91397 Barrington Training Services Pty Ltd. Please complete all sections of this form and return to Barrington Training Services.
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1 91397 Barrington Training Services Pty Ltd Please complete all sections of this form and return to Barrington Training Services. COURSE DETAILS- BSB61015 TRAINING LOCATION: (office use) FUNDED / NOT FUNDED TRAINING FEE: $ Surname PARTICIPANT DETAILS- please complete your personal details below Given Name Title Address Suburb State Phone Mobile Post Code Gender M / F Date of Birth D D / M M / Y Y Town/City of Birth Country of Birth Unique Student Identifier USI # Click on the following link to create your USI: Note: Barringtons can be prevented from issuing you with a nationally recognised qualification or Statement of Attainment if you do not have a USI. IDENTIFICATION Positive identification must be obtained and should contain a photo issued by a government or commercial organisation for the purpose of proof of identity or age. Documentary evidence will be recorded and retained by Barrington Training Services for the purpose of auditing processes as well as legislative reporting requirements. Please attach or a copy of your ID. For Diploma of Hospitality Management: Please provide a copy of your RSA and/or RCG Photo Competency Card ID TYPE ID/Documentation Number Drivers Licence Passport Birth Certificate Other Date reviewed: November 2018 Version : 1.2 Page 1 of 9 Enrolment Form
2 ELIGIBILITY: To access government funding we need you to answer the following question to assess your elgibility NATIONALITY/LANGUAGE Are you of Aboriginal origin? Are you Torres Strait Islander origin? Are you Aboriginal AND Torres Strait Islander origin? Please provide documentary evidence Do you speak another language other than English at home? If YES, please specify the language spoken Will you need help with English? CITIZENSHIP (Tick the box that applies to you) I am an Australian Citizen I am a New Zealand Citizen I am an Australian Permanent Resident None of the above applies ( Please specify ) DISABILITY Do you consider yourself to have a permanent and significant disability If YES, specify disability Do you require special assistance because of your disability Please provide documentary evidence Are you a dependent of a Disability Support Pensioner? EDUCATION Do you require additional language, literacy and numeracy support? What is your highest completed school level? In which year did you complete that level? Are you currently undertaking any other study? PRIOR EDUCATION Since leaving school, have you completed any qualification If yes, tick any of the following boxes that apply to you, please add the name of the qualification ticked Trade certificate Advanced/Technician Certificate Certificate other than above Associate Diploma Undergraduate Diploma Degree or Postgraduate Diploma What was your certificate level? (II, III or IV) What year was the last qualification completed Would you like to apply for RPL or Credit Transfer? If Yes please provide evidence to your trainer through BTS s RPL process. Please refer to our student information handbook on our website. Date reviewed: November 2018 Version : 1.2 Page 2 of 9 Enrolment Form
3 EMPLOYMENT DETAILS 1. Are you employed full-time / part-time? FULL TIME If unemployed, go to question What date did you commence employment with this employer? 3. Employer Name : Employer Address: PART TIME 4. Suburb State Postcode 5. Contact Person 6. Phone 7. Address 8. Are you unemployed? If Yes how many weeks? No of Weeks Are you a Comonwealth Welfare recipient/the dependent of a Commonwealth Welfare recipient? If yes to the above question what type of welfare do you receive? Who is your Service Provider and what is their Service Provider Organisation ID? What is your Client ID or JSID number? HOUSING DETAILS- Do you live in NSW Social Housing such as public housing, community housing, aboriginal housing, crisis accommodation or are provided rental assistance by Housing NSW? If YES please provide documentary evidence. Date reviewed: November 2018 Version : 1.2 Page 3 of 9 Enrolment Form
4 DECLARATION OF UNDERSTANDING-please refer to our information handbooks Please read the following statement carefully. If you do not understand what you are being asked, please contact Barrington Training Services. I understand that the training course has an assessment component. These assessments are part of the training course and I must complete them. I will not have completed my training program until Barrington Training Services has received my completed assessments. I agree to hand in all assessments by the date agreed with my Trainer/Assessor. The BTS Trainer/Assessor will decide the assessment outcome. The BTS Trainer/Assessor will discuss the assessment outcomes with me. If I need to do further work to be credited with a completed unit or course of study, I agree to complete the work in the time agreed with my Assessor. If I do not agree with an assessment decision, I may use the Assessment Appeals Policy to have the assessment decision reconsidered. If I appeal an assessment decision, I agree to stand by the assessment decision as a final assessment of my competence in the unit or course of study. I also understand training places are limited in some courses and I may not be able to participate in the class at the time I have