Application form | Unleashedcollective

Student Enrolment Form

First Name

Last Name

Preferred Name

Home phone number

Mobile phone number

Birthday

Social media account tags/name

Home address

Postal address (if different to home address)

Gender

Male

Female

Prefer not to say

Your website (if established)

Your Nominated Start Date is: [date you wish to start]

If applying for a stand alone module, which one?

Emergency Contact First Name

Emergency Contact Daytime Number

Emergency Contact Last Name

Emergency Contact Afterhours Number

Relationship to applicant

Personal Details

In which country where you born?

Australia

Other

Do you speak any language other than English? If yes, please specify

How well do you speak English?

Very well

Well

Not well

Not at all

Are you of Aboriginal or Torrest Strait Islander origin?

Yes, Aboriginal

Yes, Torres Strait Islander

Yes, both Aboriginal and Torres Strait Islander

If other, please specify

In what year did you complete school?

Are you still attending secondary school?

Yes

Have you successfully completed any of the following qualifications

Bachelor Degree or Higher Degree

Advanced Diploma or Assocaite Degree

Diploma or Associate Diploma

Certificate IV (or Advanced Certificate or Technician)

Certificate III (or Trade Certificate)

Certificate II

Certificate I

Yes, Certificates other than listed above

Please provide what Country and State this qualification was completed in

Of the following categories, which best describes your current employment status?

Of the following categories, which best describes your main reason for undertaking this course/apprenticeship/traineeship? (Tick one box only)

To get a job

To develop my exsisting business

To start my own business

To try for a different career

To get a better job or promotion

It was a requirement of my job

I wanted extra skills for my job

To get into another course of study

For personal intrests or self development reasons

The Unleashed Collective requires that you provide 100 point proof of identification. Please specify which identification you will be providing here and upload files below. (Please refer to the end of the enrolment form for guidelines for providing 100 points of identification. If your device is not compatible with this upload requirement, please attach any document and email your ID to us directly: hello@theunleashedcollective.com)

Please upload identity documents here or send them via email to hello@theunleashedcollective.com

Upload File

Why are you choosing this course?

Do you have a specific career aim or job in mind for the future?

Where did you hear about us and why did you choose us as your training provider?

Do you consider that you have adequate literacy and numeracy skills to undertake this course?

Yes

Not sure

Are you seeking credit for previous learning or recognition of prior learning?

Yes

Not sure

Are there any individual needs you have that we should be aware of, so that we take this into account when planning your training?

Yes

Not sure

If yes, please provide us with a little more information

Unique Student Identifier

If you're studying nationally recognised training in Australia from 1 January 2015, you will be required to have a Unique Student Identifier (USI). Your USI links to an online account that contains all your training records and results (transcript) that you have completed from 1 January 2015 onwards. Your results from 2015 will be available in your USI account in 2016.

When applying for a job or enrolling in further study, you will often need to provide your training records and results (transcript). One of the main benefits of the USI is the ability to provide students with easy access to their training records and results (transcript) throughout their life. You can access your USI account online from your computer, tablet or smart phone anytime. Fact sheets –available to download Student Information for the USI

It's free and easy to create your own USI and will only take a few minutes of your time. Alternatively, we can create your USI on your behalf. To do this we will need some additional identification information from you such as your driver’s licence number.

Do you already have a Unique Student Identifier?

Yes

Not sure

In which Country, State and Suburb were you born? Please ensure you list all three)

Please provide your Unique Student Identifier. Visit this website to get your USI: (https://www.usi.gov.au/)

Would you like us to help create your USI on your behalf?

Yes

Not sure

If yes, which State or Territory issued your Driver's Licence?

What is your Licence number?

If you do not have a Driver’s Licence, there are a range of other Proof of ID options including:

Medicare Card
Australian Passport
Visa (with Non-Australian Passport)
Birth Certificate (Australian) *please note a Birth Certificate extract is not sufficient
Certificate Of Registration By Descent
Citizenship Certificate
ImmiCard

You can review the Proof of ID examples at this site: http://www.usi.gov.au/help-centre/proof-of-ID/Pages/proof-of-ID.aspx. Please provide The Unleashed Collective with one of the alternative ID options.

