Page 1 of 8 Section 1: How did you hear about us? An Abbey Representative (Name): Others such as friends, Google, Magazine/Newspaper ad: Section 2: Eligibility I am an Australian Citizen: Yes Please go to the section 2 Section 3: Personal Details Given Names: No I have a current Humanitarian Visa and my visa number is: Surname: Date of Birth: / / Gender: Male Female Country of Birth: If born outside Australia: Year of arrival in Australia: Section 4: Residential Address and Contact Details Residential Address: Suburb: State: Post Code: Home Phone: Mobile: Email: @ Section 5: Supporting Evidence Please attach evidence of Australian Citizenship or Humanitarian Visa Copy of Passport: Copy of Australian Birth Certificate: Copy of Medicare Card: Copy of Citizenship Certificate or Humanitarian Visa: Do you have a valid Tax File Number (TFN)? Yes No Section 6: Current or Previous VET FEE- HELP Study Have you undertaken any other study through VET FEE-HELP? Yes No (if No go to the section 7) If Yes: Name of the qualification: Completion Date: Name of the qualifiction: Completion Date: Name of the qualifiction: Completion Date: If you have experience or prior studies that may make you eligible for recognition of prior learning (RPL) or recognition of current competency (RCC) or credit transfer, please ask our administration for assistance in making an application. A minimum fee of $550 applies for assessment of each RPL or RCC unit.
Page 2 of 8 Section 7: Education A - Are you still at school? Yes No B - Highest School Year Completed: Yr 12 Yr 11 Yr 10 Yr 9 Yr 8 or Below C - What year did you finish school?: D - Have you completed any of the qualification levels below? Tick all that apply: Certificate 2 Certificate 3 Certificate 4 Diploma Advanced Diploma Degree E - Which of the following categories BEST describes your reason for applying for the course now? To get a better job or promotion: To get into another course of study: To develop my existing business: I want extra skills for my job: To try for a different career: To get a job: Section 8: Employment Status It is a requirement of my job: An Employer Full Time employee Part Time employee Unemployed seeking full time work A Self employed - not employing others Employed - unpaid worker in a family business Unemployed - not seeking employment Unemployed seeking part time work Section 9: Language Spoken at Home and Background English Others (Specify) If not English, how well do you speak English? Very Well Well Not Well Not at All Are you: Aboriginal Torres Strait Islander Both Neither Section 10: Disability Do you have a disablity? Yes (If Yes, specify below) No (If No, go to the next section) Hearing Vision Mental Illness Learning Physical Medical
Page 3 of 8 Intended Choice of Course CODE COURSE Please Tick to Select a Course PSP52312 PSP61012 BSB50215 ICT50210 CHC50113 Diploma of Translating Advanced Diploma of Translating Diploma of Business Diploma of Telecommunication Network Engineering Diploma of Early Childhood Education and Care Cancellation and Refund Policy (VET FEE-HELP Students) who are eligible for VET FEE-HELP assistance: This section applies to domestic students who are Australian citizens or permanent humanitarian visa holders (who are resident in Australia for the duration of the VET unit of study) enrolled in a VET FEE-HELP enabled course offered by Abbey College Australia. In the event of a student withdrawing from a VET unit of study on or before the census date for that unit of study: 100% of tuition fees paid for that unit will be refunded to the student; The student will not incur a VET FEE-HELP debt. In the event of a student withdrawing from a VET unit of study after census date for that unit of study; No refund is applicable; and The student will incur a VET FEE-HELP debt. Acceptance and Declaration: I hereby declare that: I have read and understood and accepted the terms and conditions of enrolment stated on VET FEE-HELP BOOKLET and Abbey College Australia s "Enrolment Terms and Conditions. I also acknowledge that I have read the information contained within the Student Handbook. I understand that information contained in these forms may be provided to State and Commonwealth agencies and research organisations. I certify that all details provided on these forms are correct; I understand that I will incur liability by enrolling and not withdrawing before the census date for each course/unit of study. I declare that I have been given a copy of the VET FEE-HELP Information for 2015 which provides all details regarding VET FEE-HELP rights and obligations. I have been given accurate information in regards to the total tuition fees for the course I am enrolling in; and By signing this declaration I accept and agree to Abbey College Australia s total tuition fees for the course I am enrolling in under the Australian Government s VET FEE-HELP program. Name: Signature: Date: / /
Page 4 of 8 Unique Student Identifier (USI) A Unique Student Identifier (USI) is a reference number made up of 10 numbers and letters (e.g. 1X2YW55YP9) that gives students access to their online USI account. A USI will allow an individual's USI account to be linked to the National Vocational Education and Training (VET) Data Collection allowing an individual to see all of their training results from all providers including all completed training units and qualifications. From 1 January 2015 if you are undertaking nationally recognised training you will need to have a Unique Student Identifier (USI). This includes all students who are continuing a course they started prior to 2015, and all new students. Before completing this form, students should review the Fact Sheet: Student Information for the Unique Student Identifier available at the USI website www.usi.gov.au/students. Creating your own USI A USI is free and easy to create online. You can create your own USI or Abbey College Australia can create one for you as a part of the enrolment process. IMPORTANT: To make sure we keep all of your training records together, the USI will be linked to your name as it appears on the form of ID you used to create the USI. The personal details entered when you create a USI must match exactly with those on your form of ID. If you do not have proof of ID from the list above, contact Abbey College Australia administration office to learn about other acceptable forms of ID to obtain a USI. Follow these 8 steps if you would like to create your own USI: Step 1 Step 2 Step 3 Step 4 Step 5 Step 6 Step 7 Have two forms of identification (ID) ready from the ID List Have your personal contact details ready (e.g. email address, or mobile number, or address). Visit the USI website at: http://www.usi.gov.au/create-your-usi/pages/default.aspx Select the Create a USI link and follow the steps. Agree to the Terms and Conditions Follow the instructions to create a USI it should only take a few minutes. Upon completion, the USI will be displayed on the screen. It will also be sent to your preferred method of contact. Write down the USI and keep it somewhere handy and safe. ID List Driver s Licence Medicare Card Australian Passport Visa (with Non-Australian Passport) for international students Birth Certificate (Australian) Certificate Of Registration By Descent Citizenship Certificate ImmiCard International students in Australia If you are an international student studying in Australia with an Australian training organisation you will need a USI from 1 January 2015. Step 8 Once you create your own USI, you should provide your USI to Abbey College Australia as soon as possible so that you re USI can be verified and records updated. All international students in Australia will have been issued with an Australian Visa. This will let you use your passport as proof of ID when creating your USI. Provide your USI to Abbey College Australia: Student First Name: Student Family Name: Student Middle Name: (optional) Abbey College Australia Student ID: If you have received your student Card Date of Birth Your USI Number: I have read and understand Abbey College Australia Privacy Statement and that my details provided are true and correct. / / Signature Date / / OFFICE USE ONLY: For an authorised Abbey College Australia representative to declare I declare that the student s USI has been verified on the USI portal and all details are matched. Abbey College Australia Representative Signature Date / /
Page 5 of 8 Creating a USI for a student: Abbey College Australia can apply a USI for you on your behalf. You ONLY need to complete this page if you would like us to apply and create a USI on your behalf. Student First Name: Student Family Name: Student Middle Name: Abbey College Australia Student ID: If you have received your student Card Date of Birth Country of Birth / / I have read and understand Abbey College Australia s Privacy Statement and hereby give permission to Abbey College Australia to verify my USI and /or apply for my USI on my behalf. Date / / Signature Please provide us with ONE valid ID from below: A valid Driver s License: License Number: A Driver's License must be current and valid and issued by an Australian State or Territory. State: Expiry Date: A valid Medicare Card: Card Number: Card Colour: Issued by Medicare Australia. Green, Yellow and Blue Colours are acceptable Reference Number: Valid to: / / Australian Passport: Must be issued by the Australian Government and be current or have an expiry date within the last two years. Document Number: Expiry Date: A Current and Valid Visa (with Non-Australian Passport) for international students: Passport Number: Expiry Date:
Page 6 of 8 Birth Certificate (Australian) A Birth Certificate extract is not sufficient Registration Number: Date of Registration: Certificate Of Registration By Descent Certificate number: Acquisition Date: Citizenship Certificate Stock Number: Acquisition Date: ImmiCard Expired ImmiCards will verify unless DIBP has cancelled the ImmiCard. Card number: Expiry Date: For more information in regard to USI and proof of ID please visit USI Help Centre at http://usi.gov.au/help-centre/
Page 7 of 8 Applicant Name: Multiplication 25 x4 LANGUAGE LITERACY and NUMERACY (LLN) SKILLS TEST 62 x2 Division 116 2 Date / / 600 10 Addition 1756 +44 85 +15 Subtraction 120 40 116 69 Bob s study aspirations are outlined below. You are required to read the following and answer the questions. Bob completed school at the age of seventeen and wanted a job that would allow him to work in many countries. Bob is now nineteen years of age and is considering a career in the hospitality industry. Bob prides himself on being naturally friendly. He loves to cook meals at home for his friends and family. He is looking at gaining the appropriate training to ensure he can obtain chef qualifications. He wants to attend a 1 year course to become a qualified chef. How old is Bob now? How old was Bob when he left school? What does Bob like to do for his friends and family? What is the duration of the course Bob wants to attend? Your pay rate is $12 per hour. This week you worked the following hours: Monday Tuesday Wednesday Thursday Friday 1PM 4PM 9AM 2PM Nil 10AM 5PM Nil How much will you receive in pay for the week? (tick appropriate box) $135 $120 $180 Are you able to complete the following tasks without any assistance? Login into a computer Yes No Use mouse and keyboard Yes No Print a document Yes No Type a letter and save it Yes No Create an email account Yes No Send and receive email Yes No Attach a file to an email Yes No Download a file Yes No Open a PDF file Yes No Save / Print a word file as PDF file Yes No Conduct online searches Yes No Sending a txt message using a phone Yes No
Page 8 of 8 Your level of computer experience (0: None, 1: Limited, 2: Good, 3: Very Good) Software 0 1 2 3 Technology 0 1 2 3 Microsoft Word Microsoft Excel Microsoft PowerPoint Skype Moodle Face Book Please provide a short answer to the following questions: Do you have any particular expectations for this course? What do you hope to achieve by completing this course? In a few sentences please describe what your hobbies and interests are? PREFERRED LEARNING METHODS (How do you feel that you learn best) Demonstration (being shown how to do something) Hands-on (practical) exercises Being part of a discussion group Reading about/studying something Being advised/coached by a colleague / classmate Doing tutorials Watching a video/using CD ROM Private research (e.g. internet) Thank you for taking the time to complete this form and answering the questions. Your results and all other personal information will be kept in your training file and in the strictest confidence. Abbey College Australia Office Use Only. The applicant will not need assistance and meet the course requirements. The applicant needs assistance. Assistance with. Course Coordinator needs to review and finalise this application. Abbey College Australia Representative Date: / / Depending on the prospective leaner s background, we may seek further information by requesting the learner to complete a course suitability form or provide further evidence to identify suitability of applicant and / or any additional support individual learners may need. Abbey College Australia must advise the applicant if we are unable to provide a service (e.g. LLN) that is required for the applicant to meet the course pre-requisites.