2021 ENROLMENT FORM

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Enrolment Form for VET Accredited Courses
SECTION A - COURSE ENROLMENT CONFIRMATION
HLTAID011 Provide First Aid (includes CPR) @ Trentham - Friday 05th November 2021*
(Includes the HLTAID009 Provide CPR course)
As part of your enrolment into this course you will receive:
• A PDF Certificate • A transcript of your results • A personalised competency card • A resuscitation mask on a keyring and: • A text message notification at the expiry of your course
PLEASE NOTE: This enrolment form is for one person only. If you wish to add additional people to this course you will need to complete this enrolment form for each person.
Price:
SECTION B - PREVIOUS APPLICATIONS AND/OR ENROLMENTS
Have you previously applied to, or been enrolled at Intelligent Training Solutions?*
If Yes, please state your I.T.S Student ID number (If known)

example: ITS000123X
Has your name changed since your last enrolment with us?
If Yes, you must provide documentary evidence (Marriage Certificate etc...)
If Yes, please enter your previous name

Please enter your previous FULL legal name

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SECTION C - PERSONAL DETAILS
Title
First name*

Enter your first legal given name
Middle Name
Family name (surname)*

Enter your legal family name (surname)
Date of birth*
DD slash MM slash YYYY

Select your date of birth using the calendar to avoid formatting errors
What is your gender?*
If self-described, please specify*
CONTACT DETAILS
If possible, PLEASE provide us with BOTH your home (landline) and mobile numbers.
As this course requires the coordination of yourself and our trainers, it may become important for our team to contact you should the need arise.
Telephone: Home
Telephone: Mobile*
Your preferred email address*
Enter Email Confirm Email
What is your citizenship status? - Please tick one*
- Australian Citizen
- New Zealand Citizen
- Overseas Resident
- Permanent Humanitarian Visa
- Permanent Non-Humanitarian Visa
- Permanent Visa Holder
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please provide the physical address of where you usually reside - street number and name, not post office box. Do not provide any temporary address at which you reside for training, work or other purposes. If you are from a rural area, use the address from your state or territory's rural addressing or numbering system as your residential street.
Is your mailing address the same as your residential address?*
- YES
- NO
Please enter your mailing address below.
Please enter your mailing address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

NOTE: This will be the address our team will send out your Certificate should you choose to have a printed copy sent to you
You will not need a USI to enrol or attend this course, HOWEVER, as of the 01st January 2015, Intelligent Training Solutions is prevented from issuing you with your nationally recognised VET qualification, Certificate of Completion, Statement of Attainment, or a Statement of Results when you complete your course if you have not supplied us with your Unique Student Identifier (USI). To view the USI privacy notice, visit the USI website: https://www.usi.gov.au/students
Do you have a Unique Student Identifier (USI)?*
Please enter your USI below*

Please note, your USI will be case sensitive and will need to match the name you provided on this enrolment form.

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SECTION D - EMERGENCY CONTACT DETAILS
This course requires you to participate in classroom activities which may or may not involve outdoor training activities. In the unlikely event of a medical emergency such as a heart, asthma or anaphylaxis attack, we require you to provide us with some emergency contact details.
Please ensure that the person you nominate below is aware of your medical history and will be available to contact on the day of your training.
Who would you like us to contact in the unlikely event of an emergency?
Title
First Name*
Family Name (Surname)*
Telephone: Mobile*
Telephone: Other
Relationship: How this is person related to you?*

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SECTION E - AVETMISS DATA COLLECTION & PRE-TRAINING REVIEW (PTR) DATA
Intelligent Training Solutions is required to collect the following information for NCVER. For learn about the AVETMISS data collection process or the NCVER please visit the NCVER website.
For those interested in a quick overview of why Registered Training Organisations such as Intelligent Training Solutions needs to collect AVETMISS data, watch the following NCVER video: https://www.youtube.com/watch?v=hveBYeuGee4.
Please remember, you are entitled to view your own personal information held by Intelligent Training Solutions Pty Ltd at any stage by appointment. If you wish to view your records please our administration office.
Recognition of Prior Learning (RPL) or Direct Credit Transfer (DCT)
Have you enrolled in a similar course elsewhere?*
- No
- Yes
If Yes, please provide us with the name and course title of the course you completed*
Have you been employed in the area covered by this course?*
- No
- Yes
If Yes, what was the industry you worked in and the Job title you held?*

