Enrolment Form

Enrolment Form - FFS

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ENROLMENT FORM - SHORT COURSE

Note to the prospective student: Please complete all the fields of this form.

Course/s (select all courses you are booking for)

Preferred Course Start Date

Do you wish to apply for RCC or Credit Transfer(CT)?

Yes

Study Mode

Please contact Milcom Admin at 1300 369 320 / [email protected] for relevant form & procedure

PERSONAL DETAILS

*Please write the name that you used when you applied for your Unique Student Identifier (USI), including any middle names.

Refer to the section on USI further down this document for a detailed explanation.

Single Name Only: (Tick this box if you have one name only that cannot be written in the following format: Write your single name in the ‘Family name section).

YES

Family Name (surname)

First Given Name

Middle Name

Preferred Name

Gender

Male

Female

Other/Non-disclosed

Emergency Contact Name

Relationship

Date of Birth

Contact Phone/Mobile

Alternate Email (optional)

Country of Citizenship

Emergency Contact Phone/Mobile

RESIDENTIAL

What is the address of your usual residence?

‘Usual residence’ refers to the address you live at on a permanent basis. This is important for rural students.
Please provide the physical address (street number and name - no post office box) where you usually reside.
Building/property name is the official place name or common usage name for an address site, including the name of a building, Aboriginal community, homestead, building complex, agricultural property, park or unbounded address site.

Residential Address

Search Your Resident Address

Building Name:

Unit Number

Street Number

Street Name:

City / Suburb

Post Code

State

Country

Postal Address

Same as residential address

Other

Search Your Postal Address

Building Name:

Unit Number

Street Number

Street Name:

City / Suburb

Post Code

State:

Country

LANGUAGE AND CULTURAL DIVERSITY

Country of Birth

Residential Status in Australia

Unfortunately, individuals on a student visa are not eligible to complete a short course at Milcom. If you wish to discuss this further, please contact our student support on 1300 369 320

If “Other Visa” selected, please specify the visa type.

Are you of Aboriginal or Torres Strait Islander origin?

Town/City of Birth

Are you an international student on student visa?

Unfortunately, individuals on a student visa are not eligible to complete a short course at Milcom. If you wish to discuss this further, please contact our student support on 1300 369 320

EMPLOYMENT

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

Which of the following classifications BEST describes the Industry of your current or previous Employer?

Which of the following classifications BEST describes your current or recent occupation?(if never employed, skip this question)

Employer Details(Optional)

*Employer details are only required to be completed if you are completing a traineeship or apprenticeship through your employer OR your employer is assisting with your fees OR your training is at work

Employer Trading Name

Employer Legal Name

Employer ABN / ACN No

Employer Email

Employer Phone/Mobile

Employer Address

Search Your Employer Address

Building Name:

Unit Number

Street Number

Street Name

City/Suburb

Post Code

State

Country

LANGUAGE IDENTIFIER

Do you speak a language other than English at home? (If more than 1 language, indicate the one that is spoken most often)

Specify Language

How well do you speak English?

LANGUAGE, LITERACY AND NUMERACY (LLN)

Milcom institute is committed to supporting all of its students in successfully completing their selected course of study. National research that many students will require some level of LLN support, so Milcom needs to clearly understand each student’s unique LLN needs.

Any deficient LLN area you may have as a student; we will assist you in reducing the impact this may have on your studies. To achieve this, we ask you to either opt in or opt out of an LLN assessment for short courses, which will help us to determining how best to assist you.

Do you require any assistance with Language, Literacy and Numeracy (LLN) skills for the short course that you are enrolling?

(You will be required to take MILCOM’s LLN Test. MILCOM will provide you with the required support for your learning. In case you are identified for the need of intensive support, you will be advised to take further vocational training in Foundation Skills units/qualification with MILCOM.)

Disability

Disability in this context does not include short-term disabling health conditions such as a fractured leg, influenza, or corrected physical conditions such as impaired vision managed by wearing glasses or lenses.

Please note: If you have a disability, you will need to discuss with the Course Advisor the suitability of the course before your enrolment is accepted.

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

Yes

If yes, please indicate the areas of disability, impairment or long-term condition

Hearing/Deaf

Learning

Vision

Physical

Mental illness

Medical Condition

Intellectual

Acquired Brain Impairment

Other

Our courses in ICT require you to have clear colour vision. Do you have any issues with colour blindness?

If you are unsure or would like to check your colour vision, please visit: http://www.colour-blindness.com/colour-blindness-tests/ishihara-colour-test-plates/

Due to use of coloured cables in our courses, please contact our student support team on 1300 369 320 to discuss further

Study Reason

Of the following categories, which BEST describes your main reason for undertaking this course/traineeship apprenticeship?

Do you have any special learning needs?

Yes

Please specify (Discuss your requirement with the BD/Trainer or the Admin staff of MILCOM)

Do you have digital capability to take online training for any part of the course?

Yes

(Discuss your requirement with the BD/Trainer or the Admin staff of MILCOM)

Schooling

What is your highest COMPLETED school level?

