VET (TAFE) Enrolment Form

Transcription

1 VET (TAFE) Enrolment Form 2017 BALLARAT WIMMERA PO Box 663 Ballarat VIC 3353 Australia PO Box 300 Horsham VIC 3402 Australia CALL 1800 FED UNI WEB federation.edu.au ABN FedUni Student Identification Number All questions must be answered for the enrolment to be processed. Please print in block letters using a blue or black pen. Administration use only 2. Biographical (Personal) details tes: First name Other name Family name Title Mr Ms Mrs Miss Dr Other: Date of birth 3. Country of Birth Gender Male Female Other Country of birth Australia Other (please specify) If other, what year did you arrive in Australia? Y Y Y Y 4. Previous application and/or enrolment Please write the name that you used when you applied for your Unique Student Identifier (USI), including any middle names. If you do not have a USI and want Federation University Australia to apply for a USI on your behalf, you must write your name, including any middle names, exactly as written in the identity document you choose to use for this purpose. Have you previously been a student of FedUni? Yes Including former institutions: University of If yes, please state FedUni Student ID number (if known) Ballarat; Ballarat University College etc. Has your name changed since your last enrolment? Yes If Yes, you must provide documentary evidence (Marriage Certificate, Deed Poll or Previous name Statutory Declaration) to support the change 5. Home address Please provide the physical address of Building/Property where you usually live street number and name not post office box. Do not Unit/Flat Number Street number provide any temporary address at which Street name Suburb/Town State / Territory Post code you reside for training, work or other purposes before returning to your home. If you are from a rural area use the address from your state or territory s rural property addressing or numbering Telephone: Home system as your residential street address. Telephone: Work Telephone: Mobile Indicate your preferred contact number Please provide the address you check most regularly 6. Mailing (postal) address (if different from above) Building/Property Unit/Flat Number Street number Street name PO Box or Road Side Delivery (RSD) box number Suburb/Town State / Territory Post code Page 1 of 7 Review Date: 01/07/2017

2 7. Emergency contact details Relationship Parent Friend Relative Spouse/Partner Other Contact name Contact number Student Background Have you ever spent time in formal out-of-home care? Yes 8. Are you of Aboriginal or Torres Strait Islander origin? Yes, Aboriginal Yes, Torres Strait Islander Yes, both Aboriginal and Torres Strait Islander 9. Citizenship / Residency Australian Citizen New Zealand Citizen Permanent Humanitarian Visa Permanent n-humanitarian Visa Overseas Resident Temporary Entry Permit Do you speak a language other than English at home?, only English (EN) Yes, (please specify): How well do you speak English? Very well (1) Well (2) t well (3) t at all (4) 10. Disability Do you consider yourself to have a disability, impairment or long-term condition? Yes (please tick all applicable) (go to question 11) Hearing impairment/deaf Physical Intellectual Learning Mental Illness Acquired brain impairment Vision Medical Condition Other (please specify below): 11. School education Are you still attending secondary school? Yes Never attended school (go to question 12) If Yes: If : Your current year level Your school name What is the highest level that you completed at school? Completed Year 12 Completed Year 11 Completed Year 10 Completed Year 9 or equivalent Completed Year 8 or lower Never attended school In which year did you complete that school level? Y Y Y Y 12. Previous qualifications achieved Have you successfully completed any of the following qualifications? Yes (please tick all applicable) (go to question 13) If Yes, please tick below, then enter one of the Prior Education Achievement Recognition Identifiers for any applicable qualification level 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 * Tick Australian equivalent if your prior education was achieved overseas and you have gone through the process of having the qualification assessed by the relevant government authority in Australia. ^Tick International if you have an overseas (international) qualification but have not had it assessed. In which year did you complete your highest qualification? Y Y Y Y Was your highest qualification completed as part of a senior secondary qualification (ie VETiS)? The highest qualification I have completed is: (Include full title of qualification, eg Certificate III in Aged Care) Australian qualification Yes Australian equivalent* International^ Would you like to receive advice on support services, equipment and facilities which may assist you with your disability, impairment or long-term condition? Yes Page 2 of 7 Review Date: 01/07/2017

