Enrol Online new Course Application (1) Step 1 of 6 16% Training EnrolmentThe RTO is Australian Business and Vocational Training - RTO 52592The RTO is Stirling Skills Training Inc - RTO 55272The RTO is Mining Transport And Construction Services Pty Ltd - RTO 52053Enrolled RTOCourse DetailsCourse TitleCourse DateYOUR COURSE MAY BE RUNNING IN ONE OF THESE LOCATIONS please select your locationCourse LocationBroomeClarksonGeraldtonJoondalupKalgoorlieKwinanaMandurahMidlandMirrabookaMorleyOsborne ParkRockinghamPersonal DetailsGiven Names*Family Names*Date of Birth DD MM YYYY Gender Male Female Other Are you under the age of 18?*YesNoStudent of school attendance age must complete a Notice of Arrangements Home PhoneWork PhoneMobileEmailAddress DetailsResidential Address* Street Address Address Line 2 City State/Territory Postcode Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Postal Address* Same as previous Street Address Address Line 2 City State/Territory Postcode Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Proof of Identification and Residency Provided* Birth Certificate Passport (if it's an overseas passport - a copy of the visa page is also required) Australian Drivers Licence Medicare Card Other (Approved Only) Proof of Concession* Centrelink Health Care Card Pensioner Concession Card Other Concession (as Per Fees and Charges Policy) Repatriation Health Benefits Card Documents Required* I agree to bring the required document on day of course commencement I WILL UPLOAD images of my selected documents at end of this form Job Active/TtW Provider Details Applicable for Jobseekers only)Provider NameSite/SuburbConsultant NameHow did you find out about us?Language and Cultural DiversityIn what country were you born? Australia Other What town/city/suburb where you born?Do you speak a language other than English at home? No, English only (1201) Yes, Other Specify what languages you speak at home.(If more than one language indicate the one that is spoken most often)How well do you speak English?Very WellWellNot WellNot at AllAre you of Aboriginal or Torres Strait Islander origin?NoYes, AboriginalYes, Torres Strait IslanderDisabilityDo you consider yourself to have a disability, impairment or long-term condition?YesNoIf you indicated the presence of a disability, impairment or long-term condition, please select the area(s) in the following list: (You may indicate more than one area) Hearing/Deaf Physical Intellectual Learning Mental Illness Vision Medical Condition Acquired Brain Impairment Other Other Disability SchoolingWhat is your highest COMPLETED school level?Year 12 or equivalent (12)Year 11 or equivalent (11)Year 10 or equivalent (10)Year 9 or equivalent (09)Year 8 or BelowNever attended school (02)When did you complete that level of school?201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969Are you still attending secondary school?YesNoIf Yes, what secondary school are you attending?Previous Qualifications AchievedNote: You may not be eligible if you have a qualification higher than course selected.Have you SUCCESSFULLY completed any of the following qualifications? No, none of the following. Bachelor degree or higher (008) Advanced diploma or associate degree (410) Diploma (or Associate Diploma) (420) Certificate IV (or adv. certificate/technician) (511) Certificate III (or trade certificate) (514) Certificate II (521) Certificate I (524) Certificates other than the above (990) What subject area are your qualifications in?Have you, to the best of your knowledge, completed any other courses with: MTACS – Mining Training Construction services SST - Stirling Skills Training ABV- Australian Business and Vocational training EmploymentOf the following categories, which BEST describes your current employment statusFull time employee (01)Part time employee (02)Self employed - not employing others (03)Employer (04)Unemployed - seeking full time work (06)Unemployed - seeking part time work (07)Employed - unpaid worker in a family businessNot Employed - not seeking employment (08)Study ReasonOf the following categories, which BEST describes your main reason for undertaking this course?To get a job (01)To develop my existing business (02)To start my own business (03)To try a different career (04)To get a better job or promotion (05)It was a requirement of my job (06)I wanted extra skills for my job (07)To get into another course of study (08)For personal interest or self-developmeny (12)Other Reasons (11)Emergency Contact DetailsEmergency Contact Name*Relationship*Emergency Contact Phone Number* Course Fees and Payment DetailsOne of our staff members will contact you to confirm costs and study arrangements after completion of this form. You may be eligible for a concession based on your circumstances. Fee for ServiceFees and charges comply with the current VET Fees and Charges Policy 2019. “Student tuition fees are indicative only and are subject to change given individual circumstances at enrolment. Additional fees may apply such as student service and resource fees”.Payment OptionsEnrolment is only complete when statutory fees and charges are paid, deferred payment arrangements have been made or fees and charges waived due to severe financial hardship. NOTE: You can pay eFTPOS via phone 08 6110 0800 or Pay Cash, Credit Card or Cheque on day 1 of CourseI will pay using the following method: Payment to be made by my Service Provider Pay the full amount of fees and charges Credit Card Eftpos Authorisation to Invoice Form Completed/Attached (Authorisation to Invoice) Make application on the grounds of severe financial hardship (Financial Hardship Form) Pay the Fees by instalment Cancellation, Withdrawal and Refund PolicyFuture Skills (Funded) Formal written notification is