Are you still attending secondary school?

Yes

In which year did you complete that school level?

Previous Qualification Achieved

Have you SUCCESSFULLY completed any of the following qualifications?

Yes

Please enter one of these Prior Education Achievement Recognition Identifier to any applicable qualification level)
A – Australia E – Australian Equivalent I-International

Note: If you have multiple Prior Education Achievement Recognition Identifiers for any one qualification, use the following priority order to determine which identifier to use:
1. A – Australian 2. E– Australian equivalent 3. I – International

Bachelor’s degree or Higher Degree

Advanced Diploma or Associate Degree

Diploma (or Associate Diploma)

Certificate IV (or Advanced Certificate/Technician)

Certificate III (or Trade Certificate)

Certificate II

Certificate I

Certificates Other than Above:

UNIQUE STUDENT IDENTIFIER (USI)

From 1 January 2015, we, Milcom Institute, 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 www.usi.gov.au on a computer or mobile device.

Do you have a Unique Student Number

Yes

You may already have a USI if you have done any nationally recognised training, which could include training at work, completing a first aid course or RSA (Responsible Service of Alcohol) course, getting a white card, or studying at a TAFE or training organisation. It is important that you try to find out whether you already have a USI before attempting to create a new one. You should not have more than one USI. To check if you already have a USI, use the ‘Forgotten USI’ link on the USI website at https://www.usi.gov.au/faqs/i-have-forgotten-my-usi/

Please provide your USI number

I provide MILCOM Institute with permission to use the supplied USI number as applicable during my studies.

VICTORIAN STUDENT NUMBER (For students in Victoria ONLY)

A Victorian Student Number (VSN) was allocated to all school and VET students up to 24 years of age upon their first enrolment in a Victorian school from 2009 or their first enrolment in a VET training provider from 2011.

Are you a Victorian student?

Yes

Have you attended school from 2009 or enrolled in at a VET training provider from 2011?

Yes

Enter your nine-digit VSN

I provide MILCOM Institute with permission to use the supplied VSN number as applicable during my studies.

POLICIES AND STATEMENTS

PRIVACY STATEMENT

Why we collect your personal information

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.

Failure to provide your personal information may result in a student:

Not be allowed to enrol in a Short Course or VET course, and/or
Not be eligible for government funding to help pay for your course.

How we use your personal information

We use your personal information to enable us to deliver a Short Course or VET course, and otherwise, as needed, to comply with our obligations as an RTO.

How we disclose your personal information

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.

How the NCVER and other bodies handle your personal information

The 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 NCVER 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.

The 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.

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

For more information about how the 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.

DEWR 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 DEWR will handle your personal information, please refer to the DEWR VET Privacy Notice at h ttps://www.dewr.gov.au/national -vet -data/vet -privacy -notice .

Please refer to the additional State or Territory Authority Privacy Notice included in this application process should this be relevant to your application.

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 Milcom Institute 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

Phone: 1300 369 320

Email: [email protected]

https://milcom.edu.au/policies/

I have read and agree to the Privacy Statement

TERMS AND CONDITIONS

Qualification subject commencement and completion
You must successfully complete and be deemed competent in all units in the qualification you are enrolling within the maximum time identified in your training plan/agreement from the initial enrolment. Upon completion of all units, you will be issued with the appropriate AQF Certificate. Should you not complete the qualification you will be issued with a Statement of Attainment listing the units you have successfully completed.

Assessments
Results can be expected within ten (10) working days of receipt of the assessment. Assessments will be graded as “competent” or “not yet competent”. Assessments marked “not yet competent” will be returned to you for the necessary sections to be completed or corrected. Assessment appeals will be dealt with as per the MILCOM policy and procedure.

Credit Transfers
Credit Transfer recognises competencies gained through formal study and previously acquired skills and knowledge. Please provide any previous Certificates and/or Statements of Attainments to which Credit Transfers can be applied.

Access, correction and complaints
You have the right to seek access to or correction of your own personal information. You may also complain if you believe your privacy has been breached. For more information in relation to how student information may be used or disclosed please contact MILCOM Institute on phone 1300 369 320 or email [email protected].

Fee & Charges
MILCOM’s Short Course Fees are available at www.milcom.edu.au. Fees are subject to change.
MILCOM’s Tuition Fee Schedule is available at www.milcom.edu.au. It is subject to change. Your individual tuition fee Skills First will vary depending on the course you are enrolling in and concessions that may apply to your individual circumstances. Before enrolling into your course, you will be provided with your individual tuition quote (Statement of Fees), based on the above-mentioned circumstances.

Refund Policy
In the unlikely event that MILCOM Institute is unable to deliver your course in full, you will be offered a refund only of the undelivered training hours. The refund will be paid to you within 15 working days from the day on which the course ceased to be provided. Alternatively, you may be offered enrolment in an alternative course by the Institute (if eligible). You have the right to choose whether you would prefer a refund of the unspent tuition fees, or to accept a place in another course. You will need to re-enrol into the alternative course. Tuition fees incur when the course commences.

