Application For Enrolment

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3. ADDRESS
What is the address location and postcode of the suburb, locality or town in which you usually live? Please provide the physical address (street number and name not post office box) where you usually reside rather than any temporary address at which you reside for training, work or other purposes before returning to your home If you are from a rural area use the address from your state's or territory's 'rural property addressing' or 'numbering' system as your residential street address.
Include following information in address if applicable: Building/Property Name, Flat/Unit Number, Street Number (e.g. 5 or Lot 12), Street Name, Suburb, locality or town, State/Territory and Postcode.
Address*
Street Address City State / Province / Region Postcode Country
POSTAL ADDRESS
Include following information in postal address if applicable: Building/Property Name, Flat/Unit Number, Street Number (e.g. 5 or Lot 12), Street Name, Suburb, locality or town, State/Territory and Postcode.
Is your postal address is same as above?*
- Yes
- No
Address
Street Address City State / Province / Region Postcode Country
4. EMERGENCY CONTACT DETAILS
Name*
Phone*
Relationship to you*
5. EMPLOYER DETAILS (If applicable to the course you are applying for)
Trading Name
Contact Name
Address
Phone
6. ABOUT YOU
In which country were you born?*
- Australia
- Other
Other, please specify.*
Do you speak a language other than English at home? (If more than one language, indicate the one that is spoken most often)*
- No, English Only
- Other
If other, Please specify.*
Are you of Aboriginal or Torres Strait Islander origin? (For persons of both Aboriginal and Torres Strait Islander origin, mark both ‘Yes’ boxes)*
- No
- Yes, Aboriginal
- Yes, Torres Strait Islander

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14. STUDENT ENROLMENT PRIVACY NOTICE
Student Enrolment Privacy Notice

Victorian Government VET Student Enrolment Privacy Notice
The Victorian Government, through the Department of Education and Training (the Department), develops, monitors and funds vocational education and training (VET) in Victoria. The Victorian Government is committed to ensuring that Victorians have access to appropriate and relevant VET services. Any personal information collected by the Department for VET purposes is protected in accordance with the Privacy and Data Protection Act 2014 (Vic) and the Health Records Act 2001 (Vic).
Collection of your data
Hammond Institute Pty Ltd is required to provide the Department with student and training activity data. This includes personal information collected in the Hammond Institute Pty Ltd enrolment form and unique identifiers such as the Victorian Student Number (VSN) and the Commonwealth’s Unique Student Identifier (USI).Hammond Institute Pty Ltd provides data to the Department in accordance with the Victorian VET Student Statistical Collection Guidelines, available at: http://www.education.vic.gov.au/training/providers/rto/Pages/datacollection.aspx.
Use of your data
The Department uses student and training data, including personal information, for a range of VET purposes including administration, monitoring and planning. A student’s USI may be used for specific VET purposes including the verification of student data provided by Hammond Institute; the administration and audit of Hammond Institute VET providers and programs; education-related policy and research purposes; and to assist in determining eligibility for training subsidies.
Disclosure of your data
As necessary and where lawful, the Department may disclose VET data, including personal information, to its contractors, other government agencies, professional bodies and/or other organisations for VET-related purposes. In particular, this includes disclosure of VET student and training data to the Commonwealth and the National Centre for Vocational Education Research (NCVER).
Legal and Regulatory
The Department’s collection and handling of enrolment data and VSNs is authorised under the Education and Training Reform Act 2006 (Vic). The Department is also authorised to collect and handle USIs in accordance with the Student Identifiers Act 2014 (Cth) and the Student Identifiers Regulation 2014 (Cth).
Survey participation
You may be contacted to participate in a survey conducted by NCVER or a Department-endorsed project, audit or review relating to your training. This provides valuable feedback on the delivery of VET programs in Victoria.
Consequences of not providing your information
Failure to provide your personal information may mean that it is not possible for you to enroll in a VET course and/or to obtain a Victorian Government VET subsidy
Access, correction and complaints
You have to 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 further information, please contact Hammond Institute Pty Ltd Privacy Officer in the first instance by phone 03 8370 3170 or email [email protected]
Further information
For further information about the way the Department collects and handles personal information, including access, correction and complaints, go to: http://education.vic.gov.au/Pages/privacypolicy.aspx.For further information about Unique Student Identifiers, including access, correction and complaints, go to: http://www.usi.gov.au/Students/Pages/student-privacy.aspx.
agree to Student enrolment privacy notice*
I read and agree to Student enrolment privacy notice*

