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TLI41222 - Certificate IV in Motor Vehicle Driver Training

ENROLMENT FORM

Please fill out this form, and our team will get back to you in 3-5 business days.

Participant Details

First Name*

Middle Name

Last Name*

Driver's Licence Number*

USI (if known)

Gender*

Usual Address

Street Address*

Suburb*

State*

Postcode*

Letter of Eligibility*

Postal Address (if different)

Postal Address

Suburb

State

Postcode

Contact Information

Home Phone*

Mobile*

Date of Birth*

Email Address*

Emergency Contact

Phone Number*

Relationship*

ID Verification

Driver's Licence or Passport Number*

Course Start Date*

Employment Status

Current Employment Status*

Employer Details (if applicable)

Business Name

ABN

Contact Name

Email Address

Phone Number

Fax

Cultural Background

Are you of Aboriginal or Torres Strait Islander Origin?*
YES
NO

Were you born in Australia?*
YES
NO

If not, what is your Country of Birth?

Do you speak a language OTHER THAN English at home?*
YES
NO

If YES, which language do you usually speak?

How well do you speak English?*

Do you require any language, literacy, or numeracy assistance?*
YES
NO

Education

What is your highest COMPLETED school level?*

In which YEAR did you complete that school level?*

Are you still attending secondary school?*

YES

Since leaving school, have you COMPLETED any of the following qualifications?*

If YES, what was the name of the qualification(s)

Disability

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

YES

If you indicated the presence of a disability, impairment or long-term condition, please select the area from the following list:

If you have more than one disability, please list the other(s) here

If you require assistance for a disability, please advise how we may assist you

Study Reason

Of the following categories, which BEST describes your main reason for undertaking this course?*

Recognition of Prior Learning

RPL is not available for this training and assessment program. The information you have provided will remain private and confidential. I have read and accepted the terms and conditions of the fees and refund policy as described in the Participant Handbook. I give permission for Academy of Road Safety to discuss my training progress and results with my employer (if applicable), ASQA, Department of Education and other appropriate people as deemed necessary by Academy of Road Safety. I give permission for Academy of Road Safety to record evidence of my participation and assessment, in written, verbal, photographic (including video) formats. I do/ do not (select one below) also give permission for Academy of Road Safety to use any recorded evidence for future promotional, commercial and educational purposes

Please select one of the following*

I DO

I DO NOT

LLN Info

Successful completion of the Language Literacy and Numeracy (LLN) assessment is mandatory before commencing the TLI41222 - Certificate IV In Motor Vehicle Driver Training course. Should you require any guidance or clarification, please don't hesitate to get in touch with us. In the event that you do not meet the requirements for LLN, you will be offered the choice of receiving a course refund.

Agreement

During the course of this program, I understand and acknowledge the following.*
YES
NO

My obligation at all times to conduct myself safely and in adherence to all relevant legislation.
I will actively attempt all training and assessment tasks with serious effort.
I will comply with all safe and lawful requests.
I will arrive on time and will return on time from all breaks.
That I will not bully, abuse, vilify or fail to treat all people participating, associated with, or in the vicinity of Academy of Road Safety training venues with the utmost respect and courtesy.

I agree to accept these terms and have read & understood the Student Handbook.*

I AGREE

Date*

Signature Initials*

Academy of Road Safety's rights and obligations include

To provide quality training and assessment services, compliant to the RTO Standards 2015, in a competent manner through the provision of quality resources and staff resulting in the issuance of AQF statement of attainment. Assessment be performed by qualified assessors with the required knowledge and currency in the needs of industry. Guaranteeing to provide assessment services to customers who have met their obligations with regard to completion of enrolment details and financial payments. Guaranteeing that in the event that Academy of Road Safety cannot deliver a course, a full refund of all monies paid to Academy of Road Safety will be refunded to the purchaser. Committing that training will not be offered to participants who fail to wear PPE or fail to pay for the course. Choosing to terminate a customer's training if they fail to uphold these standards. Keeping participants informed of any changes in the service delivery including trainers, our ownership, the engagement of third parties or any other aspect of the participants training experience.

Privacy Notice

Why we collect your personal information

As a registered training organisation (RTO), we collect your personal information so we can process and manage your enrolment in a vocational education and training (VET) course with us.

How we use your personal information

We use your personal information to enable us to deliver VET courses to you, and otherwise, as needed, to comply with our obligations as an RTO.

How we disclose your personal information

We are required by law (under the National Vocational Education and Training Regulator Act 2011 (Cth) (NVETR Act)) to disclose the personal information we collect about you to the National VET Data Collection kept by the National Centre for Vocational Education Research Ltd (NCVER). The NCVER is responsible for collecting, managing, analysing and communicating research and statistics about the Australian VET sector. We are also authorised by law (under the NVETR Act) to disclose your personal information to the relevant state or territory training authority.

How NCVER and other bodies handle your personal information

NCVER will collect, hold, use and disclose your personal information in accordance with the law, including the Privacy Act 1988 (Cth) (Privacy Act) and the NVETR Act. Your personal information may be used and disclosed by NCVER for purposes that include populating authenticated VET transcripts; administration of VET; facilitation of statistics and research relating to education, including surveys and data linkage; and understanding the VET market. NCVER is authorised to disclose information to the Australian Government Department of Employment and Workplace Relations (DEWR), Commonwealth authorities, state and territory authorities (other than registered training organisations) that deal with matters relating to VET and VET regulators for the purposes of those bodies, including to enable

• administration of VET, including program administration, regulation, monitoring and evaluation

• facilitation of statistics and research relating to education, including surveys and data linkage

• understanding how the VET market operates, for policy, workforce planning and consumer information. NCVER may also disclose personal information to persons engaged by NCVER to conduct research on NCVER’s behalf.

NCVER does not intend to disclose your personal information to any overseas recipients. For more information about how NCVER will handle your personal information please refer to the NCVER’s Privacy Policy at www.ncver.edu.au/privacy. If you would like to seek access to or correct your information, in the first instance, please contact your RTO using the contact details listed below. DEWR is authorised by law, including the Privacy Act and the NVETR Act, to collect, use and disclose your personal information to fulfil specified functions and activities. For more information about how DEWR will handle your personal information, please refer to the DEWR VET Privacy Notice at https://www.dewr.gov.au/national-vet-data/vet-privacy-notice.

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