Student declaration

I understand the terms of this Contract and the refund conditions and confirm that I have been fully advised of the fees, refund conditions and conditions of enrolment and agree to be a student at The Unleashed Collective.

I agree that it is my responsibility to retain a copy of this written agreement as supplied by the RTO, The Unleashed Collective and receipts of any payments of tuition fees or non-tuition fees.

I agree that under the Data Provision Requirements 2012, The Unleashed Collective is required to collect personal information about me and to disclose that personal information to the National Centre for Vocational Education Research Ltd (NCVER).

My personal information (including the personal information contained on this enrolment form and my training activity data) may be used or disclosed by The Unleashed Collective for statistical, regulatory and research purposes. The Unleashed Collective may disclose my personal information for these purposes to third parties, including:

School – if you are a secondary student undertaking VET, including a school-based apprenticeship or traineeship;
Employer – if you are enrolled in training paid by your employer;
Commonwealth and State or Territory government departments and authorised agencies;
NCVER; Organisations conducting student surveys; and Researchers.
Personal information disclosed to NCVER may be used or disclosed for the following purposes:

Issuing a VET Statement of Attainment or VET Qualification, and populating Authenticated VET Transcripts;
facilitating statistics and research relating to education, including surveys;
understanding how the VET market operates, for policy, workforce planning and consumer information; and
administering VET, including program administration, regulation, monitoring and evaluation. I may receive an NCVER student survey which may be administered by an NCVER employee, agent or third-party contractor. I may opt out of the survey at the time of being contacted.
NCVER will collect, hold, use and disclose my personal information in accordance with the Privacy Act 1988 (Cth), the VET Data Policy and all NCVER policies and protocols (including those published on NCVER’s website at www.ncver.edu.au).

Learner Support Policy: Will be available upon request or if a need is identified by a trainer/assessor. Learning support is offered at pre-enrolment and the pre-enrolment interview will enquire further incl. LLN but not limited.

For those students becoming a marriage celebrant: The Attorney Generals Department applies ongoing fee’s associated with becoming a marriage celebrant in Australia. These are out of our control and do change. Visit the AGs website to find out https://www.ag.gov.au/FamiliesAndMarriage/Marriage/Pages/Becomingamarriagecelebrant.aspx

By signing this form, I certify that the information provided is true and correct. I further certify that:

I have reviewed the Student Handbook supplied to me and have been informed about my rights and obligations.
I have reviewed the Schedule of Fees and Payments and have been informed of the refund policy.
I have reviewed the relevant course brochure and have been informed of the training and assessment services to be provided and the units of competency to be completed.
I have been informed and read factors set by the Attorney Generals Department about becoming a marriage celebrant (if applicable to my coruse enrolment).
The information I have provided in this form is true and correct.

First name

Your Signature

Last name

Today's date

Please indicate below if you will be paying in full or via Payment Plan Arrangements. Direct Deposit arrangements will not be accepted for Payment Plan Arrangements. Direct Deposit is available to full paying enrolments only. A field is available for Smart and Skilled supported enrolments for the qualifications indicated, based on eligibility.

Payment method

In full

Weekly on Thursdays (Via direct debit

CHC30120 Certificate III in Business or CHC32015 Certificate III in Community Services - this training is subsidised by the NSW Government

For Fee for Service Students: You will be invoiced on receipt of your enrolment, this will be checked and accepted by you prior to use, commencing or taking any payments. Payments are required each Thursday until paid off. Once you select Apply Now, your form will be lodged, you will be notified with the Invoice shortly. Thank you.

Thanks for applying! Once you press Apply Now above, your enrolment form will disappear but we will be notified and will send you acknowledgement of receipt asap**

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