VET Enrolment Form - Kyabram P-12 College

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- Step 1 of 10

Privacy Statement & Student Declaration

I declare that the information I have provided to the best of my knowledge is true and correct. I understand that my RTO [Kyabram P-12 College] is required to submit data sourced from this enrolment form to the national VET administrative collection as a regulatory reporting requirement. The information contained on my enrolment form may be used by my RTO or the following third parties for administrative, regulatory and/or research purposes:

School - if I am a secondary student undertaking VET, including a school based apprenticeship or traineeship.
Employer - if I am enrolled in training paid by my employer.
Government departments and authorised agencies.
Researchers.

Privacy statement & student declaration *

I understand that I may receive a National Centre for Vocational Education Research (NCVER) student survey.

Personal Details

1. Student Name *

First

Middle

Last

* Please write the name that you used when you applied for your Unique Student Identifier (USI), including any middle names. If you do not yet have a USI and want [name of RTO] to apply for a USI on your behalf, YOU MUST WRITE YOUR NAME, INCLUDING ANY MIDDLE NAMES, EXACTLY AS WRITTEN TO IDENTITY DOCUMENT you choose to use for this purpose. See section on the USI at the end of this form for a detailed explanation.

2. Enter your birth date *

3. Sex (Tick ONE box only) *

Male
Female
Other

4. Enter your contact details *

Home Phone Number

Work Phone Number

Email *

Confirm Email

5. What is the address of your usual residence? *

Address Line 1

City

State / Province / Region

Postal Code

6. Is your postal address different to the address above? *

6.1 What is your postal address?

Address Line 1

City

State / Province / Region

Postal Code

Country

VET course being undertaken:

22632VIC - Certificate II in Engineering Studies
22338VIC - Certificate II in Building and Construction Pre-apprenticeship (partial completion) Pre-2024
CPCWHS1001 - Prepare to work safely in the construction industry (White card)
AUR20720 - Certificate II in Automotive Vocational Preparation
22614VIC - Certificate II in Building and Construction Pre-Apprenticeship (Partial Completion) 2024 onwards

Note: parental consent required if student is under the age of 18

Language and cultural diversity

7. In which country were you born? *

Australia
Other - please specify below

7.1 In which country were you born?

8. Do you speak a language other than English at home? *

No, English only
Yes, other - please specify below

8.1 Do you speak a language other than English at home?

9. How well do you speak English?

Very well
Well
Not well
Not at all

10. Are you of Aboriginal or Torres Strait Islander origin? *

No
Yes, Aboriginal
Yes, Torres Strait Islander

Disability

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

12. If you indicate the presence of a disability, impairment or long-term condition, please select the area(s) in the folowing list:

Hearing / Deaf
Physical
Intellectual
Learning
Mental Illness
Acquired brain impairment
Vision
Medical Condition

You may indicate more than one area

Schooling

13. What is your highest COMPLETED school level? (Tick ONE box only) *

Year 12 or equivalent
Year 11 or equivalent
Year 10 or equivalent
Year 9 or equivalent
Year 8 or below
Never attended school

14. In which YEAR did you complete that school level? *

15. Are you still attending secondary school? *

Previous qualifications achieved

16. Have you SUCCESSFULLY completed any of the following qualifications? *

17. If YES, then 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
Certificate I
Certificates other than the above

Employment

18. Of the following categories, which BEST describes your current employment status? (Tick ONE box only) *

Full-time employee
Part-time employee
Self employed - not employing others
Employer
Employed - unpaid worker in a family business
Unemployed - seeking full-time work
Unemployed - seeking part-time work
Not employed - not seeking employment

Study reason

19. Of the following categories, which BEST describes your main reason for undertaking this course/traineeship/apprenticeship?

To get a job
To develop my existing 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 interest or self-development
Other reasons

Unique Student Identifier

From 1 January 2015, we [Kyabram P-12 College] can be prevented from issuing you with a nationally recognised VET qualification or statement of attainment when you complete your course if you do not have a Unique Student Identifier (USI). If you have not yet obtained a USI you can apply for it directly at http://www.usi.gov.au/create-your-USI/ on computer or mobile device.

20. Enter your Unique Student Identifier *