Student Enrolment Form

Information Sheet

Please read this Information Sheet before completing the Application Form.

An Application Form is required to be completed as part of the Enrolment Process into any qualification or course. All sections MUST be answered. Your application cannot proceed without its completion.

A Language, Literacy & Numeracy Test & Pre-Training Review will be conducted as part of the Application Process. Select Security Training Academy encourages Recognition of Prior Learning, and recognises qualifications issued by other RTOs.

Please check you have the necessary information before completing the Form, including:

Qualification/Course code and title
Qualification/Course availability
Qualification/Course specific

1. Qualification/Course Information

General information and individual brochures on Select Security Training Academy’s qualifications/courses are available on our website: www.selectsecuritytraining.com.au or from reception.
Select Security Training Academy’s Student Information Handbook should be read and understood prior to completing the Application Form.
After you have selected a qualification or course for application: Complete all Parts of A and B of this application form:
- A - Personal and statistical details;
- B - Self declaration

2. Supporting Documentation

Supporting documentation will be required in determining course entry requirements, acceptable forms of identification, fees and to support a Credit transfer/RPL request.
Original documents will be returned but a copy of all documentation will be retained.
Once completed, this form and the associated declarations are to be placed in the students file.

3. Victorian Student Number (VSN)

The VSN is a student identification number that is assigned by the Department of Education and Early Childhood Development to all students in government and non‑government schools, and students in Vocational Education and Training institutions. The number, which is unique to each student, is a key identifier on a student’s school records, and will remain with the student throughout his or her education, until reaching the age of 25. The VSN is nine digits long, randomly assigned, and tied to identifying information about the student (name, gender and date of birth). The Education and Training Reform Act 2006 requires SELECT SECURITY TRAINING ACADEMY to collect and disclose your personal information for a number of purposes including the allocation to you of a Victorian Student Number and updating your personal information on the Victorian Student Register.

4. A Unique Student Identifier (USI)

Is a reference number made up of numbers and letters that gives students access to their USI account. A USI will allow an individual's USI account to be linked to the National Vocational Education and Training (VET) Data Collection allowing an individual to see all of their training results from all providers including all completed training units and qualifications. As of 1 January 2015, students will need to give their USI to each new training organisation they enrol with. This will normally happen at enrolment. Select Security Training Academy 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). In addition, we are required to include your USI in the data we submit to NCVER. If you have not yet obtained a USI you can apply for it directly at https://www.usi.gov.au/students/create-your-usi/ on computer or mobile device.

5. Privacy Notice

As a registered training organisation (RTO), we collect your personal information so we can process and manage your enrolment in a vocational education and training (VET) course with us. We use your personal information to enable us to deliver VET courses to you, and otherwise, as needed, to comply with our obligations as an RTO.

We are required by law (under the National Vocational Education and Training Regulator Act 2011 (Cth) (NVETR Act)) to disclose the personal information we collect about you to the National VET Data Collection kept by the National Centre for Vocational Education Research Ltd (NCVER). The NCVER is responsible for collecting, managing, analysing and communicating research and statistics about the Australian VET sector.

We are also authorised by law (under the NVETR Act) to disclose your personal information to the relevant state or territory training authority.

NCVER will collect, hold, use and disclose your personal information in accordance with the law, including the Privacy Act 1988 (Cth) (Privacy Act) and the NVETR Act. Your personal information may be used and disclosed by NCVER for purposes that include populating authenticated VET transcripts; administration of VET; facilitation of statistics and research relating to education, including surveys and data linkage; and understanding the VET market.

NCVER is authorised to disclose information to the Australian Government Department of Education, Skills and Employment (DESE), Commonwealth authorities, state and territory authorities (other than registered training organisations) that deal with matters relating to VET and VET regulators for the purposes of those bodies, including to enable:

administration of VET, including program administration, regulation, monitoring and evaluation
facilitation of statistics and research relating to education, including surveys and data linkage
understanding how the VET market operates, for policy, workforce planning and consumer information.

NCVER may also disclose personal information to persons engaged by NCVER to conduct research on NCVER’s behalf. NCVER does not intend to disclose your personal information to any overseas recipients.