Course cancelled by MILCOM Institute (provider default)	100% refund of listed tuition fees paid by applicant
Student withdrawal, notified in writing and received by the Institute more than 5 days prior to agreed course commencement date	Course Fees will be refunded deducting $110 administration fee charged by MILCOM
Withdrawal or cancellation less than 5 days prior to the agreed course commencement date	50% refund of the course fee
Withdrawal or cancellation less than 2 days prior to the agreed course commencement date	No refunds apply

I have read and understand all the Terms and Conditions.

I have read and understand the details of Refund Policy

STUDENT DECLARATION

1. I understand that to enrol in this course:

I am an Australian Citizen, Australian permanent resident, have the necessary visa and work permits or are a New Zealand citizen.
I declare that I am not an International Student Visa Holder.

Under the Data Provision Requirements 2012, MILCOM Institute is required to collect personal information about you and to disclose that personal information to the National Centre for Vocational Education Research Ltd (NCVER).

2. I understand that my personal information (including the personal information contained on this enrolment form and my training activity data) may be used or disclosed by MILCOM Institute for statistical, regulatory and research purposes. MILCOM Institute may disclose my personal information for these purposes to third parties, including:

apprenticeship or traineeship.
Employer – if I am enrolled in training paid by my employer.
Commonwealth and State or Territory government departments and authorised agencies; NCVER.
Organisations conducting student surveys; and Researchers.

3. I consent to the collection, use and disclosure of my personal information in accordance with the Privacy Notice above.

4. I understand that information provided by me on this form may be sent to the relevant State and Commonwealth government agencies, and I consent to that use.

5. I have read, and I understand the information provided to me about the course in which I have enrolled including course content, fees and charges and the fees and circumstances relating to any reassessment.

6. I understand the circumstances under which I am entitled to a Statement of Attainment.

7. I understand that based on industry requirements and demand, my Training Plan might be updated from time to time during my entire course of enrolment in the qualification with MILCOM.

8. I agree to adhere to all MILCOM Institute and State and Australian Government training policies.

9. I confirm that I have been offered the option of Credit Transfer.

10. I understand that MILCOM has a formal enrolment process to ascertain my suitability and eligibility to participate in this course respective to the relevant state’s funding requirement; and

11. I further understand that MILCOM makes the enrolment decision based on the Pre-training Review (PTR) interview (for VIC – Skills First, ACT Funding and FFS students ONLY), the information and supporting evidence I supply towards my eligibility into a funded training place, the mandatory Language, Literacy and Numeracy (LLN) assessment outcome, and other formal course prerequisites that may apply depending on the course I apply for;

12. I understand that my enrolment into this course is NOT complete until MILCOM Institute is satisfied that all enrolment criteria required for this course are fulfilled and as a result I received a confirmation of enrolment notice from MILCOM Institute.

13. I acknowledge and agree to the terms described in this privacy statement and cancellation policy and refund policy and declare that the information provided in this form is, to the best of my knowledge true, correct and complete at the time of my enrolment/application.

14. I declare that the information I have provided to the best of my knowledge is true and correct.

15. If MILCOM receives a request from my Employer, I give permission for a copy of my Certificate/Statement of Attainment to be sent to my Employer

YES

Name of Employer

16. Media Release

I am aware and agree to the assessor taking photos of me in class that will help to show competency for certain skills demonstrated in the training sessions. These photos might also be used in advertising material of our website and other social media.

Media Release

Yes, I agree to MILCOM using my photo, or a photo showing me, to be used for assessment purposes and/or promotional material. I have completed the MILCOM Media Release form to that effect

No, I do not agree to MILCOM using my photo

I hereby declare that i have read, and I understand the information provided in the student declaration noted above

Student Handbook Declaration

I have read and agree to abide by the student handbook.(Student Handbook)

How did you hear about milcom institute?

Applicant Details

Applicant Name

Date / Time

Applicant Signature

Sign Here

Are you 18 years of age or older? (If no, guardian consent is required.)

Yes

Guardian Details (to be completed where applicant is under 18 years of age)

Guardian Name

Gaurdian Signature

Sign Here

Date / Time

ENROLMENT FORM - SHORT COURSE

Note to the prospective student: Please complete all the fields of this form.

PERSONAL DETAILS

RESIDENTIAL

Residential Address

Postal Address

LANGUAGE AND CULTURAL DIVERSITY

EMPLOYMENT

Employer Details(Optional)

Employer Address

LANGUAGE IDENTIFIER

LANGUAGE, LITERACY AND NUMERACY (LLN)

Disability

Study Reason

Schooling

Previous Qualification Achieved

UNIQUE STUDENT IDENTIFIER (USI)

VICTORIAN STUDENT NUMBER (For students in Victoria ONLY)

POLICIES AND STATEMENTS

PRIVACY STATEMENT

PRIVACY STATEMENT

TERMS AND CONDITIONS

TERMS AND CONDITIONS

STUDENT DECLARATION

STUDENT DECLARATION

Student Handbook Declaration

Student Handbook Declaration

Applicant Details

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