required. Students are eligible for a refund of tuition fees and or resource fees under the following circumstances: A full refund will be provided if a unit is cancelled or re-scheduled to a time unsuitable to the student or a student is not given a place due to maximum number of places being reached. Students who lodge a written withdrawal before 20% of the way between the commencement and completion dates for the unit, will be eligible for a full refund of the course fee and 50% of the resource fee. If the student can produce reasonable documentary evidence due to: serious illness, injury or disability preventing the student from completing the course the Accountable Officer may approve a pro rata refund. Please note: Students who withdraw from their course without notifying the Registered Training Organisation (RTO) in writing may not be eligible for a refund. Withdrawal Forms are available from the Administration Office. Withdrawals/Refund of Fees - Fee for Service (Non-Funded) Formal written notification of withdrawal is required. Withdrawal Forms are available from the Administration Office. • A full refund will be provided if a unit of competency or training is cancelled or re-scheduled to a time unsuitable. • A full refund will be provided prior to unit of competence commencement – provided a withdrawal from is received by the RTO 7 days prior to class commencement. • Partial refunds of 50% will be provided for withdrawal within 7 days of unit of competence commencement. $50.00 administration charge apply. • Outside of the above, individual circumstances will be considered by the Accountable Officer on a case by case basis to determine refund suitability (supporting documentary evidence must be provided).Agreement to Policies I have read and agree to cancellation, withdrawal and refund policy. Consent to Collection of Personal RecordsAt times, it is necessary to collect additional information from official sources such as Government departments, referring organisations and other third party sources in order to confirm the eligibility of applicants to participate in funded programs or to confirm previous qualifications. In the event of being unable to confirm entitlements, there may be reason to deny or delay training. By signing this form, you are providing consent for us to acquire verbal and written evidence, including copies of documents or statements held by certified third parties.Agree to Collection of Personal Records I have read and agree to collection of personal records. Workforce Participation StudentsPsychological Services and Travel Assistance is available on request – for further information please discuss with a staff member. Unique Student IdentifierI have a USI NumberUnsure. I authorise the RTO to search on my behalfI do not have a USI Number and authorize the RTO to apply for one on my behalf.USI NumberI certify the information on this form is true and correct and give the RTO consent to: use my personal information (as part of the Training Enrolment process) to apply for my USI and access my training records/results held by the USI Agency. I have read the Privacy Notice on how the USI Agency and the RTO uses and protects my details and records. USI Consent I agree to the USI consent notice Privacy PolicyUnder the Data Provision Requirements 2012, ABV/SST/MTACS is required to collect personal information about you and to disclose that information to the National Centre for Vocational Education Research Ltd (NCVER). Your personal information (including the personal information contained on this enrolment form) may be used or disclosed by ABV/SST/MTACS for statistical, regulatory and research purposes. ABV/SST/MTACS may disclose your personal information for these purposes to Commonwealth or State or territory government departments and NCVER. Personal information disclosed to NCVER may be used or disclosed for the following purposes: populating authenticated VET Transcripts, facilitating statistics and research relating to education, including surveys and data linkage, 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 survey which may be administered by a government department or NCVER employee, agent or third party contractor or other authorised agencies. Please note 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 National VET Data Policy and all NCVER policies and protocols (including those published on NCVER’s website at www.ncver.edu.au)Privacy Consent I consent to the collection, use and disclosure of your personal information in accordance with the Privacy Notice above. Enrolment DeclarationEnrolment Declaration* I have received and understood the Statement of Fees that outlines fees and charges applicable I have received full information about my course and a copy of the course flyer I have read and understood the Cancellation, Withdrawal and Refund Policy I have received, read and understood the Student Handbook I have received, read, understood and signed the Code of Conduct I am aware of my ability to apply for RPL and Credit transfer I understand that information may be given to my Employment Services provider or government agency I have read, understood and agree to the above terms and conditions and declare that all information provided is true and correct Do you authorise the use of photographic images and statements to be utilised by the RTO in marketing activities?YesNoSignature*Use your finger or mouse within the field. Click the redo button below to try again.Document UploadsFile Drop files here or Accepted file types: jpg, gif, png, pdf. Please take a photo of documents you selected at Step 1 save to your phone or PC and click SELECT FILES to upload.CommentsThis field is for validation purposes and should be left unchanged.