3 13. Employment Which category best describes your current employment status? (Tick one box only) Full-time employee Part-time employee Self employed not employing others Employer Employed unpaid worker in a family business Unemployed seeking full-time work (go to question 14) Unemployed seeking part-time work (go to question 14) t employed not seeking employment (go to question 14) Which of the following classifications best describes the industry of your current or previous employer? (Tick one box only) Agriculture, Forestry and Fishing Mining Manufacturing Electricity, Gas, Water and Waste Services Construction Wholesale Trade Retail Trade Accommodation and Food Services Transport, Postal and Warehousing Information Media and Telecommunications Financial and Insurance Services Rental, Hiring and Real Estate Services Professional, Scientific and Technical Services 14. Reason for study Which category best describes your main reason for undertaking this program/training? (Tick ONE box only) To get a job To develop my existing business To start my own business To try for a different career To get a better job or promotion It was a requirement of my job I wanted extra skills for my job To get into another program of study For personal interest or self development Other reasons 15. Victorian Student Number Enter your Victorian Student Number (VSN) If you provided your VSN number above, you are NOT REQUIRED to answer the remainder of question 15. Go to question 16. Have you attended any Victorian school since 2009 or done any training with a vocational education and training (VET) registered training organisation or an Adult Community Education provider since 2011? Yes (Please complete the remainder of question 15) (Go to question 16) Yes, I have attended a Victorian school since 2009 Please enter below the most recent Victorian school you have attended since Administrative and Support Services Public Administration and Safety Education and Training If Yes: Yes, I have participated in training at a TAFE or other training organisation since the beginning of 2011 Health Care and Social Assistance Arts and Recreation Services Other Services Which of the following classifications best describes your current or recent occupation? (Tick one box only) Managers Professionals Technicians and Trade Workers Community and Personal Service Workers Clerical and Administrative Workers Sales Workers Machinery Operator and Drivers Labourers Others List the most recent training organisations with which you have participated in training in Victoria since List up to three below. 16. Unique Student Number (USI) Unique Student Number (if known) The Unique Student Identifier (USI) is a randomly generated code that is available online from the Australian Government. The code will stay with you for life and be recorded with any nationally recognised VET program that is undertaken from 2015 onwards. You must provide your USI before you can be enrolled. If you do not have a USI you can visit the following web page to create one: or let the FedUni School officer who is assisting you with your enrolment know that you do not have a USI. Page 3 of 7 Review Date: 01/07/2017

4 Section A: Victorian Training Guarantee: Student Declaration This section must be completed by all students enrolling in a new program who are eligible to access. If you are a student who is continuing in the same program that you commenced in the previous year, or you are a full fee paying student, you are required to complete Section B only. STUDENT TO COMPLETE I, (insert your name) in seeking to enrol in: (include full title of qualification you seek to enrol in) declare the following to be true and accurate statements: A B C t including the program/s you are seeking to enrol in now, how many other government funded programs have you enrolled to undertake this year? Include training you have enrolled in to undertake at this and other training providers but not yet started. t including the program/s you are seeking to enrol in now, how many other government funded programs are you undertaking training in at the moment? In your lifetime, how many government funded programs have you started (commenced) that are at the same level as the one you are applying for now? Don t answer this question if you are seeking to enrol in a program on the Foundation Skills list D I am / I am not enrolled in a school, including government, non-government, independent, Catholic or home school. (Tick appropriate response) E I am / I am not enrolled in the Commonwealth Government s Skills for Education and Employment program. (Tick appropriate response) F G I understand that my enrolment in the above qualification/s may be subsidised by the Victorian and Commonwealth Governments under the Skills First Program. I understand how enrolling in the above qualification/s will affect my future training options and eligibility for further under the Skills First Program. I acknowledge and understand that I may be contacted by the Department or an agent to participate in a student survey, interview or other questionnaire. Section B: Acknowledgments, privacy statement and disclaimer Victorian Government VET Student Enrolment Privacy tice The Victorian Government, through the Department of Education and Training (the Department), develops, monitors and funds vocational education and training (VET) in Victoria. The Victorian Government is committed to ensuring that Victorians have access to appropriate and relevant VET