nominated. I authorise BTS to apply for a USI on my behalf and have read the privacy information at Organisations/Documents/privacy-Notice.pdf and consent to the collection, use and disclosure of my personal information. I authorise BTS to access my Unique Student Identifier (USI) Information. I am willing for BTS to use the Student Provider Calculator on my behalf to calculate my student fee. I understand that the information provided to BTS is true, accurate, complete and not misleading in any way. I understand that the information requested in this form may be used by Training Services NSW, Skills and Regional Development or ASQA for research, NSW Food Authority and statistical & internal management purposes only. In supplying this requested information I am deemed to have consented to the use of the information for these purposes. I acknowledge and agree that the department may contact me by telephone, or post during or after I have ceased subsidised training with BTS Pty Ltd for the purposes of evaluating and assessing my subsidised training. I grant permission for Barringtons to use group photos or videos of me participating in training and or attending a graduation. Participant Signature: Date: : Note: If under 18 years of age at the time of giving consent, then the consent of the guardian is required. Full Name of Guardian: Signature of Guardian: Date: Date reviewed: November 2018 Version : 1.2 Page 4 of 9 Enrolment Form
5 LANGUAGE LITERACY NUMERACY ASSESSMENT TASKS Stay safe in the workplace Part A Read the case study information below and answer the questions about the information provided. Riviera Club is a large organisation that employed approximately 700 workers and has total revenue of $8.5 million in In recent years the company had become increasing concerned about workplace safety as there had been a growing number of incidents, including one death in Riviera Club was extremely concerned about this and the company s management was committed to improving the safety of their workers. In 2017 they undertook a large scale training program to educate their workforce about work safety. According to the CEO, Martha Henderson, the focus of the program was the slogan workplace safety is everybody s businesses. Ms Henderson stated that the company specifically worked at including every individual in the work safety program. Some successful aspects of the program included: all workers were given the opportunity to offer their point of view on what would make a difference to their safety in the workplace all workers were retrained in aspects of safety a system of rewards was offered to work teams that demonstrated a decrease in the number of workplace incidents new workers were provided with extensive training in the correct use of equipment. Although considered to be successful, the workplace safety program is very expensive (approximately 3% of revenue in 2017). However, the costs involved in not having a safe workplace are also very high. 1. Approximately how many workers are employed at Riviera Club? 2. In what year did the death of a worker occur? 3. What was Riviera Club s management committed to? Date reviewed: November 2018 Version : 1.2 Page 5 of 9 Enrolment Form
6 4. Who is the CEO of Riviera Club? 5. Note two successful aspects of the workplace safety program. 6. The main purpose of this text is: to persuade to inform to complain 7. Approximately how much was spent on work safety in 2017? Show how you work out your answer. Date reviewed: November 2018 Version : 1.2 Page 6 of 9 Enrolment Form
7 Part B The following graph shows the number of workplace injury incidents during This covers all incidents ranging from very minor incidents (eg. cuts and bruises) to more serious ones requiring hospitalisation. Look at the graphs and answer the following questions. Workplace Injury Incidents 2017 Months Jan - Dec 8. Which month had the highest number of workplace injuries? 9. Which month had the lowest number of workplace injuries? 10. What was the total number of injuries in September and October combined? Show your working out. Date reviewed: November 2018 Version : 1.2 Page 7 of 9 Enrolment Form
8 11. What is the difference in the number of incidents between July and October 2017? Show your working. 12. What is the general trend in the number of incidents? 13. Between which two months did the injuries reduce by 50%? 14. In September 2017, 15 workers reported with back injuries. What fraction and percentage was this of the total for that month? Show your working. 15. Do you think that the safety program was effective? Explain your answer. Date reviewed: November 2018 Version : 1.2 Page 8 of 9 Enrolment Form
9 Part C Prepare a short report for Riviera Club management recommending that the workplace safety program continue for the next 12 months. Include in your report a general paragraph about the importance of the program and a list of at least four recommendations. Use the information in the graph in your report. Use capital letters, full stops, dot points and any other appropriate punctuation. You may like to use the space below to draft your report. ASSESSOR COMMENTS/FEEDBACK: Competent Assessors Name: Assessors Signature: Date Not yet competent Participant Name: Participant Signature: Date Date reviewed: November 2018 Version : 1.2 Page 9 of 9 Enrolment Form
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