For more information about how NCVER will handle your personal information please refer to the NCVER’s Privacy Policy at www.ncver.edu.au/privacy. If you would like to seek access to or correct your information, in the first instance, please contact your RTO using the contact details listed below. DESE is authorised by law, including the Privacy Act and the NVETR Act, to collect, use and disclose your personal information to fulfil specified functions and activities. For more information about how the DESE will handle your personal information, please refer to the DESE VET Privacy Notice at https://www.dese.gov.au/national-vet-data/vet-privacy-notice

Surveys

You may receive a student survey which may be run by a government department or an NCVER employee, agent, third-party contractor or another authorised agency. Please note you may opt out of the survey at the time of being contacted.

Contact information

At any time, you may contact Select Security Training Academy to:

request access to your personal information
correct your personal information
make a complaint about how your personal information has been handled
ask a question about this Privacy Notice

Intended Qualification/ Course/ Unit of Study

Qualification/Course/Unit Code *

Qualification/Course/Unit Name *

Mode of Study *

ClassroomDistanceOnlineRPL

PART A – Application Details

Personal Details

Title *

MrMrsMissMs

First Name *(Legal Given Name)

Middle Name(If applicable)

Family Name *(Surname/Legal Family Name)

Residential Address

Building/property name

Street/Flat/Unit number and name *

Suburb, locality or town *

State/territory *

Postcode *

Postal Address is different from Residential Address

Postal Address

Building/property name

Street or lot number and name / Flat/Unit details

Suburb, locality or town

State/territory

Postcode

Contact details

Home phone

Work phone

Mobile Phone *

E-mail Address *

Alternative email address(optional)

Date of Birth *

Gender *

MaleFemaleOther

Emergency Contact Name *

Emergency Contact Relationship *

Emergency Contact Number *

Language and Cultural Diversity

In which country where you born? *

AustraliaOther

Please specify

Place/ Town of Birth *

Are you *

An Australian CitizenA New Zealand CitizenAn Australian Permanent ResidentAn Asylum Seeker or Victim of Human Trafficking person?

Are you of Aboriginal or Torres Strait Islander origin? *

Yes, AboriginalYes, Torres Strait IslanderNo

(if both tick yes at each box)

Do you speak a Language other than English at home? *

No, English onlyYes

Please specify

How well do you speak English? *

Very wellWellNot wellNot at all

Disability / Medical Details

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

NoYes

Please specify

Do you require assistance because of this disability or Long-term impairment?

NoYes

Do you give permission for us to call urgent medical treatment for you in an emergency and agree to pay all costs? *

NoYes

Employment

Of the following categories, which BEST describes your current employment status? *

Full-time employeePart-time employee Unemployed (seeking full-time work)Unemployed (seeking part-time work)Employed (unpaid worker in Family business)Not employed (not seeking employment)Self-employed (not employing others)Self-employed (employing others)

For casual, seasonal, contract and shift work, use the current number of hours worked per week to determine whether full time (35 hours or more per week) or part-time employed (less than 35 hours per week)

Employment Details (if applicable)

Organisation Name

ABN

Employment Address

Employment Contact Number

Current Position

Study Reason

Please specify

Schooling and Qualification

Are you still enrolled in secondary or senior secondary education? *

NoYes

What is your highest COMPLETED school level? *If you are currently enrolled in secondary education, the Highest school level completed refers to the highest school level you have actually completed and not the level you are currently undertaking. For example, if you are currently in Year 10 the Highest school level completed is Year 9.

In which year, did you complete that school level? *

Previous qualifications achieved

Have you successfully completed any of the listed qualifications? *

YesNo

Please tick applicable boxes below

Bachelor’s degree or Higher DegreeAdvanced Diploma or Associate DegreeDiploma (or Associate Diploma)Certificate IV (or Advanced Certificate/Technician)Certificate III (or Trade Certificate)Certificate IICertificate I

Of the completed qualifications, what is the highest Australian Qualification that is held? Name of qualification and code

Victorian Student Number (VSN)

If you are under 25 years of age, you may have a VSN from previous enrolment. If you do not know your VSN number, then please state previous school:

VSN

Previous School

If new to the education sector – tick the ‘new’ box

NEW

This means you have never attended a Victorian School, TAFE or other Training Provider and are aged over 25 at time of enrolment.

