Course Enrolment Form | Newcastle | Forster | Port Macquarie | Nelson Bay | Tamworth

1 Start 2 Complete

Course Details

Is your Course Face to Face or Correspondence? *

Select A Course

Date Of Course

Day

Month

Year

You must enter the course date so we can identify it.

Recognition of Prior Learning / Recognition of Current Competency / Credit Transfer

Do you wish to apply for RPL, RCC or CT ? *

Personal Details

Family Name (Surname) *

Given Names *

Sex *

Date of Birth *

Day

Month

Year

Contact Details

Home Phone

Mobile Number *

Work Phone

Email Address *

Address Details

What is the address of your usual residence? *
Please provide the physical address (the street number and name, not the post office box) where you usually reside.

Street Number *

Street Name *

Suburb *

Postcode *

Country *

Postal Address Details

What is your postal address (if different from above)?

Street Number

Street Name

Postal Address

(e.g. PO Box 1111)

Suburb

Postcode

Country

Employer Details

Employer Name

Street Number

Street Name

Suburb

Postcode

Country

Language and cultural diversity

In which country where you born? *

Specify Which Country

Do you speak a language other than English at home? *

Specify Which Language

(If more than one language, indicate the one that is spoken most often)

How well do you speak English? *

Are you Aboriginal or Torres Strait Islander? *

Schooling

What is your highest COMPLETED school level? *

What YEAR did you complete that school level? *

Are you still attending secondary school? *

Employment

Which BEST describes your current employment status? *

Study Reasons

Which BEST describes your main reason for undertaking this course/traineeship/apprenticeship? *

Unique Student Identifier (USI)

From 1 January 2015, Industry Training Consultants can be prevented from issuing you with a nationally recognised VET qualification or statement of attainment when you complete your course if you do not have a Unique Student Identifier (USI). Learn more

If you have not yet obtained a USI you can apply for it directly on computer or mobile device. Apply here

Do you have a Unique Student Identifier (USI)? *

Enter your Unique Student Identifier (if you already have one)

If you have forgotten your USI number, do we have your permission to search and retrieve it?

Additional Information For USI Application

Only required if you do not already have a USI

If you would like Industry Training Consultants to apply for a USI on your behalf you must authorize us to do so and declare that you have read the privacy information located at the end of this form.

I authorise Industry Training Consultants to apply pursuant to sub-section 9(2) of the Student Identifiers Act 2014, for a USI on my behalf.

Full Name

Please write the name of the Australian or overseas town or city where you were born

Town / City of Birth

Verify Your Identity

We will also need to verify your identity to create your USI.

Please provide details for one of the forms of identity below.

Select Identification Option

Australian Drivers Licence

Name

State / Territory

Drivers Licence Number

Medicare Card

Name

Medicare Number

Individual Reference Number

Card colour: (select which applies)

Card Colour

Expiry Date

Day

Month

Year

Expiry Date

Day

Month

Year

Australian Passport

Name

Passport Number

Non Australian Passport

Name

Passport Number

Country of Issue

Immicard

Name

Immicard Number

Citizenship Certificate

Citizenship

Name

Stock number

Acquisition date

Day

Month

Year

Certificate of Registration by Descent

Name

Acquisition date

Day

Month

Year

In accordance with section 11 of the Student Identifiers Act 2014, Industry Training Consultants will securely destroy personal information which we collect from individuals solely for the purpose of applying for a USI on their behalf as soon as practicable after we have made the application or the information is no longer needed for that purpose, unless we are required by or under any law to retain it.

Refund Policy

Refund Policy Industry training Consultants will provide a full refund up to 14 days prior to the date of the booked course upon cancellation.

Notification of cancellation within 14 days of the booked course will forfeit 25% of the course fee.

Notification of cancellation on the day of the course will forfeit all monies paid. Industry Training Consultants reserves the right to cancel any course 7 days prior to the proposed date upon which a full refund will be issued or a course transfer offered.

Correspondence courses – No refunds will apply after the course materials have been issued.

Privacy Statement and Student Declaration

Under the Data Provision Requirements 2012, Industry Training Consultants 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), may be used or disclosed by Industry Training Consultants for statistical, administrative, regulatory and research purposes. Industry Training Consultants may disclose your personal information for these purposes to:

Commonwealth and State or Territory government departments and authorised agencies; and
NCVER.

Personal information that has been disclosed to NCVER may be used or disclosed by NCVER for the following purposes:

populating authenticated VET transcripts;
facilitating statistics and research relating to education, including surveys and data linkage;
pre-populating RTO student enrolment forms;
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 a student 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).

I authorise Industry Training Consultants to release personal information for educational purposes or to meet legal obligations in accordance with the policies and procedures within the Student Handbook at http://www.itc.nsw.edu.au/student-handbook.

I have read and understood the refund policy.

Please sign and date below to confirm that you have read and accepted the above Privacy Statement, Student Declaration and Refund Policy.

Acceptance of Privacy Statement, Student Declaration & Refund Policy

Please tick the box below to confirm that you have read and accepted the above PRIVACY STATEMENT, STUDENT DECLARATION and REFUND POLICY.

*Parental/guardian consent is required for all students under the age of 18.

Name *

I Agree

I Agree *

Today's Date *

Day

Month

Year

If you wish to discuss your consent to use your personal information, please contact Industry Training Consultants on 02 4943 6110.

A confirmation of your enrolment and an invoice will be sent to your email address.

Payment Options

Cheque

Cheques made payable to:

Industry Training Consultants
PO Box 138 Charlestown
NSW 2290

Direct Deposit:

National Australia Bank
Account Name: Industry Training Consultants
BSB# 082-514
ACCOUNT# 58-642-8468
(please tag your name with payment for identification)

Credit Cards:

For credit card payments please click on Pay Now in the menu above after you have sent your enrolment.

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