ENROLMENT & TRAINING AGREEMENT

Transcription

1 ENROLMENT & TRAINING AGREEMENT COURSE OR TRAINING INFORMATION Please note some higher level courses may require a short assessment in language, literacy and numeracy. Also some courses may have pre-requisites which need to be achieved prior to enrolment. Please write the date the course is running for a scheduled public class or on-site booking. If you are undertaking training self-paced, please write the words self-paced in the course date area. 1st Course Course Date 2nd Course Course Date 3rd Course Course Date PERSONAL DETAILS Please print clearly. Please note given names and surname will appear on your certificate, so please don t use nick names, or shortened versions of your name. Title MR MRS MS MISS OTHER Given Name Middle Name Surname Gender Preferred Name Date of Birth Organisation Position Division Section Male Female Indeterminate/Intersex/Unspecified CONTACT DETAILS Work Phone Mobile Phone Fax Number Home Phone Address YOUR RESIDENTIAL ADDRESS Please include your residential address which includes street number, even if you don t want mail sent there. We require this for statistical purposes. Building Name/Unit Street Number/Name Suburb Postal Address Suburb Page 1 of 9 Postcode Same as street address PO Box Postcode

2 EMPLOYER INFORMATION If no employer or if this is self-funded study, please place a line through this section. If you work for yourself, please note this by writing as above in the section. Company Name Street Address Suburb Postal Address Postcode Same as street address Suburb PO Box Postcode Contact Person Mobile Phone Work Phone Company ABN Fax Number Address Do you provide permission for us to contact your employer to discuss the progression of your studies if they are paid for by your employer? YES NO Would your employer like to subscribe to our update service? YES NO ADDRESS FOR CORRESPONDENCE Tick one of the boxes below. This is where we will send things like workbooks, certificates, etc. Please contact us if you have specific requirements for the delivery of materials. Your home address Your postal address Employer s street address Employer s postal address Individuals paying over $1500 As an RTO we are prohibited to hold more than $1500 of prepaid student fees for individuals (te: this does not apply to companies or organisations). We ensure this does not occur through the following ways: 1. We only charge a deposit of $1500 prior to the delivery of any training or providing any support services. 2. If the individual undertakes classroom training we charge the balance on completion of the course. 3. If the individual undertakes self-paced study we charge a regular weekly payment over the next 6-12 months (depending on the qualification). Payment Plans (minimum $500 cost for a payment plan to be considered) If you would like to pay via a payment plan, we can offer this service through our partner EziDebit. Paying via a payment plan will increase the cost of the course by 10% of the listed value and will also include a $50 processing fee in the first installment. You will be required to pay an initial deposit of 10% of the full fee along with a $50 processing fee for us to accept your enrolment. You will be sent details of your payment plan along with a link to approve the plan once your enrolment has been received. Page 2 of 9

3 AUTHORISATION AND PAYMENT Please note your enrolment cannot be accepted if the payment area is left blank. Please find further in this agreement information on fees and charges, as well as our refund policy. For all transactions over $1500 please note a split payment will be required.1 I am paying for myself I am accessing funded training Amount Payable (up to a maximum of $1500)1 $ Balance Payable (if cost of course is over $1500) $ Individuals who wish to pay above $1500 in pre-payment fees must speak to a management representative. My employer is paying for me Other please specify Authorising Person s Name Signature Job Title Work Phone Full Amount Payable $ Mobile PLEASE CHOOSE ONE PAYMENT METHOD Purchase Order Purchase Order Number Direct Deposit A tax invoice will be issued with direct deposit details Payment Plan You will be provided with a link to review and approve your payment plan Card Please charge the above amount to my credit card see below Card Type VISA MasterCard (only Visa or MasterCard accepted) Card Number Expiry Date Cardholder s Name Cardholder s Address Cardholder s Signature Transaction Authority Expiry Date2 Other CCV Number3 Cheque Cash 1 As an RTO we are prohibited to hold more than $1500 of prepaid student fees for individuals (te: this does not apply to companies or organisations). More information on this is provided on the previous page. 2 Transaction Authority Expiry Date means we can debit your credit card up to a particular date you specify, after that we no longer have authority to debit your card. 3 CCV number is the 3 digit number on the back of the card. We encourage you to read our Student Handbook which outlines your rights and responsibilities. Please ensure you fill out the remainder of this form. We will not be able to issue any accredited course certificates without the additional statistical information provided. Page 3 of 9