Unique Student Identifier (USI)

Do you have a Unique Student Identifier? *

YesNo

Unique Student Identifier (USI)

Do you give SELECT SECURITY TRAINING ACADEMY the permission to apply for a USI to the Student Identifiers Registrar (Registrar) on your behalf

Yes**No

**(Please read and sign the attached privacy notice that seeks your consent before agreeing)

Credit Transfer (TR) or Recognition of Prior Learning (RPL)

Do you wish to apply for Credit Transfer? *

NoYes

Evidence of equivalent competencies from a Nationally Recognised statement of attainment or qualification will need to be provided upon enrolment.

Do you wish to apply for Recognition of Prior Learning (RPL)? (Fees applicable) *

NoYes

The Student Administration Officer will discuss with you the relevant paperwork and assessment fees for the RPL process.

A separate process will need to be conducted to assess prior learning

ACCEPTABLE FORMS OF IDENTIFICATION

Please provide two forms of identification to confirm Name and Address.

Please provide at least one identification from the Primary Identification list.

State of Victoria - Acceptable ID

Primary Identification *

Current Drivers LicenceCurrent Learner Permit Key pass CardCurrent Australian Passport Australian Birth Certificate (Not Birth Extract)Current New Zealand PassportProof of Age Card Formal documentation issued by the Australian Department of Immigration and Citizenship confirming Permanent Residence

Secondary Identification

A current Medicare CardCurrent Concession CardBank StatementService Utility (Bill)

Please Remember

If you are an Overseas Student studying on a Student Visa we cannot accept your enrolment– you will need to complete your study with a CRICOS Registered RTO.

VEVO Check completed and copy of Entitlement Check in Students file

USI TRANSCRIPT

Browse

IDENTIFICATION DOCUMENT 1

Browse

IDENTIFICATION DOCUMENT 2

Browse

Qualification/Course/Unit

Please indicate which qualification/course/unit you are enrolling in below (tick appropriate box)

CPP20218 Certificate II in Security Operations - $1,000

CPP31318 Certificate III in Security Operations including HLTFA311A Apply first aid - $1,000

CPCCWHS1001 Prepare to work safely in the construction industry - $150

SITHFAB002 - Provide responsible service of alcohol - $80

SITHGAM001 - Provide responsible gambling services - $80

Recognition of Prior Learning (RPL) - $150

Credit Transfer (Other fees might be applicable) - $50 per Unit

Re-enrolment (Administration fee) - $150

HLTAID011 - Provide First Aid - $150

Enrolment Conditions

In completing this enrolment form the student is agreeing to a contact with Select Security Training Academy Pty Ltd that stipulates the following:

Once the student commences the nominated qualification/course, Select Security Training Academy will deliver the Training Program using competency based training principles and practices in accordance with the National VET Regulator (NVR) Standards for NVR Registered Training Organizations.
Select Security Training Academy and the student agree to work together to produce a unified approach in the student achieving the relevant qualification.
The qualification/course fees payable to Select Security Training Academy are for the provision of the following services:
- Training and Assessment
- Ongoing Administration Processes
- Learning Resources when appropriate
- Certification/Statement of Attainment
Where a student has undertaken an assessment and it has been marked as ‘Not yet Competent’ (NYC), they be allowed to re-sit the test/or have a re-assessment. Please refer to Select Security Training Academy’s Assessment Policy and Procedure.
For re- issuance of Certificates and Statements of Attainments the student will be charged ($20.00) per document required. Payment for the re-issuance of such documents is required prior to the re-issuance occurring by the RTO.
Select Security Training Academy reserves the right to accept or reject any application for enrolment at its discretion.
Select Security Training Academy reserves the right to cancel any qualification/course prior to the commencement date of the qualification/course should it deem it necessary and in that event, shall refund all payments received from the student (see refund policy).
Refunds are made when a student application supports one of the below reasons for refund. Any refundable amounts found to be due to the student will be made within 14 days.