services. Any personal information collected by the Department for VET purposes is protected in accordance with the Privacy and Data Protection Act 2014 (Vic) and the Health Records Act 2001 (Vic). Collection of your data: Federation University Australia is required to provide the Department with student and training activity data. This includes personal information collected in the Federation University Australia enrolment form and unique identifiers such as the Victorian Student Number (VSN) and the Commonwealth s Unique Student Identifier (USI). Federation University Australia provides data to the Department in accordance with the Victorian VET Student Statistical Collection Guidelines, available at: ges/datacollection.aspx Use of your data: The Department uses student and training data, including personal information, for a range of VET purposes including administration, monitoring and planning. A student s USI may be used for specific VET purposes including verification of student data provided by Federation University Australia; the administration and audit of VET providers and programs; education-related policy and research purposes; and to assist in determining eligibility for training subsidies. Disclosure of your data: As necessary and where lawful, the Department may disclose VET data, including personal information, to its contractors, other government agencies, professional bodies and/or organisation for VET-related purposes. In particular, this includes disclosure of VET student and training data to the Commonwealth and the National Centre for Vocational Education Research (NCVER). Legal and Regulatory: The Department s collection and handling of enrolment data and VSNs is authorised under the Education and Training Reform Act 2006 (Vic). The Department is also authorised to collect and handle USIs in accordance with the Student Identifiers Act 2014 (Cth) and the Student Identifiers Regulation 2014 (Cth). Survey participation: You may be contacted to participate in a survey conducted by NCVER or a Department-endorsed project, audit or review relating to your training. This provides valuable feedback on the delivery of VET programs in Victoria. Consequences of not providing your information: Failure to provide your personal information may mean that it is not possible for you to enrol in VET and/or to obtain a Victorian Government VET subsidy. Access, correction and complaints: You have the right to seek access to or correction of your own personal information. You may also complain if you believe your privacy has been breached. Further information: For further information please contact Federation University Australia s Privacy Officer in the first instance by phone (03) or (03) or privacyofficer@federation.edu.au For further information about Unique Students Identifiers, including access, correction and complaints, go to: Unique Student Identifier In accordance with section 11 of the Student Identifiers Act 2014 Cth (SI Act), we will securely destroy personal information which we collect from you solely for the purpose of applying for a USI on your behalf as soon as practicable after the USI application has been made or the information is no longer needed for that purpose, unless we are required by or under any law to retain it. The personal information about you that we provide to the Registrar, including your identity information, is protected by the Victorian Privacy and Data Protection Act 2014 and the Privacy Act 1988 Cth (Privacy Act). The collection, use and disclosure of your USI are protected by the SI Act. I hereby give my permission for Federation University Australia authorised personnel to access and locate my Unique Student Identifier (USI) if needed to assist with processing my enrolment. Page 4 of 7 Review Date: 01/07/2017

5 Section B: Acknowledgments, privacy statement and disclaimer continued I acknowledge that I have read the Victorian Government s VET Student Enrolment tice and agree to the terms described in this Privacy Statement and Disclaimer and: This enrolment and its continuance is facilitated by government funding. If there is a change in the policy or legislation of any government or public authority which adversely impacts on the University s capacity to deliver programs then it is possible that my enrolment at Federation University Australia may be affected or cancelled. To the extent permitted by law, I release Federation University Australia from all claims for losses or compensation that may arise in those circumstances. For students eligible for VET Fee Help, the following privacy statement also applies: Federation University Australia is collecting the information in this form for the purpose of assessing my eligibility for the Higher Education Loan Program under the Higher Education Support Act 2003 and allocation of a Commonwealth Higher Education Student Support Number (CHESSN) to me. Federation University Australia will disclose this information to the Australian Government for those purposes. The Australian Government will store the information securely and Federation University Australia and the Australian Government will not otherwise disclose the information without my consent