Processing please wait... Enrolment Details Identification Document Provided Personal Details Employment & Education Existing skills Unique Student Identifier Student Declaration CGA Representative only ENROLMENT AND INDUCTION 2020/2021 Thank you for choosing Connection Group Australia. Completion of this enrolment form will get your application to commence study with us underway. It is important to note that your enrolment is not complete until Connection Group Australia have completed your induction and determined that the course you have chosen to undertake is suitable. × × Unit of competency (please select the unit) CPCCCM2010B - Work safely at heights CPCCLRG3002A - License to perform rigging intermediate level CPCCCM2010 - Work safely on scaffolding higher than two metres CPCCWHS2001 - WHS requirements, policies and procedures in the construction industry CPCCLDG3001A - License to perform dogging CPCCLRG3001A - License to perform rigging basic level RIIMPO320F - Conduct civil construction excavator operations RIIMPO319E - Conduct backhoe/loader operations RIIHAN301E - Operate elevating work platform RIIMPO321F - Conduct civil construction wheeled front end loader operations RIIMPO318F - Conduct civil construction skid steer loader operations TLILIC0003 - Licence to operate a forklift truck TLILIC0013 - Licence to operate a slewing mobile crane (up to 60 tonnes) TLILIC0005 - Licence to operate a boom-type elevating work platform (boom length 11 metres or more) TLILIC0013 - Licence to operate a slewing mobile crane (up to 100 Tonnes) TLILIC0008 - Licence to operate a non-slewing mobile crane (greater than 3 tonnes capacity) TLILIC0015 - Licence to operate a slewing mobile crane (over 100 Tonnes) TLILIC0002 - Licence to operate a vehicle loading crane (capacity 10 metre tonnes and above) TLILIC0010 - Licence to operate a slewing mobile crane (up to 20 tonnes) ) hghghgh test test unit Identification Document Provided Please tick all applicable and provide originals at the time of enrolment for copying and retention by CGA All learners completing high risk work training must supply 3 evidence of identity documents which can be made up of either one category A and two category B two category A and one category B Category A Documents Status Full birth certificate issued by the Registrar of Births, Deaths and Marriages Current Bicentennial birth certificate (born in 1988) Current Australian citizenship certificate Current Australian passport (including Australian Document of Identity) Current or expired less than two years Foreign passport Current or expired less than two years Australian photo driver licence Current or expired less than two years Adult proof of age card (18+ Card) Issued after 01/01/1992 Visa Evidence Card (with PLO56 Visa) Current DIBP - ImmiCard; Temporary or Resident Visa; Document for travel to Australia. Note: Electronic Travel Authority (ETA) is not accepted Valid up to five years after issue Category B Documents Status Australian firearm licence (with photo) Current Education institution student identity document (must include photo and/or signature Current Department of Veterans Affairs/Centrelink Pensioner Concession card (including Healthcare card) Current Interstate government-issued or government-approved proof of age card Current Medicare card Current Australian security guard/crowd controller licence (with photo) Current Australian Defence Force photo identity card Current Financial institution debit/credit card (must include signature and embossed/printed name). Current Please note: Card number and expiry date must be hidden. Any documents showing sensitive bank details will be rejected Personal Details Male Female Other Residential Address Postal Address (if same as residential write As Above) In which country were you born? Australia Other Are you an Australian Citizen or Permanent Resident? Citizen Permanent Resident Are you of Aboriginal or Torres Strait Islander Origin? No Yes, Aboriginal Yes, Torres Strait Islander Do you speak a language other than English at home? No, English only How well do you speak English? Very well well Not well Not at all Do you consider that you have a disability, impairment or long term condition? (Tick all that apply) Medical Condition Mental Illness Acquired Brain Impairment Visual Learning Physical Hearing/Deaf Intellectual Other, please specify Please nominate an individual for CGA to contact in an emergency Employment and Education Details Which of the following best describes your current employment status? (Tick One box only) Full-time employee Self-employed – employing others Unemployed – seeking part-time work Part-time employee Employed – unpaid worker in a family business Not employed – not seeking employment Self-employed – not employing others Unemployed – seeking full-time work Please provide the details of your current employer Are you still attending Secondary School? Yes No What is your highest COMPLETED school level? (tick one) Completed Year 12 or equivalent Completed Year 11 or equivalent Completed Year 10 or equivalent Completed Year 9 or equivalent Completed year 8 or lower Did not go to high School What year did you complete that level (e.g. 2003) Are you currently enrolled in any studies? Yes No If yes please specify Have you SUCCESSFULLY COMPLETED any of the following qualifications? (Tick all that apply) Bachelor Degree or Higher Degree Certificate IV (or Advanced certificate/technician Certificate I Advance Diploma (or Associate Degree) Certificate III or Trade Certificate Certificates other than the above Diploma (or Associate Diploma) Certificate II Please specify: (i.e. Certificate III in Carpentry) Which best describes your reason for study/training? (Tick all that apply) To get a job To try for a different career I wanted extra skills for my job To develop my existing business To get a better job or promotion For personal interest or self-development To start my own business It was a requirement of my job To get into another course of study To get skills for community/ voluntary work Other: please specify Existing skills and knowledge Provide an outline of your existing skills and knowledge as it relates to the training you are seeking to complete. A CGA representative will discuss the skills that you already possess and make notes to assist with confirming whether recognition of prior learning (RPL) will be an option for you and confirm whether or not your chosen course is suitable for you. Use the examples at the beginning of the table to assist Learner’s existing skills CGA Representative comments based on Operating a forklift truck The learner discussed various types, sizes and shapes of loads in a moved and stored in a warehouse environment. The learner worked in this role for a period of one year under the supervision of a licenced forklift operator. Carrying out basic maintenance of forklift trucks Checked oil and other fluids levels and filled as part of shut down procedures Working as part of a team Participated in workplace meetings, planned and organised work in conjunction with teams, provided support to team leaders and supervisors Unique Student Identifier Unique Student Identifier (USI) All students studying nationally recognised qualifications or units of competency from qualifications must have a unique student identifier (USI). Your USI links to an online account that contains all your training records and results that you have completed from 1 January 2015 onwards. The results of any study from 2015 will be available in your USI account in 2016. When applying for a job or enrolling in further study, you may be asked to provide your training records and results. One of the main benefits of the USI is the ability to provide students with easy access to their training records and results throughout their life. You can access your USI account online from your computer, tablet or smart phone anytime. The Student Identifiers Act 2014 authorises the Student Identifiers Registrar to collect personal information about USI applicants and is subject to the provisions of the Student Registration Policy at http://www.usi.gov.au/Documents/Student-Identifiers-Registrar-privacy-policy. Do you have a Unique Student Identifier? Yes, USI Yes, but I can’t remember it. I give Connection Group Australia the authority to Locate my USI. If Connection Group Australia is unable to locate my USI I will be required to obtain it and provide it to them No - If No, you are required to read and agree to the following Provision of Privacy Notice to allow us to seek your consent to apply for a USI Number. For CGA to apply on your behalf, we will need one of the following (please place the number of one of the verifying documents below): Australian Driver License Number Medicare card number Place of birth Privacy Notice In signing below, you give permission for Connection Group Australia to apply for a USI on your behalf and you agree that you understand and consent that the personal information you provide in connection with an application for a USI: Is collected by the Student Identifiers 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 purpose of administering and auditing Vocational Education and Training (VET), VET providers and VET programs; Education related policy and research purposes; and To 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. Student Declaration Due to privacy laws, we require your permission to share your information contained in these forms to State and Commonwealth agencies and third parties. In signing below: You agree and provide your consent for Connection Group Australia to provide your information to State and Commonwealth Government agencies in the course of our business as a registered training organisation (RTO) You understand that penalties apply to the provision of false and misleading information The information you have provided in this enrolment form is true and correct to the best of your knowledge If any of this information changes in the future, you will provide the details I give Connection Group Australia permission to apply for a USI on my behalf I agree and understand that my enrolment is not complete until I receive written confirmation from Connection Group Australia Student Signature: Date: If you are under the age of 18 at the time of your enrolment, a parent or guardian must sign below. Parent/Guardian Name Parent/Guardian Signature Date: CGA Representative only (circle as applicable) The learner has completed an induction and provided with a copy of the Student Information Handbook Yes No The enrolment form has been completed in full Yes No The learner has completed the LLN assessment Yes No The learner has completed an induction and provided with a copy of the Student Information Handbook Yes No The learner requires support (document details below): Yes No The learner’s pre-existing skills and knowledge have been identified and discussed Yes No Suitability check: Has pre-existsing knowledge and skills in the field Yes No Meets the learner’s chosen career/study pathway Yes No LLN results indicate that the learner is capable Yes No The learner has displayed characteristics that will enable him/her to achieve the qualification within the timeframe nominated Yes No The complexity of the unit of competency and existing knowledge and skills of the learner are suitable for the student to complete the unit of competency/qualification Yes No There is sufficient practice opportunity to enable the learner to demonstrate depth and breadth of knowledge and skills in the timeframe specified Yes No Has completed prior VET education at this or higher level Yes No If no is circled at any point in this suitability check, what advice or arrangements have been made to support the learner. The timeframe for completion suitable to the learner Yes No The information in this Enrolment and Induction was completed in direct consultation with the learner Yes No CGA representative name: Date: CGA representative signature: Date: INDUCTION CHECKLIST (CGA USE ONLY) This induction is to be completed in conjunction with a trainer/assessor of Connection Group Australia, prior to the commencement of training. Once the induction is completed, the learner will be required to: Provide 100 points of ID Complete a literacy and numeracy indicator Participate in an interview to identify pre-existing knowledge and skills The CGA representative is required to: Complete the induction in full and provide the learner with a copy of the Student Information Handbook and RPL Application Form (if applicable) Guide and support the learner to complete the enrolment form Discuss the learner’s existing skills and experience and provide information on the specifics of their skills and experience where indicated in the enrolment form Mark the LLN assessment Discuss the LLN assessment results with the learner Devise as strategy for support for the learner as applicable Complete the last page of this enrolment document to confirm completion of the enrolment process The learner has been provided with a full induction and received information on: Requirements for training and assessment Yes No Complaints and appeals procedures Yes No Recognition of prior learning and credit transfer Yes No Enrolment requirements including applicable entry requirements (i.e. I must be at least 18 years at the time of completing the assessment) Yes No Identification requirements (100 points of ID) Yes No Unique Student Identifier – I am aware that if I do not provide my USI or my existing USI cannot be verified prior to completion of my study, I will not be awarded a Statement of Attainment Yes No Receiving my Statement of Attainment Yes No Location and duration of the training include how the training will be delivered Yes No The location of the training Yes No Fee payment arrangements including refunds Yes No Resources or equipment that I must provide Yes No The learner has been provided with a copy of or access to Student Information Handbook emailed/posted provided at induction Yes No RPL Application form Yes No NA Student signature In signing below, I agree that: I have been provided with an induction by CGA. I have been provided with all information as outlined above I am fully aware of my obligations to participate in the training CGA representative name: Date: CGA representative signature: Date: Print
