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 - 11am - 1pm(Required)

Price:

Verification of Competence - Professional Development Course

The following professional development courses are conducted on the same day. Would you like to add one of these courses to your enrolment?

ADD: Infection Prevention & Control Measures (8.30am - 10.30am)

ADD: Manual Handling for Disability Support Workers (1.30pm- 3.30pm)

PLEASE NOTE: By enrolling in another course now, you will receive a 10% discount on your second or third course. This offer is only valid at this point in time.

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)

NO

YES

PLEASE NOTE: Intelligent Training Solutions will send a QUOTE to this contact for their confirmation and signature. Please ensure you have spoken with your employer or the third party responsable as the enrolment fees for this course remain with you until confirmation has been received in writing by your third party.

If Yes, please complete the details below

Organisation Name

ABN (Australian Business Number)

Contact Person(Required)

Organisation | Contact Telephone(Required)

Organisation | Contact Email Address(Required)

Enter Email Confirm Email

Organisation Address

Street Address Address Line 2 City State Post Code Country

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!

SURVIVAL Workplace First Aid Kit - $179.95

ADD 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 - $84.95

Add 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

SURVIVAL Pet First Aid Kit - $139.95

Add SURVIVAL Pet First Aid Kit

Expertly designed to sit perfectly on your hip with a clever waist belt attachment, this pet powerhouse provides easy access to every accessory, treat and first aid tool your favourite furry friend will ever need.

For more information on this kit or to see a full list of the items included, visit: SURVIVAL EMERGENCY SOLUTIONS

HOW DO YOU WISH TO MAKE PAYMENT FOR THIS COURSE?

PLEASE SELECT YOUR PREFERRED PAYMENT METHOD(Required)

PAY ON INVOICE - DUE IN 7 DAYS

PAY VIA PAYPAL - ADDITIONAL 2.9% + .30cents

PAY VIA CREDIT CARD - ADDITIONAL 2.9% + .30cents

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 COST

HERE IS THE TOTAL AMOUNT WE WILL BE SEEKING APPROVAL FOR FROM YOUR NOMINATED THIRD PARTY PAYMENT PROVIDER

TOTAL COST

Comments

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

Enrolment In: Assisting Clients with Medication Course @ East Keilor – Monday 12th September 2022

ENROLMENT FORM - VERIFICATION OF COMPETENCE (VOC) COURSE

SECTION A - COURSE REGISTRATION CONFIRMATION

SECTION B - PREVIOUS APPLICATIONS AND/OR ENROLMENTS

SECTION C - PERSONAL DETAILS

SECTION D - EMERGENCY CONTACT DETAILS

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

SECTION F - ENROLMENT PRIVACY NOTICE & TERMS AND CONDITIONS

SECTION G - STUDENT DECLARATION

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

HOW DO YOU WISH TO MAKE PAYMENT FOR THIS COURSE?

HERE IS THE TOTAL AMOUNT WE WILL BE SEEKING APPROVAL FOR FROM YOUR NOMINATED THIRD PARTY PAYMENT PROVIDER