Enrolment Form


TLI41316 Certificate IV in Transport and Logistics (Road Transport – Heavy Vehicle Driving Instruction) – Blended Delivery – Term 3 – (Between a 4 to 12 week course)

STEP 1 - Complete Your Enrolment Form

NOTE: THIS PAYMENT AMOUNT IS A DEPOSIT ONLY. THE FULL FEE COST OF THIS COURSE IS $4,888.00. IF YOU ARE APPLYING FOR A GOVERNMENT FUNDED POSITION PLEASE DO NOT COMPLETE THIS ENROLMENT FORM. GOVERNMENT FUNDED CLIENTS WILL NEED TO CALL 03 9350 7420

700.00


2017 ENROLMENT FORM

PLEASE COMPLETE THIS FORM CAREFULLY

Required or compulsory information will be highlighted in RED BOLD TEXT and must be provided or your enrolment or it will be denied.
If you require assistance with this form please call (03) 9351 1068. Our interstate students should call 1300 585 866.


SECTION A

If you selected NO then please move to the next question otherwise please insert your ITS Student Number below


SECTION B - PERSONAL DETAILS

Contact Details

If possible, PLEASE provide us with both a home (land line) number and a mobile number. As most of our courses have practical sessions within them it may become important for our trainers to contact you should the need arise.

What is the address of your usual residence? (REQUIRED FOR AVETMISS 7)

Please provide the physical address (street number and name not post office box) where you usually reside rather than any temporary address at which you reside for training, work or other purposes before returning to your home. If you are from a rural area use the address from your state’s or territory’s rural property addressing’ or ‘numbering’ system as your residential street. This is the address your qualification will be sent.

What is your postal address (if different from the above)?

If you selecting 'As Above' please move to the next question.


Do you have a Unique Student Identifier (USI)? (Example: 9WKC867EAA)

You won't need a USI to enrol or attend this course, however, to be issued with a Certificate or Statement of Attainment you will need to provide us with your USI. Click here to get a USI: https://www.usi.gov.au/students

Yes (If so, please specify below)
Yes, but the USI is unknown
No, I have never been issued with a Unique Student Identifier Number


Emergency contact details

Who would you like us to contact in the unlikely event of an emergency? Please ensure you nominate somebody that can be contacted and knows your medical history.

How do we get in touch with your Emergency Contact?

If possible, please provide us with both a home (landline) number and a mobile number. As most of our courses have practical sessions within them it may become important for our trainers to contact you should the need arise.


SECTION C - AVETMISS DATA

Intelligent Training Solutions is required to collect the following information for NCVER. For more information on AVETMISS data collection please visit the NCVER website. For a quick overview on why we need to collect the following information watch the following NCVER video: https://www.youtube.com/watch?v=hveBYeuGee4 You are entitled to view your own personal information held by Intelligent Training Solutions Pty Ltd. If you wish to view your records please contact us.


Recognition of Prior Learning (RPL) or Mutual Recognition

(Note: If you have you may be eligible for Mutual Recognition. Please contact the ITS Training Manager for additional information)

(Note: If you have you may be eligible for RPL. Please contact the ITS Training Manager for additional information)


Language and cultural diversity

If No, go to question 5.

6. Are you of an Aboriginal or Torres Strait Islander origin?

*


Disability

If No, go to question 10.

8. If you indicated the presence of a disability, impairment or long-term condition, please select the area(s) in the following list: (You may indicate more than one area)

Hearing/deaf
Physical
Intellectual
Learning
Mental illness
Acquired brain impairment
Vision
Medical Condition
Other

9. Do you require special assistance because of your disability?


Employment Status

10b. Occupation Identifier (Victorian Enrolments Only)

10c. Industry of Employment (Victorian Enrolments Only)


Schooling


Previous qualifications achieved

if No - go to question 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 1
Certificates other than the above

Note: Include the FULL title of the qualification, example: Certificate II in Aged Care


Study reason

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

*


SECTION D  - TERMS AND CONDITIONS

Click the following link to view your Enrolment Terms and Conditions.

http://www.its.vic.edu.au/enrolment-terms/


SECTION E - THIRD PARTY FUNDED COURSES

Please complete this section if your workplace, school or another organisation will be paying for your course. Be sure to provide us with as much information as possible to ensure that our staff can successfully invoice the third party.

If YES, please complete the details below.


How did you find us?*

How did you find us?

* Google search
Newspaper advertisement
Referred by another RTO
Referred by a friend
Online advertisement
Facebook
Local Neighbourhood House
Other

If other, please specify

If you indicated that you had been referred to us or you found on through advertisement please specify


SECTION F

APPLICANT DECLARATION – THIS SECTION MUST BE COMPLETED.

Please read the following information carefully, if left blank, the enrolment will not be accepted.

Personal information is collected solely for the purpose of operating as a Registered Training Organisation under the Australian Quality Training Framework (AQTF) administered by the Vocational Education and Training Accreditation Board who are the registering authority. The requirements of the registering authority may mean the release of your personal information for the purpose of audit, or for collection of data by Commonwealth and State Government departments and agencies. It is a requirement of the AQTF that students can access personal information held by Intelligent Training Solutions Pty Ltd and may request corrections to information that is incorrect or out of date. Please apply to the ITS Training Manager if you wish to view your own records.

I understand that Intelligent Training Solutions Pty Ltd is required to provide the Victorian Government, through the Department of Education and Early Childhood Development, with student and training activity data which may include information I provide in this enrolment form. Information is required to be provided in accordance with the Victorian VET Student Statistical Collection Guidelines (which are available at http://www.education.vic.gov.au/training/providers/rto/Pages/datacollection.aspx). The Department may use the information provided to it for planning, administration, policy development, program evaluation, resource allocation, reporting and/or research activities. For these and other lawful purposed, the Department may also disclose information to its consultants, advisers, other government agencies, professional bodies and/or other organisations. I have been advised by ITS P/L that I may be contacted and requested to participate in a National Centre for Vocational Education Research survey or a Department-endorsed project or audit or review.

Please tick ALL of the following statements

* I understand the terms and conditions of this written agreement and the refund conditions and confirm that I have been fully advised of the fees and refund conditions of enrolment and agree to be a student at Intelligent Training Solutions Pty Ltd.
I agree to pay all fees and charges according to the payment schedule that is part of this agreement.
I further agree to give ITS Pty Ltd 7 days’ notice if I do not intend to attend a course I have been enrolled into and agree that should I fail to give such notice than I am liable for the FULL course fee to be invoiced to me. Failure to officially withdraw from a course (as stated in our refund clause) will result in a vacant position within the course and will deprive ITS and the course from the revenue it would provide.
I give permission to Intelligent Training Solutions to apply for my Unique Student Identifier on my behalf if I do not provide one myself within this Enrolment Form.
I understand that by providing my USI number I give permission to Intelligent Training Solutions to view the course records contained in my USI account.
I understand that I can apply to the ITS Administration Manager if I wish to view my own records.

By completing the following fields, you are signing this enrolment form electronically. You agree your electronic signature is the legal equivalent of your manual signature on this enrolment.


PAYMENT OF COURSE FEES

Intelligent Training Solutions can accept payment for your course fees in the following ways:

  1. On Invoice - All our invoices contain payment options including Direct Bank Transfer details.

We can also accept payment via the following methods, however, payments made using the following methods will incur a 2% surcharge

  1. PayPal
  2. Credit Card via our PayPal Systems
  3. Phone Payment

IMPORTANT!

If you select 'PayPal' as your method of payment and then don't finalise your payment on the PayPal system, your enrolment form will be automatically cancelled by our system and will require you to start again.