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15. STUDENT DECLARATION
STUDENT DECLARATION

• I acknowledge that I have read the Victorian Government’s VET Student Enrolment Privacy Notice.
• I confirm that I have completed a pre training review session with one of Hammond Institute Pty Ltd's qualified personnel before completing this Enrolment form
• I declare that the information I have provided in this enrolment application form and the pre-training review form is to the best of my knowledge and are true and correct.
• I acknowledge that I understand that my enrolment with Hammond Institute Pty Ltd under Skills First program may affect my future entitlement for government subsidised training
• I confirm that I feel confident that I have chosen the right course.
• I acknowledge that I have been provided with all the information regarding the qualification/course that I am enrolling in including but not limited to duration, location, mode of delivery and work placement (if applicable).
• I acknowledge that I am required to obtain the necessary security checks (Police Check, Working with the Children Check) prior to the commencement of work placement in order to successfully complete the course(s) (if relevant).
• I acknowledge that it is my responsibility to read and understand the contents of the student handbook, policies and procedures and timetable and to abide by them
• I acknowledge that I understand and have been provided with information in relation to Credit Transfer and RPL (Recognition of Prior Learning) and that the approval of my application for credit transfer and/or RPL will affect my course duration and fees.
• I acknowledge that Hammond Institute reserves their right to cancel or postpone any course should there be insufficient enrolments and will be refunded in full or in part of any pre-paid fees (if applicable).
• I acknowledge that I am required to maintain satisfactory progression throughout my course.
• I acknowledge and agree that Hammond Institute will not be liable for any accident or injury which occurs in the course of any course-related excursion and I indemnify Hammond Institute for any loss or damage through any act of negligence from myself.
• I acknowledge that I am responsible to notify Hammond Institute when I decide to withdraw, defer or suspend/cancel enrolment for any reason.
• I acknowledge that Hammond Institute reserves the right to accept or reject this enrolment application at its discretion.
• I acknowledge that I am bound by Hammond Institute’s rules and regulations and any amendments made to the rules and regulations including but not limited to any potential changes in fees during the course.
• I acknowledge that the Institute’s full list of policy that relate to my studies can be found on its website as well as in their reception and that it is my responsibility to fully understand and become familiar with these policies.
• I agree to pay all fees and charges relating to my enrolment.
• I acknowledge that I have read and understood Hammond Institute Access and Equity Policy.
• I acknowledge that I have read and understood Hammond Institute Fee and Refund policy.
• I acknowledge that I have read and understood Hammond Institute Privacy Policy.
• I acknowledge that I have read and understood Hammond Institute Complaints and appeal policy.
• I consent to the collection, use and disclosure of my personal information in accordance with Privacy Notice above.
Terms and conditions*
By signing below, I hereby acknowledge that I have completely read, fully understand, and agree to the above information.
Signature of applicant*
Date*
DD slash MM slash YYYY
For applicants under 18 years of age only
Parent/Guardian Signature
Parent/Guardian Name
Date
DD slash MM slash YYYY

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Medicare Card	Australian Passport	Immigration Card
Citizen Certificate	Drivers Licence	Visa

Application For Enrolment

1. COURSE INFORMATION

2. PERSONAL DETAILS

2.1 AUSTRALIAN RESIDENCY STATUS

3. ADDRESS

POSTAL ADDRESS

Include following information in postal address if applicable: Building/Property Name, Flat/Unit Number, Street Number (e.g. 5 or Lot 12), Street Name, Suburb, locality or town, State/Territory and Postcode.

4. EMERGENCY CONTACT DETAILS

5. EMPLOYER DETAILS (If applicable to the course you are applying for)

6. ABOUT YOU

7. DISABILITY

Disability Supplement

8. SCHOOLING

9. PREVIOUS QUALIFICATION ACHIEVED

10. EMPLOYMENT

11. STUDY REASON

12. USI - (UNIQUE STUDENT IDENTIFIER)

13. VICTORIAN STUDENT NUMBER

14. STUDENT ENROLMENT PRIVACY NOTICE

Student Enrolment Privacy Notice

15. STUDENT DECLARATION

STUDENT DECLARATION

For applicants under 18 years of age only