Booking and Enrolment Form - FIFO Construction and Mining Training.

Upcoming 2022 Training Dates:

Asbestos Class B

CPCCDE3014 Remove non-friable asbestos

  • October 11
  • October 27
  • November 8
  • November 24
  • December 13
Asbestos Class A

CPCCDE3015 Remove friable asbestos

  • October 12
  • October 28
  • November 9
  • November 25
  • December 14

    COURSE NAME & TRAINING DATE*
    PERSONAL DETAILS
    Title* MrMrsMsMissOther
    Family Name*
    First Name*
    Middle Name I do not have a middle name (please tick)
    Previous Name/s I do not have a previous name (please tick)
    Date of Birth* Gender* MaleFemaleOther
    Are you a concession card holder?* YesNo
    If yes, which concession
    CONTACT DETAILS
    Home Phone Work Phone Mobile Phone*
    Email*
    Alternative Email
    Home Address*
    Building/property name
    Flat/unit details
    Street Number Street Name
    Suburb State Postcode
    Country
    Postal Address Same as Home AddressNot the same
    Building/property name
    Flat/unit details
    Street Number Street Name
    Suburb State Postcode
    Country
    CULTURAL DIVERSITY & CITIZENSHIP
    Are you of Aboriginal or Torres Strait Islander origin?* (Tick all that apply) AboriginalTorres Strait IslanderNone of these
    Where you born in Australia?* YesNo
    If no, in which country were you born?
    City of birth*
    What is your citizenship status?* Please select one of the below Australian CitizenTemporary Resident VisaNew Zealand CitizenAustralia Permanent ResidentStudent VisaVisitor’s VisaOther
    EMPLOYMENT
    What is your current employment status?* Please select one of the below
    Full time employee
    Part time employee
    Self employed –not employing others
    Self-employed –employing others
    Employed –unpaid worker in a family business
    Unemployed –seeking full-time work
    Unemployed–seeking part-time work
    Not employed –not seeking employment
    LANGUAGE
    Do you speak a language other than English at home?* NoYes
    If yes, please specify
    SCHOOLING
    Are you currently attending school?* YesNo
    If yes, you are currently in year at (school full name)
    If no, what is your highest completed school level? What year did you leave school?
    DISABILITY
    Do you consider yourself having a disability, impairment or long term condition?* YesNo
    Tick all that apply
    Hearing/Deaf
    Learning
    Visual Impairment
    Physical
    Mental Illness
    Medical Condition
    Intellectual
    Acquired Brain Impairment
    Other
    PREVIOUS QUALIFICATIONS ACHIEVED
    Have you successfully completed any of the following qualifications?* YesNo
    Bachelor degree or higher degree
    Advanced diploma or associate diploma
    Diploma or associate diploma
    Certificate IV (or advanced certificate/technician)
    Certificate III (or trade certificate)
    Certificate II
    Certificate I
    Other education (including certificates or overseas qualifications not listed)
    STUDY REASON
    What is your main reason for enrolling in this program?*
    UNIQUE STUDENT IDENTIFIER
    From 1 January 2015, PPS College/Gold Coast Trades Collegeare 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 notyet 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)
    EMERGENCY CONTACT
    Contact Name* Contact Phone Number* Relationship*
    PERMISSION TO PUBLISH YOUR WORK OR IMAGES
    (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?* YesNo
    HOW DID YOU HEAR ABOUT US?*
    PPS StaffPPS WebsiteFriendFamilySchoolCareer ExpoJob AgencyApprenticeship CentrePrint/AdvertFacebookInstagramGoogle+LinkedInCold CallOther
    Please rate yourself on a scale of 1-5 in the following areas (1 is low and 5 is high)
    My ability to organise my time and resources 12345
    My ability to read English 12345
    My ability to write English 12345
    My ability to speak English 12345
    My numeracy/mathematics skills 12345
    Do you need assistance because of language, literacy or numeracy issues?
    If yes, please describe:
    YesNo
    CSQ QUESTIONS
    Have you enrolled for a CSQ Funded Ticket?
    CSQ Eligibility Questions 1.Are you an Australian or New Zealand Citizen OR permanent resident OR A Visa holder with permission to work and study in Australia?
    2.Are you an employee or self employed worker, substantially engaged, in the Queensland residential building and construction industry doing:
    • Construction, renovations and extensions of residential and commercial buildings
    • Installation services for interiors of residential and commercial buildings in associated trades; electrical, plumbing, flooring etc.
    • Works on a CSQ designated Major Project – construction of infrastructure?
    OR
    Are you an employee or self-employed workers, substantially engaged, in the Queensland civil construction industry doing:
    • Land development and site preparation for the purpose of construction
    • Works for civil infrastructure
    • Works on a CSQ designated Major Project – construction of infrastructure?
    PLEASE READ CAREFULLY AND SIGN THE PRIVACY STATEMENT AND STUDENT DECLARATION
    Privacy Notice Under the Data Provision Requirements 2012, PPS College/Gold Coast Trades College(PPS/GCTC)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 PPS/GCTC for statistical, administrative, regulatory and research purposes. PPS/GCTC 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 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
    • 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 have received a copy of the PPS/GCTC Student Handbook. I acknowledge it is my responsibility to read, understand and follow the terms and conditions it sets out. I understand this does not cancel my rights as applicable according to state and/or federal law.
    • By signing this document, I give permission for PPS/GCTC to access my Unique Student Identifier for the purpose of my training and if I do not have a USI, I authorise PPS/GCTC to apply, pursuant to sub-section 9(2) of the Student Identifiers Act 2014, for a USI on my behalf
    Student Signature Please put your signature in the space below.
    DATE
    Parent Signature Please put your signature in the space below.
    *Parental/guardian consent is required for all students under the age of 18.
    DATE
    Monday, 15th April 2024
    • CPCCDE3014 – Remove non-friable asbestos
    • CPCCDE3014 – Remove non-friable asbestos and CPCCDE3015 – Remove friable asbestos
    • CPCCDE4008 – Supervise Asbestos Removal
    Monday, 22nd April 2024
    • CPCCDE3015 – Remove friable asbestos
    • CPCCDE3015 – Remove friable asbestos and CPCCDE4008 – Supervise Asbestos Removal
    Monday, 29th April 2024
    • CPCCDE3014 – Remove non-friable asbestos
    • CPCCDE3014 – Remove non-friable asbestos and CPCCDE3015 – Remove friable asbestos
    • CPCCDE4008 – Supervise Asbestos Removal