Part B - Applicant Self Declaration

I declare that the information provided to Select Security Training Academy in application for study is to the best of my knowledge true, correct and complete at the time of my enrolment/application. *

I acknowledge that providing any false information and/or failing to disclose any information relevant to my application for enrolment and /or failure to complete an application / enrolment form may result in; the withdrawal of any offer, and/or cancellation of enrolment at the discretion of Select Security Training Academy. *

I understand that it is my responsibility to provide all relevant and required documentation. *

Privacy Statement: I understand that The Education and Training Reform Act 2006 require Select Security Training Academy to collect and disclose my personal information for a number of purposes including the allocation to me of a Victorian Student Number, updating my personal information on the Victorian Student Register. Also, I understand that Select Security Training Academy is required to disclose personal information to NCVER as part of the National VET Provider Collection and provide ASQA and/or the Victorian Government, with student and training activity data which may include information I provide on this enrolment form. Information is required to be provided in accordance with the Victorian VET Student Statistical Collection Guidelines. They 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 purposes, they may also disclose information to its consultants, advisers, other government agencies, professional bodies and/or other organisations.

I give Select Security Training Academy the permission to call for urgent medical treatment if deemed necessary in an emergency and I agree to pay all costs related. *

I have read and understood the information provided to me by Select Security Training Academy prior to completing this Application Form, including all information contained in the ‘Select Security Training Academy’s Student Information Handbook’ and Qualification Information sheet. *

I agree to be bound by the Select Security Training Academy rules and regulations, and any amendments made to the rules and regulations. *

I agree to any pre-requisites identified through the enrolment process. *

I understand that if my contact details change while studying with the Select Security Training Academy that I must advise the RTO of these changes within 7 days. These details include but are not limited to details such as e-mail, address, and contact phone details. *

I consent and authorize Select Security Training Academy to capture, use, reproduce, and distribute images, video, and audio recordings for promotional and educational purposes. I agree to waive and release any and all claims related to the use of these images and recordings. Select Security Training Academy owns the sole copyright to the images and recordings taken by Select Security Training Academy.

Student Signature *

Draw signature|Type signatureClear

Date *

Unique Student Identifier Privacy Notice

If you do not already have a Unique Student Identifier (USI) and you want Select Security Training Academy Pty Ltd to apply for a USI to the Student Identifiers Registrar (Registrar) on your behalf, Select Security Training Academy Pty Ltd will provide to the Registrar the following items of personal information about you:

your name, including first or given name(s), middle name(s) and surname or family name as they appear in an identification document;
your date of birth, as it appears, if shown, in the chosen document of identity;
your city or town of birth;
your country of birth;
your gender; and
your contact details.

When we apply for a USI on your behalf the Registrar will verify your identity. The Registrar will do so through the Document Verification Service (DVS) managed by the Attorney-General's Department which is built into the USI online application process if you have documents such as:

Medicare card,
Birth certificate,
Driver licence,
Australian passport,
Citizenship document,
Certificate of registration by descent,
Immi Card or Australian entry visa.

If you do not have a document suitable for the DVS and we are authorised to do so by the Registrar we may be able to verify your identity by other means. If you do not have any of the identity documents mentioned above, and we are not authorised by the Registrar to verify your identity by other means, we cannot apply for a USI on your behalf and you should contact the Student Identifiers Registrar.

In accordance with section 11 of the Student Identifiers Act 2014 Cth (SI Act), we will securely destroy personal information which we collect from you solely for the purpose of applying for a USI on your behalf as soon as practicable after the USI application has been made or the information is no longer needed for that purpose, unless we are required by or under any law to retain it. The personal information about you that we provide to the Registrar, including your identity information, is protected by the Privacy Act 1988 Cth (Privacy Act). The collection use and disclosure of your USI are protected by the USI Act.