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EMPLOYMENT STATUS - AVETMISS 8 & PTR DATA REQUIREMENT
Of the following categories, which BEST describes your current employment status?*
If unemployed, are you registered as a Jobseeker?*
- YES
- NO
Of the following categories, which BEST describes your occupation?*
Other? Please specify*
Of the following categories, which BEST describes the industry you work in?*
Other? Please specify*

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SCHOOL AND EDUCATION HISTORY - AVETMISS 8 AND PTR REQUIREMENT
Are you still attending secondary school?*
Please provide us with your Victrorian Student Number (VSN)*
What is your highest COMPLETED school level?*
In which YEAR did you complete your highest level of schooling?*

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PREVIOUS QUALIFICATIONS ACHIEVED - AVETMISS 8 AND PTR REQUIREMENT
Have you ever SUCCESSFULLY completed a qualification in AUSTRALIA?*
Please tick ANY applicable boxes.*
- 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
- Miscellaneous Education
REASON FOR STUDY - AVETMISS 8 AND PTR REQUIREMENT
Of the following categories, which BEST describes your main reason for undertaking this course?*
If other reasons, please specify

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SECTION F - NOMINATE A THIRD PARTY TO PAY FOR THIS COURSE
Is this course being paid for by a third party such as an employer, school, employment agency or other organisation?*
- NO
- YES
If Yes, please complete the details below
Organisation Name
Organisation ABN (Australian Business Number)
Contact Person*
Organisation Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Organisation | Contact Telephone*
Organisation | Contact Email Address*
Enter Email Confirm Email

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SECTION G - ENROLMENT PRIVACY NOTICE & TERMS AND CONDITIONS
PRIVACY NOTICE (VERSION 2) 2020 UPDATE
Under the Data Provision Requirements 2012, Intelligent Training Solutions Pty Ltd 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 by Intelligent Training Solutions for statistical, administrative, regulatory and research purposes. Intelligent Training Solutions 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 administrated 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.
For more information about NCVER's Privacy Policy go to https://www.ncver.edu.au/privacy
TERMS AND CONDITIONS FOR ENROLLING INTO THIS COURSE
PLEASE TAKE A MOMENT TO REVIEW OUR ENROLMENT TERMS AND CONDITIONS BY CLICKING THE LINK BELOW.
You can also download, view or print a copy of our terms and conditions, including our refund policy, assessment policy and withdrawal policy to name a few, by clicking the Student Administration link below:
CLICK HERE to view the Terms and Conditions associated with your enrolment

CLICK HERE is visit our Student Administration section
TERMS AND CONDITIONS*
- I have read and understood the above privacy notice and the terms and conditions related to my enrolment.

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SECTION H - STUDENT DECLARATION
PLEASE NOTE:
TO SUBMIT THIS ENROLMENT FORM, YOU MUST AGREE TO ALL THE TERMS AND CONDITIONS LISTED BELOW & SIGN YOUR NAME WHEN PROMPTED.
STUDENT DECLARATION*
- I declare that the information I have provided, to the best of my knowledge, is true and correct.
- I consent to the collection, use and disclosure of my personal information in accordance with the Privacy Notice listed on the previous page.
- I understand the terms and conditions of this written agreement, including the refund policy. I have been advised and understand the fees involved with my enrolment and agree to be a student of Intelligent Training Solutions Pty Ltd (RTO: 22570)
- I agree to pay all the fees and charges associated with my enrolment. I understand that if I nominate a third party to make payment for this enrolment, I remain liable for all enrolment fees until such time as the nominated third party has settled the account.
- I understand that I must give I.T.S 7-days notice if I cannot attend this course. Should I fail to provide 7-days notice, I understand that I am liable and must pay the FULL course fees. Failure to do so will result in my account being sent to a debt collection agency. I understand that failure to officially withdraw from a course, as stated in the refund clause, will result in a vacant position within the course and will deprive I.T.S and the course from the revenue it would provide.
- I give permission for Intelligent Training Solutions to apply or search for my Unique Student Identifier on my behalf if I do not provide one myself within this Enrolment Form and I understand that by providing my USI to Intelligent Training Solutions I give permission for Intelligent Training Solutions to view the course records contained in my USI account.
- I understand that I can view my own records held by Intelligent Training Solutions by contacting the administration office.
- I have made my own enquiries and believe that this training course is suitable for my personal and/or career purposes. I consider that, based on my educational attainment, capabilities, aspirations and interests, this training is appropriate for me.
You must tick all the boxes above to be presented with the 'SUBMIT YOUR ENROLMENT' button.
If you have any concerns about our terms and conditions, please contact our office on 03 5415 0204 during business hours
STUDENT SIGNATURE*