4 ENROLMENT AND TRAINING AGREEMENT THANK YOU FOR YOUR BOOKING Prior to course commencement, we require additional statistical information as set out in this enrolment and training agreement. Please note we cannot issue you statements of attainment or a certificate unless we have this information. BEFORE YOU BEGIN As a Registered Training Organisation, Total Management and Training (TMT) must operate within the Standards for Registered Training Organisations (RTOs) The following information summarises our commitment and detailed policies are available from our office or from our trainers and personnel. Our Student Handbook sets out your rights and responsibilities under this training agreement and can be accessed in hard copy from your trainer or from Reception staff. In the interests of conserving resources, we encourage you to access the Student Handbook linked here, and also available on our website. The Handbook explains in detail our commitment to you and your obligations under our training agreement. Areas of highlight include legislative requirements, health and safety, recognition of existing qualifications, access and equity, assessment procedures, recognition of prior learning, literacy and numeracy assistance, client support, appeals processes and conduct expectations. We encourage you to seek clarification on any issues which are important to you, and please ensure you familiarise yourself with the contents of the Student Handbook prior to enrolling in training. COLLECTION OF PERSONAL DATA As a Registered Training Organisation in Queensland, we must comply with the Standards for Registered Training Organisations (RTOs) In particular, we must ensure that we collect appropriate statistical data on behalf of our National VET Regulator, the Australian Skills Quality Authority ( and the National Centre for Vocational Education Research ( We as an RTO cannot issue your certificate unless this information has been collected. The information collected will not be provided to any recipient other than the registering body as required by the Standards for Registered Training Organisations (RTOs) SIGNATURE Please ensure you sign the last page of this document, and make yourself aware of our pricing and refund policies. Page 4 of 9

5 STUDENT STATISTICAL DATA We as an RTO cannot accept your enrolment unless this information has been collected. The information collected will not be provided to any recipient other than the registering body as required by the Standards for Registered Training Organisations (RTOs) Citizenship and Cultural Diversity In which country were you born? Australia Other please specify: Australian citizen Australian permanent resident Visa Holder Overseas no visa or citizenship Aboriginal In which city were you born? Country of Citizenship Australian Citizenship Status New Zealand citizen If Visa Holder - Type of Visa? Are you of Aboriginal or Torres Strait Islander origin? Torres Strait Islander Employment Status Of the following categories, which BEST describes your current employment status? Please only tick ONE Full-time Employee Part-time Employee/Casual Self-employed, not employing others Employer Employed unpaid worker in a family business Unemployed seeking full-time work Unemployed seeking part-time work t employed not seeking employment Language Identifier Do you speak a language other than English at home?, English only How well do you speak English? Very well Page 5 of 9 Other please specify: Well t well t at all

6 Language, Literacy and Numeracy Support YES Do you require assistance to read, write, do math or speak with people? NO If you ticked yes, please tick which area below. Reading Writing Numbers Communication Highest Completed School Level Are you still attending school? Yes If YES, would you like your result included in your QCE? Yes What is your highest COMPLETED school level? Year 12 or equivalent Year 9 or equivalent Year 11 or equivalent Year 8 or below Year 10 or equivalent Never attended school If yes, name of school Please tick only one. In which year did you complete that school level? Disabilities Do you consider yourself to have a disability, impairment or long term condition? If yes, please indicate the area of disability, impairment or long term condition. You may tick more than one. Yes please indicate below t Specified Hearing/Deaf Acquired Brain Impairment Physical Vision Intellectual Medical Condition Learning Other Mental Illness Previous Qualifications Achieved Have you SUCCESSFULLY completed any qualifications listed? Yes - please indicate below Please tick all that apply. 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 Page 6 of 9

7 Unique Student Identifier (USI) Your USI is a unique number given to you which will help keep your training records and results together in an online account controlled by you. It is mandatory for any accredited training. Please print it clearly below. If you do not have one yet, please go to and follow the prompts; or provide us with permission to create one for you below. Please ensure you read the privacy statement linked here. Unique Student Identifier (USI): Learner Unique Identifier (LUI) (secondary school students): Please only complete this part if you do not have a USI and you would like TMT to create one for you Drivers Licence number State Emergency Contact Details In case of emergency, please list below who we can contact on your behalf. Full Name of Contact Relationship to You Contact Number Update Service TMT likes to keep students updated on safety issues, market and legislative changes and interesting news from the safety and training industries. We would like to subscribe you to this service. Please provide your permission below: Yes, please keep me up to date thank you Study Reason PLEASE ONLY TICK ONE BOX. Of the following categories, which best describes your main reason for undertaking this course? 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 Marketing Information Understanding how our students select their training provider is really important and we ask that you spend a few seconds helping us understand how you found out about our course. Please let us know how you found out about this course. Page 7 of 9