unless required or authorised by law. VET Student Loans: From 1 January 2017, VET Student Loans will be implemented for approved Diploma and Advanced Diploma programs. This is a new student loans program that replaces the current VET FEE- HELP scheme, to give eligible students access to quality higher level VET qualifications, particularly those students who could not otherwise afford to pay upfront. For more information, visit I acknowledge that I have read and agree to the terms described in this Privacy Statement and Disclaimer and: I agree to abide by the Legislation, Policies, Procedures, Standard of Conduct and rules of Federation University Australia I agree to pay all fees and charges applicable to, and arising from, this enrolment I acknowledge that any false information and/or failing to disclose any relevant information on my application for enrolment and/or an incomplete application may result in the withdrawal of any offer, and/or cancellation of enrolment at the discretion of Federation University Australia, particularly if it relates to my eligibility for I understand that it is my responsibility to provide all relevant and required documentation I declare that the information provided to Federation University Australia is to the best of my knowledge true, correct and complete at the time of my enrolment/ application I consent to use and disclosure of the information in this form for the purposes and in the circumstances described above Releasing my enrolment information to an employer or sponsoring organisation please read carefully If you are an apprentice or trainee the University is obligated to release details regarding your enrolment to your employer as part of your Training Agreement Contract. I authorise Federation University Australia to release my results/ attendance records for this enrolment to my employer or sponsoring organisation. Yes t applicable Method of payment: STUDENT TO COMPLETE Cash EFTPOS Cheque VET Fee Help (continuing students ONLY) VET Student Loan TBC (Employer / 3rd party) Student Invoice Payment by Credit Card VISA MasterCard Card number Name on card Expiry date Cardholder signature Phone Confirmation of Fees: The below fees have been calculated based on the information you have provided during the enrolment process. The charges should match those listed on the statement of fees provided to you by the program area prior to your enrolment. Charges may be amended if the information you provided was incorrect, or if you have failed to provide the required documentation within the specified time frames. If your employer/third party has agreed to pay your fees and has complete the Employer Authorisation to Pay Tuition Fees form the charges will be invoiced to your employer. If you do not provide the specified payment method above you will be invoiced for your fees which will be sent to your Federation University account and can be accessed through mysc. I have read the refund policy and understand that if I should withdraw from my program I may still be liable to pay any outstanding amount/s. Student Declaration: for Section A and Section B above Student Signature Date Fees Payable: SCHOOL TO COMPLETE Fee $ Fee description (ie. excursion, materials) Tuition Fee government funded Full fee Tuition fee Material fee (GST free) Material fee (GST inclusive) Other Other Total fees payable $ Total Enrolled Hours To be eligible for a concession on the tuition fee a copy of your current and valid concession card must accompany this enrolment form otherwise the non concession rate will be charged. A copy of the concession card must be retained on file by Federation University Australia. te: Concession rates do not apply if your fees are being fully paid by a Commonwealth Government Agency or as part of a Commonwealth program or initiative. Government Funded Enrolment M M Y Y Y Y / Amount AUD $ Fees to be paid on enrolment, indicate payment method above Employer authorisation to pay tuition fees has been forwarded directly to Finance Commercial Arrangements (includes restricted access) Yes If Yes, invoice to be raised by the School Page 5 of 7 Review Date: 01/07/2017

6 Sections C, D and E Section C: Victorian Training Guarantee: Evidence of student eligibility and RTO Declaration Evidence of citizenship/residency and age I confirm that in relation to (Student s full name) I have sighted one of the following original, or a certified copy of the original, documents: an Australian Birth Certificate a current New Zealand Passport (NOT BIRTH EXTRACT) a naturalisation certificate a current Australian Passport a current green Medicare Card formal documentation issued by the Australian Department of Immigration and Border Protection confirming permanent residence a proxy declaration for individuals in exceptional circumstances as per Clauses of the 2017 Guidelines about Determining Student Eligibility and Supporting Evidence and I have retained: a copy of the original or certified copy, or the certified copy, or the uncertified copy and a receipt from a document verification service and if the student s age is relevant to their eligibility and the document produced from the list above does not include a date of birth: