Artisan Training Academy RTO 46085 - Student Enrolment Form

First Name *

Last Name *

Phone *

Email *

Date of Birth: *

dd/mm/yyyy

Address

Street Address

City *

State *

Country *

Postal code *

Drivers License Number *

This is required for identification. Please scan and email a copy to [email protected]

USI (Unique Student Identifier)

A USI is your individual education number for life. It also gives you an online record of your vocational education and training (VET) undertaken in Australia. Without a USI, we are unable to issue you your formal qualification upon completion of the course. If you don't already have one, or have forgotten yours, you can email it at a later date to: [email protected]

I would like to enrol into the following course/s: *

Clearly state the name and code of the course you would like to enrol into. You can list more than one course if applicable.

Reason for studying: *

Highest level of High School education: *

What year did you finish High School? *

Have you successfully completed any qualifications? If so, please specify what qualification and year of completion: *

Do you consider yourself to have a disability, impairment or long term health condition? *

If yes, please indicate below:

What is your current industry of employment? *

At home, do you speak a language other than English? *

If so, please specify which language:

What is your Country of Birth? *

Do you identify as Aboriginal or Torres Straight Islander? *

I would like to commence my course: *

Please see Artisan Training Academy Academic Timetable for course dates. We offer some flexibility with delivery, so if you can't find suitable dates, please indicate here what month you wish to start and we will be in contact to organise your training dates with you.

Please acknowledge the below privacy notice under the Data Provision Requirements 2012, Artisan Training Academy (RTO 46085) is required to collect personal information about you and to disclose that personal information to the National Centre for Vocational Research Ltd (NCVER). Your personal information (including the personal information contained on this enrolment form and your training activity data) may be disclosed by Artisan Training Academy (RTO 46085) for statistical, regulatory and research, and advertising purposes.

Artisan Training Academy (RTO 46085) may disclose your information for these purposes to third parties, including: School - if you are a secondary student undertaking VET, including school-based apprenticeship or traineeship; Employer - if you are enrolled into training paid by your employer; Commonwealth and State and Territory government departments and authorised agencies; NCVER; National Centre for Vocational Education Research. Organisations conducting student surveys; and Researchers. Personal information disclosed to NCVER may be used or disclosed for the following purposes: Issuing a VET Statement of Attainment or VET Qualification, and populating Authenticated VET Transcipts; facilitating statistics and research relating to education, including surveys; understanding how the VET market operates for policy, workforce planning and consumer information; and administering VET, including program adminstration, regulation, monitoring and evaluation. You may receive a NCVER student survey which may be administered by an NCVER employee, agent or third party contractor. 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 VET Data Policy and all NCVER policies and protocols (including those published on NCVER's website at www.ncver.edu.au). Student Declation and Consent:

I declare that the information I have provided to the best of my knowledge is true and correct. I consent to the collect, use and disclosure of my personal information in accordance with the Privacy Notice above.

Signature:

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