<p> Management of Student Accounts (QCAA Learning Accounts)</p><p>Opening a student account - For students with an exemption from compulsory schooling not currently enrolled in a school</p><p>By law, all young people must have a student account opened with the Queensland Curriculum and Assessment Authority (QCAA) in the year before they turn 16 or complete year 10 (whichever comes first). This form will be used to record the information required to open your student account.</p><p>Return this section to the Department of Education and Training (DET) staff member processing your exemption. If you are unsure of any of these details, ask the DET staff member processing your exemption from compulsory schooling for advice. Fields with an * are mandatory and must be completed. *Name (full legal name) First name/s: </p><p>Last name: Any previous names (eg if your name has First name/s: been changed via Deed Poll) Last name: *Home address Street:</p><p>Suburb: Post Code: *Postal address (if the same as home Street: address above - please write ‘as above’) Suburb: Post Code: Telephone number (optional) Home:</p><p>Mobile: *Date of birth Day: Month: Year: *Sex Male Female *What is your Indigenous status? Not Indigenous Aboriginal Torres Strait Islander Aboriginal and Torres Strait Islander *Are you from a non-English-speaking Were you born in Australia? Yes No background? If you are - If No, in which country were you born? *Eligible option (your Intended Learning Option in the compulsory participation phase. Options include: education programs, VET Certificate, Queensland Certificate of Education, etc.) *Expected level of participation Full time Part time *Student visa holder (written agreement must be sought for student visa holders prior to Yes No opening a student account.) *If enrolled with a school, the year of schooling Relevant qualifications (if issued or Name of qualification: eligible for a qualification for senior secondary education in Australia or overseas.) Date of issue (if applicable):</p><p>Issuing organisation:</p><p>Privacy Statement - The collection of personal information on this form is authorised by the Education (Queensland Curriculum and Assessment Authority) Act 2014 (Qld). The information will be used to notify the QCAA of information required for the opening of a student account. If you want to make any changes to the details collected on this form, please advise your learning provider. Only authorised persons will have access to this information. Your personal information may be disclosed where required or authorised by law; however it is most likely that this will be disclosed only to the QCAA and the Department of Education and Training.</p><p>Uncontrolled copy. Refer to the Department of Education and Training Policy and Procedure Register at http://ppr.det.qld.gov.au to ensure you have the most current version of this document. Page 1 of 1</p>