. If you intend to apply for RPL or recognition of another qualification please attach copies of relevant qualifications, awards and transcripts of results, signed by a JP (or equivalent).

4. Employment history: Of the following categories, which BEST describes your current employment status? (Tick 1) ☐ Full-time employee ☐ Employer ☐ Part-time employee ☐ Employed - unpaid worker in a family business ☐ Self-employed - not employing others ☐ Unemployed - seeking full-time work ☐ Unemployed - seeking part-time work ☐ Not employed - not seeking employment

Please show details of the last five (5) years. Use extra pages if needed:

Dates Nature of Employment Position Motivation for Change

5. Reasons for undertaking this qualification ☐ To get a job ☐ It was a requirement of my job ☐ To develop my existing business ☐ I wanted extra skills for my job ☐ To start my own business ☐ To get into another course of study ☐ To try for a different career ☐ For personal interest or self-development ☐ To get a better job or promotion ☐ Other reasons

6. Language Which language do you mainly speak at home?

 English (go to question 11)  Other please specify...... 6.1 How well do you speak English:  Very well  Well  Not well  Not at all 6.2 Is English language assistance required?  Yes  No 6.3 Do you have an IELTS score? (for international students) Yes: Grade ……….  No

7. Disabilities Answering these questions will not affect your enrolment. Do you have a disability, impairment or long term medical condition that may affect your studies? Yes  No (go to question 12)

If yes, please indicate your disability, impairment or long term medical condition by placing a tick in the box.  Hearing/Deaf  Acquired Brain Impairment  Physical  Vision  Intellectual  Medical Condition  Learning  Other  Mental Illness

Would you like to receive advice on support services, equipment and facilities that may assist? Yes  No 

8. Student Cards  I require a Student ID card - email or post a photo of yourself (similar to a passport photo)

CHECKLIST I have completed the following:  Enclosed a digital photograph of myself (similar to a passport photo)

DECLARATION: I have read The Training Collaborative Student Handbook and I understand and agree with the conditions of enrolment (see www.trainingcollaborative.edu.au and go to Enrolment information) I declare that the information provided in the application is to the best of my knowledge accurate in all respect. I hereby authorise The Training Collaborative to use personal information to process and effect my application.

Signature...... Date: ___/___/_____

Sign or alternatively, return application from your own email address. The Training Collaborative retains the right to decline an application from a person whose doctrinal beliefs or values are in conflict with those supported by our parent body, the Baptist Union of Queensland.

The Training Collaborative Administrative Office: 4 Cadagi St, Meridan Plains, Qld, 4551 Ph: 1300 774 531 Email: [email protected] Web: www.trainingcollaborative.com.au

Enrolment Application TAA 15.07