New account

Username

The password must have at least 8 characters, at least 1 digit(s), at least 1 lower case letter(s), at least 1 upper case letter(s), at least 1 special character(s) such as as *, -, or #

Password

Email address

Email (again)

First name

Last name

City/town

Country

Unit number

Street name

Suburb/City/Town

State e.g. SA

Postal address (if different from your street address) Otherwise simply write N/A

If your employer is not paying the fees please tell us how you intend to pay

How should we communicate with you?

Please state the name of the course you wish to enter

Gender

Labour force status

Please state your employer's address here

Please enter the name of your supervisor or manager

Please enter the phone number of your supervisor or manager

Please insert the email address of your supervisor or manager

Name of Employing Organization

Daytime or work telephone number

Your home or mobile phone number here

Please insert your Unique Student Identifier here if you know it. You can apply for your USI at http://www.usi.gov.au/Students/Pages/default.aspx

Other names (e.g. middle name)

Title

Please state any former surname here

Aboriginal or Torres Strait Islander status

Emergency Contact Name

Emergency contact relationship (e.g. spouse, parent, etc.)

Emergency contact phone or mobile phone number

Which language do you normally speak at home

If another language is spoken at home please specify it here

How well do you speak English?

Please indicate here whether you have a disability , impairment or a long-term condition by selecting from the list

Please indicate your highest completed school level

Please indicate your reason for undertaking this course

City of Birth

Country of Birth

Your Date of Birth

Please indicate the highest level of qualification that you have achieved

Please select the year you left high school

Please tell us the name of the last high school you attended

Privacy Notice. Under the Data Provision Requirements 2012, Learning Knowing Achieving (LKA) 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 LKA for statistical, regulatory and research purposes. LKA 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: • Issuing statements of attainment or 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 programme administration, regulation, monitoring and evaluation. You may receive an NCVER student survey which may be administered 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). 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 below..

Student Declaration and Consent. By checking this box you confirm that you have understood and that you have accepted the information and conditions contained in the 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.

Security question

Required

PLEASE COMPLETE EVERY FIELD IN THIS FORM. ENTER N/A WHERE THE INFORMATION IS NOT RELEVANT TO YOU

Employment Details

Summary Information

Participant Personal Details

Education and Qualifications (If you are still attending school please enter NA for both fields in this section)

Privacy Statement & Student Declaration