1. Personal Details

Title

Gender

First Name

Surname

Date Of Birth

Other Names

2. Contact Details

Phone

3. Home Address

Residental Address

Suburb

City

State

Post Code

Country

Is your postal address different to your home address?

Yes

Postal

Postal Address

Suburb

City

State

Post Code

Country

4. Course Details

Start Date

Courses

Working At Heights - RIIWHS204E

Enter & Work in Confined Spaces - RIIWHS202D

Gas test atmospheres - MSMWHS217

Other

Rigging Levels

Basic - CPCCLRG3001 - Licence to perform rigging basic level

Intermediate - CPCCLRG3001 - Licence to perform rigging intermediate level

Advanced - CPCCLRG3001 - Licence to perform rigging advancedlevel

Scaffold Levels

Basic Scaffolding - CPCCLSF2001 - Licence to erect, alter and dismantle scaffolding basic level

Intermediate Scaffolding - CPCCLSF3001 - Licence to erect, alter and dismantle scaffolding intermediate level

Advanced Scaffolding - CPCCLSF4001 - Licence to erect, alter and dismantle scaffolding advanced level

5. Unique Student Identifier (USI)

Visit https://www.usi.gov.au if you have forgotten or need a new USI.

USI Number

6. Identification

Click the "Choose File" button to either take a photo or upload a copy of your identification. For further instructions visit www.accesstraining.com.au/verify

2x Photo I.D ( Drivers Licence, High Risk Licence, Passport, etc.)

Choose File

7. Language & Cultural Diversity

Were you born in Australia?

Yes

Do you speak a language other than English?

Yes

If No, what is your country of birth?

What other languages do you speak?

Are you of Aboriginal or Torres Straight Islander orgin?

8. Disability Status

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

Yes

If Other please specify...

9. Education

What is your highest completed school level

Are you still enrolled in secondary or senior education?

Yes

10. Previous Qualifications Achieved

Have you successfully completed any qualifications?

Yes

11. Employment Status

Which best describes your current employment status?

Name Of Company

What best describes your main reason for taking this course?

If other reasons please specify...

12. Declaration

Declaration

I agree to read all details outlined in this declaration

I agree to the Terms and Conditons and Privacy Policy

I have read and understood the Student Handbook.
I declare that the work submitted by me to obtain my course accreditation will be my own and that I will have received no assistance from any person other than a representative of Access Training while completing this course.
I declare that I am the person whose details have been submitted on this enrolment form.
I understand that my course start date and course end date will be listed on my welcome letter.
I am aware that I may need to complete an LLN Indicator Tool to identify my support needs as per the Student Handbook.
I have made an informed decision about this course based on the information provided by Access Training on their website
I have read and understood the Privacy Policy and I consent to the collection, use and disclosure of my personal information in accordance with the Privacy Policy.
I have read and understood the Refund Policy and Procedure.
I have read and understood the course requirements listed on the website and acknowledge I have the computer literacy skills and access to the resources required to complete this learning program.
I have read the student journey and I am satisfied this course is suitable for my needs.
I am aware of the methods of assessment required to complete this learning program.

SIGNATURE (Smartphone or tablet required for greater accuracy)

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Enrolment Form

Enrolment Form.