ENROLMENT FORM - VERIFICATION OF COMPETENCE (VOC) COURSE

EMAIL: ENROLMENT@ITS.EDU.AU | CALL: 1300 585 866 | WEB: WWW.ITS.EDU.AU

SECTION A - COURSE REGISTRATION CONFIRMATION

Assist Clients with Medication (VOC) Course - 2.30pm to 4.30pm(Required)

Price:

Verification of Competence - Professional Development Course

Estimated Enrolment Cost

SECTION B - PREVIOUS APPLICATIONS AND/OR ENROLMENTS

Have you previously applied to, or been enrolled at Intelligent Training Solutions?(Required)

NO

YES

UNSURE

Has your name changed since your last enrolment with us?(Required)

NO

YES

If Yes, please enter your previous name(Required)

Please enter your previous FULL legal name

SECTION C - PERSONAL DETAILS

Please enter your full name(Required)

Prefix First Middle Last

PLEASE NOTE: This will be the name we print on your Certificate of Competence.

Please enter your D.O.B(Required)

Gender?(Required)

CONTACT DETAILS

Telephone: Mobile(Required)

Would you like to provide with us an alternative number?

NO

YES

Telephone: Other(Required)

Your preferred email address(Required)

Enter Email Confirm Email

RESIDENTIAL ADDRESS

Address(Required)

Street Address Address Line 2 Suburb State Post 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.

MAILING ADDRESS

Is your mailing address the same as your residential address?(Required)

NO

YES

Please enter your mailing address below.

Please enter your mailing address(Required)

Street Address Address Line 2 City State Post 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

SECTION D - EMERGENCY CONTACT DETAILS

Would you like to provide us with your preferred emergency contact?(Required)

NO

YES

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?

Emergency Contact Full Name(Required)

Prefix First Last

Emergency Contact Persons Mobile Number(Required)

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

Is this course being paid for by a third party such as an employer, school, sporting club, employment agency or other organisation?(Required)

YES

SECTION F - ENROLMENT PRIVACY NOTICE & TERMS AND CONDITIONS

SECTION G - 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(Required)

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 above.

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 eight days notice if I cannot attend this course. Should I fail to provide eight (8) 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 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.

If you have any concerns about our terms and conditions, please contact our office on 03 5415 0204 during business hours

STUDENT SIGNATURE(Required)

BEFORE YOU GO - CHECK OUT THESE FIRST AID RELATED PRODUCTS YOU MAY BE INTERESTED IN!

TOTAL COST

Name

This field is for validation purposes and should be left unchanged.

Enrolment In: ASSISTING CLIENTS WITH MEDICATION (VOC) COURSE – Connecting Staff – Saturday 04th May 2024