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ADDITIONAL PRODUCTS & COURSE OPTIONS RELATED TO YOUR ENROLMENT
PLEASE NOTE: The following services, products and course options are optional and are not required as part of your enrolment. They serve as optional extras designed to assist you with your career.
OPTIONAL | A Printed (Hard Copy) A4 Statement of Results (CERTIFICATE)
Each student will receive a their Statement of Results (Certificate) via PDF. This PDF will be sent directly to the email address on this enrolment form once you have successfully completed your course.
NOTE: Only select this option IF YOU WOULD LIKE to receive a printed copy of your Statement of Results (Certificate). All printed copies will be sent via Australia Post using their standard mail service. Delivery times will vary between 2 to 14 days from successful completion of your course depending on the area in which you live.
NEW 2019 Design: SURVIVAL WORKPLACE First Aid Kit
Tick off every item on your first aid kit checklist with this SURVIVAL First Aid kit. Suitable for home and compliant for workplaces, this kit contains all the components you need to deal with a First Aid emergency.
NOTE: This kit is Nationally compliant with Safe Work Australia's Health and Safety Code of Practice and is therefore approved for use within a workplace.
For more information on this kit or to see a full list of the items included, visit: SURVIVAL EMERGENCY SOLUTIONS
SURVIVAL Snake Bite Kit
Designed in Australia by leading first aid experts and developed in conjunction with snake safety experts (SSSafe), the SURVIVAL Snake Bite Kit is built around the success of SURVIVAL's revolutionary smart bandage to effectively manage potentially deadly snake and funnel-web spider bites. This kit also contains life-saving instructions on correct snake bite bandage techniques.
For more information on this kit or to see a full list of the items included, visit: SURVIVAL EMERGENCY SOLUTIONS
PREFERRED PAYMENT METHOD
YOUR PREFERRED PAYMENT METHOD*
By selecting 'PAY ON INVOICE' our admin team will send an invoice to the email address you provided on this form. This invoice may take up to 2 working days to arrive.
By selecting 'PAY VIA PAYPAL' you will be transferred to the PayPal system upon submitting your enrolment form. You do not need a PayPal account to complete your purchase.
By selecting 'PAY VIA CREDIT CARD' you will be transferred to our STRIPE system upon submitting your enrolment form. From here you will be able to securely complete your purchase using your credit card.
TOTAL ENROLMENT FEE
$ 0.00
Phone
This field is for validation purposes and should be left unchanged.

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2021 ENROLMENT FORM

Step 1 of 13

Enrolment Form for VET Accredited Courses

SECTION A - COURSE ENROLMENT CONFIRMATION

SECTION B - PREVIOUS APPLICATIONS AND/OR ENROLMENTS

SECTION C - PERSONAL DETAILS

SECTION D - EMERGENCY CONTACT DETAILS

SECTION E - AVETMISS DATA COLLECTION & PRE-TRAINING REVIEW (PTR) DATA

SECTION F - NOMINATE A THIRD PARTY TO PAY FOR THIS COURSE

SECTION G - ENROLMENT PRIVACY NOTICE & TERMS AND CONDITIONS

SECTION H - STUDENT DECLARATION

ADDITIONAL PRODUCTS & COURSE OPTIONS RELATED TO YOUR ENROLMENT

PREFERRED PAYMENT METHOD