Enrol - Active Training

Intended Course of Study

Course Name

Personal Details

Enter your full name*

Please write the name that you used when you applied for your Unique Student Identifier (USI), including any middle names. If you do not yet have a USI please write your name exactly as written in the identity document you choose to use.

Title

Given Names

Last Name

Date of Birth

Gender

Female

Male

Other

Enter your Contact Information

Home phone, including area code

Phone Primary

Phone Secondary

Alternate Email

Enter contact information in case of emergency

First Name

Last Name

Emergency Contact Phone

Relationship to you

Residential Address *

What is the address of your usual residence?

Please provide the physical address (street number and name not post office box) where you usually reside rather than any temporary address at which 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’ system as your residential street address.

Building/property name is the official place name or common usage name for an address site, including the name of a building, Aboriginal community, homestead, building complex, agricultural property, park or unbounded address site.

Address

City

State

Postcode

Enter Postal Address if different from Residential Address

Postal Address

City

State

Postcode

Language & Cultural Diversity

In which country were you born?

Australia

Other - Please Specify

Country (Other - Please specify)

Do you speak a language other than English at home?

No - English only

Yes - Please specify

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

Language (Other - Please specify)

Are you of Aboriginal or Torres Strait Islander origin? 

Yes, Aboriginal

Yes, Torres Strait Islander

Yes, Aboriginal AND Torres Strait Islander

No, Neither Aboriginal nor Torres Strait Islander

(For persons of both Aboriginal and Torres Strait Islander origin, mark both ‘Yes’ boxes)

Disability

Refer to our Disability Supplement for further clarification.

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

No (Go to next section)

Yes

Do you require assistance?

Yes (We'll arrange a meeting to discuss this with you)

If you answered YES to the above question do you require any assistance to participate in this course?

Please select

Hearing/deaf

Physical

Intellectual

Learning

Mental illness

Acquired brain impairment

Vision

Medical condition

Other

If you indicated the presence of a disability, impairment or long-term condition, please select the area(s) in the following list:  (You may indicate more than one area)

Schooling

What is your highest COMPLETED school level?

If you are currently enrolled in secondary education, the Highest school level completed refers to the highest school level you have actually completed and not the level you are currently undertaking. For example, if you are currently in Year 10 the Highest school level completed is Year 9. (Tick ONE box only)

In which year did you complete this school level?

Are you still enrolled in secondary or senior secondary education?

Yes

Employment

Of the following categories, which BEST describes your current employment status? For casual, seasonal, contract and shift work, use the current number of hours worked per week to determine whether full time (35 hours or more per week) or part-time employed (less than 35 hours per week).

Study Reason

Study Reason – Of the following categories, which BEST describes your main reason for undertaking this course / traineeship /apprenticeship?

Unique Student Identifier

From 1 January 2015, Active Training 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). If you have not yet obtained a USI you can apply for it directly at www.usi.gov.au on computer or mobile device. Please note that if you would like to specify your gender as ‘other’ you will need to contact the USI Office for assistance.

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

A 10 digit code which may take this form: AA11BBCCD2

Unique Student Identifier (USI)

In providing my USI, I confirm Active Training is authorised to collect, use and disclose my student identifier for the purposes required under the Student Identifiers Act 2014.

I understand that I will receive a notice regarding Active Training’s use of this information to confirm my USI.

I understand that Active Training’s name included in the notice may be different to the name they are familiar with – the name of the organisation verifying my USI is Active Training.

Opt In Marketing

Opt IN

Opt OUT

Where did you hear about us from?

Privacy Information

Please view the following for applicant privacy information. Privacy Notice & Applicant Declaration

Signatures

Signature Accept

Application Signature

Parent Guardian Name

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

Signature Accept

Parent Guardian Signature

Payment details

Name of employer

If an invoice is to be sent to your employer, please note Employer Name below

Cost

Credit Card Number

Expiry Date

CVC/CVV

Under the Data Provision Requirements 2012,Active Training 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 byActive Training for statistical, administrative, regulatory and research purposes. Active Training 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).

Active Training retains a record of personal information about all individuals with whom we undertake any form of business activity. Active Training must collect, hold, use and disclose information from our clients and stakeholders for a range of purposes.

As a government registered training organisation, regulated by the Australian Skills Quality Authority, Active Training is required to collect, hold, use and disclose a wide range of personal and sensitive information on Students in nationally recognised training programs. This information requirement is outlined in the National Vocational Education and Training Regulator Act 2011 and associated legislative instruments.

Active Training must require and confirm identification however in services delivery to individuals for nationally recognised course programs. We are authorised by Australian law to deal only with individuals who have appropriately identified themselves. That is, it is a Condition of Registration for all RTOs under the National Vocational Education and Training Regulator Act 2011 that we identify individuals and their specific individual needs on commencement of services delivery, and collect and disclose Australian Vocational Education and Training Management of Information Statistical Standard (AVETMISS) data on all individuals enrolled in nationally recognised training programs. Other legal requirements, as noted earlier in this policy, also require considerable identification arrangements.

For information about how Active Training collects, uses and discloses your personal information generally, including how you can make a complaint about a breach of privacy, please refer to Active Training’s privacy policy which can be found on the web at https://www.activetraining.net.au/about/policies

This Privacy Policy contains information about how individuals may access and seek correction of the personal information held by us, and how to complain about a breach of privacy, and how we will deal with such a complaint.

In providing your personal information as requested you are confirming your receipt of, and understanding of these details, and providing your consent for the collection, storage, use and disclosure of your personal information as outlined.

Last updated: 8 Feb 2023, 9:22:01 am