Enrolment Form


HLTAID004 Provide an Emergency First Aid Response in an Education and Child Care Setting (includes Asthma and Anaphylaxis) – Blended Delivery Course – Gisborne – Friday 02nd November 2018

STEP 1 - Complete Your Enrolment Form

Ticket Type Price Spaces
HLTAID004 PROVIDE AN EMERGENCY FIRST AID RESPONSE IN AN EDUCATION AND CARE SETTING COURSE - Gisborne - Friday 02nd November 2018

(The Australian Children's Education and Care Quality Authority has endorsed the HLTAID004 course as satisfying all educator requirements for First Aid, Anaphylaxis Management and Emergency Asthma Training as outlined in the National Regulations.)

Once enrolled you will receive a welcome email from our office containing instructions on how to complete your personal study component either online or in written format.

As part of your enrolment you will also receive:

  • A PDF Certificate
  • A Statement of Attainment
  • A Personalised Competency Card
  • A FREE digital copy of the training materials
  • A Keyring Resuscitation Mask and:
  • SMS notifcations on your course expiry dates

PLEASE NOTE: This enrolment form is for one person only. If you wish to add additional people to this course you will need to complete a new enrolment form for each person.

165.00
OPTIONAL - HLTAID004 Learner Guide with Student Assessment - PRINTED COPY
NOTE: Only select this option if you would prefer a hard copy of the training materials and student assessment
26.95
OPTIONAL - PRINTED A4 CERTIFICATE with Wallet Sized Plastic Card sent via EXPRESS POST
NOTE: Only select this option if you who would like to receive a printed copy of your Certificate sent via Express Post. Delivery times will vary between 1 to 2 days from successful completion of your course depending on the area you live in
10.00
OPTIONAL - PRINTED A4 CERTIFICATE with Wallet Sized Plastic Card sent via REGULAR POST
NOTE: Only select this option if you who would like to receive a printed copy of your Certificate sent via Regular Post. Delivery times will vary between 2 to 14 days from successful completion of your course depending on the area you live in
4.00

2018 ENROLMENT FORM

PLEASE COMPLETE THIS FORM CAREFULLY

Required or compulsory information will be highlighted in RED 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 then press Option 3. Interstate students can 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 8)

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. Building/property name is the official place name or common usage name for an address site, including the name of a building, Aboriginal community, homestead, building complex, agricultural property, park or unbounded address site. 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 will not need a USI to enrol or attend this course, HOWEVER, as of the 01st January 2015, Intelligent Training Solutions is prevented from issuing you with your nationally recognised VET qualification, Certificate of Completion, Statement of Attainment, or a Statement of Results when you complete your course if you have not supplied us with your Unique Student Identifier (USI). To view the USI privacy notice, visit the USI website

CLICK HERE TO CREATE YOUR 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? Most of our courses contain a practical element so it may be important for our trainers to contact them should the need present itself. Please ensure you nominate somebody that can be contacted and who knows your medical history.


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
Miscellaneous Education

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  - ENROLMENT TERMS AND CONDITIONS

PLEASE TAKE A MOMENT TO REVIEW OUR ENROLMENT TERMS AND CONDITIONS BY CLICKING THE LINK BELOW. You can also download a copy of our forms or the Information handbook by clicking the Student Administration link below

Your Enrolments Terms and Conditions

Student Administration


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
Google advertisement
Facebook advertisement
Referred by another RTO
Referred by a friend
Local Neighbourhood House
Other

If other, please specify


SECTION F

PRIVACY NOTICE AND STUDENT DECLARATION – THIS SECTION MUST BE COMPLETED.

PRIVACY NOTICE

Under the Data Provision Requirements 2012, Intelligent Training Solutions is required to collect personal information about you and to disclose that personal information to the National Centre for Vocational Education Research Ltd (NCVER) Your personal information (including the personal information contained on this enrolment form and your training activity data) may be used or disclosed by Intelligent Training Solutions for statistical, regulatory and research purposes. Intelligent Training Solutions may disclose your personal information for these purposes to third parties, including:

  • School - If you are a secondary student undertaking VET, including a school-based apprenticeshipo 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 disclsoed 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.
You may receive an NCVER student survey which may be administrated by an NCVER employee, agent or third party contractor. You may opt out of the survey at the time of being contacted. NCVER will collect, hold, use and disclose your 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.

STUDENT DECLARATION

  • 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 above.
  • I understand the terms and conditions of this written agreement including the refund procedures. 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 (RTO: 22570).
  • I agree to pay all fees and charges listed above as that is part of this agreement. I understand that if I nominated 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 agree to give ITS Pty Ltd 7 day's 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 for Intelligent Training Solutions to apply or search for my Unique Student Identifier on my behalf if I do not provide one myself within this Enrolment Form and I understand that by providing my USI to Intelligent Training Solutions I give permission for Intelligent Training Solutions to view the course records contained in my USI account.
  • I understand that I can view my own records held by Intelligent Training Solutions by contacting the administration office.
By completing the following fields, you are signing this enrolment form electronically. You agree your electronic acknowledgement (name, mobile number and acknowledgement date) is the legal equivalent of your signature on this enrolment.

Course Suitability Statement

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.


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.