If you ask Select Security Training Academy Pty Ltd to make an application for a student identifier on your behalf, Select Security Training Academy Pty Ltd will have to declare that it has complied with certain terms and conditions to be able to access the online student identifier portal and submit this application, including a declaration that the Select Security Training Academy Pty Ltd has given you the following privacy notice:

You are advised and agree that you understand and consent that the personal information you provide to us in connection with your application for a USI: is collected by the Registrar for the purposes of applying for,

verifying and giving a USI;
resolving problems with a USI;
and creating authenticated vocational education and training (VET) transcripts; may be disclosed to:

Commonwealth and State/Territory government departments and agencies and statutory bodies performing functions relating to VET for:

the purposes of administering and auditing Vocational Education and Training (VET),
VET providers and VET programs;
education related policy and research purposes; and assist in determining eligibility for training subsidies;
VET Regulators to enable them to perform their VET regulatory functions;
VET Admission Bodies for the purposes of administering VET and VET programs;
current and former Registered Training Organisations to enable them to deliver VET courses to the individual, meet their reporting obligations under the VET standards and government contracts and assist in determining eligibility for training subsidies;
schools for the purposes of delivering VET courses to the individual and reporting on these courses;
the National Centre for Vocational Education Research for the purpose of creating authenticated VET transcripts, resolving problems with USIs and for the collection, preparation and auditing of national VET statistics;
researchers for education and training related research purposes; any other person or agency that may be authorised or required by law to access the information;
any entity contractually engaged by the Student Identifiers Registrar to assist in the performance of his or her functions in the administration of the USI system; and
will not otherwise be disclosed without your consent unless authorised or required by or under law

Privacy policies and complaints

You can find further information on how the Registrar collects, uses and discloses the personal information about you in the Registrar’s Privacy Policy or by contacting the Registrar on email usi@industry.gov.au or telephone the Skilling Australia Information line on 13 38 73, international enquiries +61 3 5454 5280.

The Registrar’s Privacy Policy contains information about how you may access and seek correction of the personal information held about you and how you may make a complaint about a breach of privacy by the Registrar in connection with the USI and how such complaints will be dealt with.

You may also make a complaint to the Information Commissioner about an interference with privacy pursuant to the Privacy Act, which includes the following:

misuse or interference of or unauthorised collection, use, access, modification or disclosure of USIs; and
a failure by us to destroy personal information collected by you only for the purpose of applying for a USI on your behalf.

For information about how Select Security Training Academy Pty Ltd collects, uses and discloses your personal information generally, including how you can make a complaint about a breach of privacy, please refer Select Security Training Academy’s privacy policy which can be found on its website.

Signature of acceptance by student *

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Name of student *

Refunds

All applications for refunds must be made in writing by way of the ‘Application for Refund’ form and submitted to Student
Administration. Approved applications will be processed within 14 days from the date of application.

The assessment of refund applications shall be granted as indicated below:

Outline of Refunds (Fee for Service)

Student withdrawal prior to agreed commencement date. Withdrawal notified in writing and received by Select Security Training Academy 2 working-days or more prior to qualification/course /unit of study commencement date.	Full Refund (100% of the Pre-Paid Tuition Fees)
Qualification/Course/unit of study withdrawn by Select Security Training Academy or Select Security Training Academy is unable to provide the Qualification/Course/unit of study for which the original enrolment and payment has been made.	Full Refund (100% of the Pre-Paid Tuition Fees)
Student withdraws from the qualification/course/unit of study after the commencement date and up to 50% of the qualification/course/unit of study.	50% of unused Pre-paid Tuition Fees
Student withdraws after 50% or more of the qualification/course/unit of study	No Refund (100% Pre-Paid Tuition Fees is charged)

Withdrawal after qualification/course commencement

All Refunds made by Select Security Training Academy will incur an administration fee of $50.00. If you would like further information about our refund process, please refer to the Student Information Handbook and the Select Security Training Academy website.

Extenuating circumstances

Students may have extenuating circumstances that prevent them from attending scheduled course dates. These circumstances may include (but are not limited to):

Illness
Family or personal matters
Other extraordinary reasons

Where evidence can be successfully provided to support the Student’s circumstances, course fees may either be transferred to the next available course where applicable, or a refund of unused course fees will be issued. This decision of assessing the extenuating circumstances rests with the CEO and shall be assessed on a case by case situation.

Please note, where the Student breaches the conditions of enrolment no refund is payable.