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COURSE & QUALIFICATION CODE*
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Preferred Campus Location
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PERSONAL DETAILS
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| Title*
MrMrsMsMissOther |
Please specify
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Family Name*
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First Name*
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Middle Name
I do not have a middle name
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| Are you a concession card holder?*
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Are you moving to GCTC/QTC from another training provider?*
YesNo
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*If Yes, please provide the reason:
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Age*
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Date of Birth*
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Gender*
MaleFemaleOther
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CONTACT DETAILS
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Student's Personal Email*
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Alternative Email
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Mobile Number*
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Work Phone Number
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Home Phone Number
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ADDRESS
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Home Address*
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Postal Address Same as Home AddressNot the same
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CULTURAL DIVERSITY & CITIZENSHIP
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| What is your citizenship status? (please select one of the below)*
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*Please state:
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Are you of Aboriginal or Torres Strait Islander origin?* (Tick all that apply)
AboriginalTorres Strait IslanderNone of these
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| Where you born in Australia?*
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If no, in which country were you born?*
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| City of birth*
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EMPLOYMENT
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| What is your current employment status?* Please select one of the below
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LANGUAGE
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| Do you speak a language other than English at home?*
NoYes |
If yes, please specify
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SCHOOLING
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| Are you currently attending school?*
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DISABILITY
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Do you consider yourself having a disability, impairment or long term condition?*
If yes, please provide more information:
HearingLearningVisual ImpairmentPhysical that could affect your workMedical ConditionOthers
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PREVIOUS QUALIFICATIONS ACHIEVED
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Have you successfully completed any qualifications?*
Please advise the name of the qualification/course previously completed:*
Please advise the name of training organisation you completed your qualification with:*
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UNIQUE STUDENT IDENTIFIER
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From 1 January 2015, Gold Coast Trades College/Queensland Trades College are unable to issue 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/. Please note that if you would like to specify your gender as ‘other’ you will need to contact the USI Office for assistance.
Enter your Unique Student Identifier (USI)* (if you already have one) or reset your password if you forgot your USI
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STUDY REASON
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What is your main reason for enrolling in this program*?
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*Please list:
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EMERGENCY CONTACT
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Contact Name*
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Contact Phone Number*
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Relationship*
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PERMISSION TO PUBLISH YOUR WORK OR IMAGES
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(Please refer to the Student Handbook for more information on what may be done with videos and images.)
Do you give permission for video or photographic images of you/your work to be taken and published?*
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HOW DID YOU HEAR ABOUT US?
GCTC Staff
GCTC Website
Friend
Family
School
Career Expo
Apprenticeship Centre
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Print/Advert
Facebook
Instagram
Google+
LinkedIn
Cold Call
Other
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Please rate yourself on a scale of 1-5 in the following areas (1 is low and 5 is high)
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| My ability to speak English* |
12345
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| My ability to read English* |
12345
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| My ability to write English* |
12345
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| My numeracy/mathematics skills* |
12345
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| Do you require assistance because of language, literacy or numeracy issues?*
If yes, please describe:
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STUDENT FEES
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Student Contribution Fees |
As you are over 25 years of age of commencement of your apprenticeship, there will be fees applicable. Check the Fee Information here.
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PLEASE READ CAREFULLY AND SIGN THE PRIVACY STATEMENT AND STUDENT DECLARATION
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Privacy Notice
Under the Data Provision Requirements 2012, Gold Coast Trades College / Queensland Trades College 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 Gold Coast Trades College / Queensland Trades College for statistical, administrative, regulatory and research purposes. Gold Coast Trades College / Queensland Trades College disclose your 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:
- populating authenticated VET transcripts;
- facilitating statistics and research relating to education, including surveys and data linkage;
- pre-populating RTO student enrolment forms;
- 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 a student survey which may be administered by a government department or NCVER employee, agent or third party contractor or other authorised agencies. Please note 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 National VET Data Policy and all NCVER policies and protocols (including those published on NCVER's website at www.ncver.edu.au).
Student Declaration and Consent*
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