8 TERMS AND CONDITIONS Further information is available in the Student Handbook (found on our website). Please ask our friendly staff for a hard-copy if you cannot access the online document. Fees and Charges The prices to undertake various courses and qualifications may be found on the course outline for that particular delivery, and within our Training Calendar. Further fees and charges are set out below. Re-issue of Testamurs/Statements of Attainment $50 per copy Issue of Certificates or Statements once USI timeframe expires $25 per copy rd Re-assessment fee (after 3 attempt) $220 Self-paced training or RPL of units of competency (Cert III & IV level) $250 per unit Self-paced training or RPL of units of competency (Diploma level) $350 per unit Re-issue of student card or plastic cards (excl. White Card) $20 per card Qualification re-enrolment fee (if the maximum duration period is exceeded by no more than 6 months) $500 Qualification re-enrolment fee after 6 months (see above) Current full price Short course or individual unit re-enrolment fee Current full price Late payment fee (interest payable on outstanding balance) 10% Refund Policy Registration may be cancelled up to ten working days prior to commencement of course with students either transferring to another course or receiving a full refund. Registration cancelled or transferred less than ten working days but over five working days prior to commencement of a course will incur a 10% cancellation/transfer fee (the 10% is calculated on the normal course cost). If no cancellation notice is received, or cancellation is made with less than five working days' notice, no refund will be issued unless the participant can provide a medical certificate or show extreme personal hardship. Please note transfer is not available within 5 working days of the course. Another student may be substituted at any time prior to course commencement date should the nominated person be unable to attend. tification of such changes is imperative. TMT reserves the right to cancel or postpone a course to an alternative date. All registered participants affected by such changes will receive a full refund or be offered the opportunity to transfer to the next available course program. refunds will be made after the commencement of the course unless the participant can provide a medical certificate or show extreme personal hardship. In this case, fees may be refunded on a pro-rata basis at the discretion of the Operations Manager. Unforeseen Circumstances The course does not start on the starting date notified in the Enrolment Confirmation. The course is discontinued after it starts and before it is completed. The course is not provided fully or not being delivered to the student due to unforeseen circumstances. te: in the event of the above circumstances TMT will pursue every possible professional effort to arrange course completion with another suitable provider at no additional cost to the student. If this is not possible, TMT will provide a full refund of course costs. Page 8 of 9

9 STUDENT S AGREEMENT AND DECLARATION I declare that to the best of my knowledge the information in this application and the documentation supporting my application is correct and complete. I agree to pay all fees required on or by the due date as per the agreement and penalties will apply if payment is not received by the due date. TMT may cancel any course prior to commencement and I will be refunded. Refunds are in line with the refund procedure stated in this enrolment form and training agreement. TMT charges additional fees as indicated in this agreement. I am entitled to a formal Statement of Attainment of any completed units on cancellation or completion at no additional cost, as long as there are no outstanding fees, and I have provided a USI number. I understand I must provide a USI number within four weeks of undertaking training to receive my certificate or statement of attainment, otherwise additional fees will be payable. I give TMT permission to locate my USI number on the USI online portal if there is an issue with the number I have listed on this enrolment form. By signing this form I give TMT permission to create my USI, if specified. I am responsible for notifying TMT when I decide to cancel, defer or suspend enrolment. I understand this enrolment form and training agreement, and the availability of the grievances and appeals process does not remove the ability and right to take action under Australian consumer protection laws. All enrolments have a maximum duration and I need to complete the course within the specified enrolment duration to avoid additional fees. Once maximum duration has been reached, I will need to re-enrol within six months to continue my studies, and pay the re-enrolment fee. Once maximum duration has been reached, I will need to pay full price again if I do not re-enrol within the 6 month timeframe. Enrolment duration begins from the course commencement. I will be required to satisfactorily complete all units of competency in the enrolled qualification to receive a Testamur. I may access my own student records, subject to privacy legislation. I acknowledge that the withholding of, or provision of incorrect documentation relating to my application may result in cancellation of any offer or enrolment by TMT. I agree to the Terms and Conditions outlined on my enrolment form and training agreement. Sign Here I hereby declare the information contained in this document to be true and correct, and to abide by the terms and conditions of this Enrolment Form and Training Agreement, including policies and procedures set out in the Student Handbook, to which I have been granted access. Participant Signature Parent/Guardian Signature (if student is under the age of 18) Date Date Please your enrolment to enrolments@totalmantra.com.au Page 9 of 9