a current drivers licence; or a current learner permit; or a Proof of Age card; or a Keypass card or if the individual is undertaking training under the Asylum Seeker VET Program and meets the requirements set out in Clause 2.1 of the Guidelines, I have sighted and retained: a Referral letter from the Asylum Seeker Resource Centre or the Australian Red Cross, or for TAFE Institures and Learn Locals organisations only, an electronic or printed record demonstrating that the student holds a current valid Bridging Visa Class e (BE), Safe Haven Enterprise Visa (SHEV) or Temporary Protection Visa (TPV) as verified via the Commonwealth s Visa Entitlement Verification Online (VEVO). te: The Training Provider must retain a copy of all documentation used in Section C, as per clauses of these Guidelines. Section D: Number of programs student is currently eligible for: 1 2 RTO declaration: Based on discussion with the student, the above evidence I have sighted (and retained a copy of) in Section C, and the information provided to me by the student in Section A of this form I believe that the above individual satisfies the Entitlement to Funded Training eligibility criteria as set out in the VET Funding Contract and is eligible for funding under the Skills First Program for the following qualification/s: (Include full title of qualification/s in which the student is seeking to enrol) NOTES use this section to record additional, relevant eligibility information, including information used by the RTO to verify the individual s eligibility that is not captured in Sections A, C or D Sections C, D and E must be completed by an authorised delegate of the registered training organisation where a student is eligible to access. Refer to the Delegations Contract, Financial, Staffing and Tender Policy. If the student is continuing in the same program that he/she commenced in the previous year, or is a full fee paying student, the RTO delegate needs to complete Section E only. te the RTO must sight a Transition from School form for ALL students under the age of 17 authorising an exemption from school enrolment that has been signed by the student s school principal where there the student has completed Year 10. Students who have completed a year level below Year 10 must have their form signed by the Department of Education and Training Regional Director. Section E: This section must be completed for all enrolments Authorised RTO delegate: Does the student intend to complete the full program? Yes If yes, expected date of completion? What is the expected number of supervised hours for this program? Name Position Signature Date To be completed by the above authorised delegate Program Code Program Name The applicant is eligible for government funded tuition The applicant is not eligible for government funded tuition *Funding Codes: P Govt Funded Tuition LS School Based Trainee Govt Funded LP Apprentice Govt Funded Tuition F Full Fee Tuition LT Trainee Govt Funded Tuition FV VET in School LE School Based Apprentice Govt Funded ZC Corrections Enrolment Yes, eligible Funding code* t eligible Funding code* Parent/Guardian: This section MUST be completed prior to enrolment for all students under the age of 18 enrolling in a VCAL Senior Secondary qualification Name te: For other funding codes please contact your relevant Dean/ Deputy Dean Signature Date Page 6 of 7 Review Date: 01/07/2017

7 Eligibility flow chart This flow chart is to assist the RTO delegate in conjunction with the applicant/student, to assess their eligibility to access. Are you enrolling into the same program (same program code) that you commenced in the previous year as a government subsidised student Do you meet the citizenship/ residency requirements? Are you an Australian Citizen Are you a New Zealand Citizen Are you a holder of a permanent visa Are you currently enrolled in a secondary school? This includes government, non government, independent, Catholic or home school.. You are NOT ELIGIBLE for government subsidised training. Discuss your full fee options with your program co-ordinator. Is this a Corrections Victoria or a full fee enrolment or a VET in school enrolment? Have you previously commenced 2 or more government subsidised programs at the same qualification level that you are seeking to enrol in?.. t including the program you are seeking to enrol in now, are you undertaking two or more government subsidised programs at the moment?. Have you commenced, or are you scheduled to commence two or more government subsidised programs in 2017? You are NOT ELIGIBLE for Are you under 20 on January 1 in the year which the program is to commence? Are you seeking to enrol into a foundation skills program? Do you hold a Diploma or higher qualification? NO. Are you enrolling into an apprenticeship and have not previously commenced 2 programs at this apprenticeship level ie. Certificate III? Are you undertaking VCE or VCAL (intermediate or senior) and are over 20? Are you enrolling into a program at a higher qualification level than the highest qualification that you already hold? government funded training. Discuss you full fee options with your program co-ordinator. Page 7 of 7 Review Date: 01/07/2017