1 Year 12 or equivalent 4 Year 9 or equivalent 2 Year 11 or equivalent 5 Year 8 or equivalent 3 Year 10 or equivalent 6 Never attended

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1 TVET curse details Name f TVET Curse: TAFE Cllege/Campus: Student Details TAFE Delivered HSC VET (TVET) Prgram Enrlment Frm t Undertake a TVET Curse 2018 Please submit this frm t Mrs Perry by Friday 1st September Unique Student Identifier: TVET Offer Cde: Delivery Day: Frms cannt be prcessed withut this number Title: Gender: Male Female Family name: Date f birth: / / Given name (in full): Other Name: Address: Preferred name: Suburb: State: Pstcde: Phne: (Hme) address: (Mbile) Year f study AT SCHOOL in 2018: Year 10 Year 11 Year 12 Schl attended in 2017: Schl yu will attend in 2018 (if different): If yu will be in Year 12 in 2018, will yu be cntinuing in the same curse in which yu are currently enrlled? Yes N Student Statistics 3a. TAFE Statistics KEYQUESTIONS TO BE COMPLETED BY THE STUDENT This infrmatin is required fr TAFE NSW statistical purpses 1. Citizenship and Residency Please mark yur citizenship r residency status belw, marking mre than ne bx if apprpriate. The details prvided belw will be verified with the Department f Immigratin and Citizenship r ther Gvernment Agencies. If the verificatin prcess shws a mismatch f infrmatin, yu culd be asked t prvide evidence f yur status. Australian citizen New Zealand citizen Australian permanent resident Nt residing in Australia Hlder f an Australian temprary visa and my visa sub-class is Are yu f Abriginal r Trres Strait Islander rigin? If yu are bth Abriginal and Trres Strait Islander mark bth bxes 2 and N 2. Yes, Abriginal 3. Yes, Trres Strait Islander 3. TVET Statistics - EBS Are yu f nn-english speaking backgrund? Yes N 4. D yu cnsider yurself t have a disability, impairment r lng term cnditin? Mark ne bx nly Yes N If Yes, mark applicable bx/bxes Visin Hearing/Deaf Physical Intellectual Medical Cnditin (please specify) Mental Illness Acquired Brain Impairment Learning Other (please specify) 5. D yu require assistance because f this disability, impairment r lng term cnditin frm a TAFE NSW Teacher Cnsultant? 1. N 2. Yes If YES, cntact a TAFE Disability Teacher Cnsultant fr further infrmatin (details are available at the campus enrlment centre) 3b. Schl Planning Statistics TO BE COMPLETED BY SCHOOL PERSONNEL ONLY Sme students may require adjustments. These are prvided thrugh alternative teaching and learning strategies and special prvisins including signing, Braille, a reader r scribe, access t technlgy, mdificatins t equipment, furniture and learning spaces, persnal care supprt. 1. Please indicate the adjustments currently prvided at schl FOR THIS STUDENT: Alternate teaching and learning strategies Signing Technlgy Persnal care supprt Braille Reader Scribe Mdificatins t equipment Furniture Learning spaces Other Des THIS STUDENT have a Disability Cnfirmatin Sheet? Yes N If YES, an applicatin fr Prvisin f Additinal Supprt may be submitted. 3. Are BOS special prvisins required fr Trial examinatins FOR THIS STUDENT? Yes N If additinal supprt is required fr severe health cnditins r students with a histry f vilence, refer t sectin 9 f the current TAFE delivered HSC VET curses (TVET), Guidelines fr schls and TAFE Institutes.

2 3c. Student Details T help us t prvide a better service please cmplete the persnal details belw by placing a crss ( X ) in ne f the bxes r by prviding infrmatin where requested. All infrmatin will be treated cnfidentially. Please read the Student Privacy Ntice sectin n this frm. 1 What is yur highest successfully cmpleted schl level? 1 Year 12 r equivalent 4 Year 9 r equivalent 2 Year 11 r equivalent 5 Year 8 r equivalent 3 Year 10 r equivalent 6 Never attended 2a In what year did yu cmplete the abve schl level? 2b Are yu still attending secndary schl? 1 Yes 2 N 3a Have yu successfully cmpleted any qualificatins? 1 Yes 2 N 3b If YES, place a crss ( X ) in any applicable bx/es: 1 Bachelr Degree r Higher Degree 2 Advanced Diplma r Assciate Degree 3 Diplma (r Assciate Diplma) 4 Certificate IV (r Advanced/Certificate/ Technician) 5 Certificate III (r Trade Certificate) 6 Certificate II 7 Certificate I 8 Certificates ther than abve 3c Place a crss ( X ) in any f the applicable bxes belw t indicate where yu btained the abve qualificatins: 1 Overseas 2 Adult and Cmmunity Educatin (ACE) 3 HSC VET Framewrk Curse 4 TAFE NSW 5 Other training prvider Of the fllwing categries, which BEST describes yur current emplyment status? (place a crss ( X ) in ne bx nly) 1 Full-time emplyee 2 Part-time emplyee 3 Self-emplyed nt emplying thers 4 Emplyer 5 Of the fllwing categries, which BEST describes yur main reasn fr undertaking this curse? (Place a crss ( X ) in ne bx nly) 1 T get a jb 2 T develp my existing business 3 T start my wn business 4 T try fr a different career 5 T get a better jb r prmtin 6 It is a requirement f my jb 7 I want extra skills fr my jb 8 T get int anther curse f study 9 Fr persnal interest r self-develpment 10 Other reasns 6 In which cuntry were yu brn? 1 Australia 6 New Zealand 2 China 7 Philippines 3 Hng Kng (SAR f China) 8 United Kingdm 4 India 9 Vietnam 5 Lebann Other please print name f cuntry If yu were nt brn in Australia, what year did yu first arrive in Australia? 8 D yu speak a language ther than English at hme? 1 N, English nly Yes, I speak: (Place a crss ( X ) in ne bx nly) 2 Arabic 5 Hindi 8 Spanish 3 Cantnese 6 Italian 9 Tagalg 4 Greek 7 Mandarin 10 Vietnamese Other please print name f language Hw well d yu speak English? 1 Very well 3 Nt well 2 Well 4 Nt at all 10 D yu require help with English? 1 Yes 2 N 5 Emplyed unpaid wrker in a family business 6 Unemplyed seeking full-time wrk 7 Unemplyed seeking part-time wrk 8 Nt emplyed nt seeking emplyment

3 # ## Student s Declaratin I understand that this Enrlment Frm des nt guarantee a place in the TVET curse. I understand the requirements f the TVET curse fr which I am expressing interest in and I am aware that, if necessary, places in the curse may be allcated using a cmpetitive selectin prcess. I understand that my schl/schl authrity may access my results frm this curse and that results will be prvided t the ffice f the Bard f Studies. I am aware that I may be respnsible fr arranging my wn transprt t and frm the cllege/campus and that I may have t undertake sme travel ut f schl hurs. If accepted I am cmmitted t cmpleting the curse. I agree t abide by the TAFE NSW plicies, instructins and rules and cnfirm the accuracy f the infrmatin which I have supplied. I cnsent t TAFE NSW verifying infrmatin abut me frm, r supplying it t, Centrelink, the Department f Veterans Affairs, the Department f Immigratin and Citizenship, the Universities Admissins Centre, NSW Educatin Standards Authrity (NESA) and the Natinal Centre fr Vcatinal Educatin Research (NCVER) and/r an agency authrised t undertake surveys. If I am an apprentice r trainee, I als cnsent t TAFE NSW verifying infrmatin abut me frm r supplying it t my emplyer, New Apprenticeship Centre and State Training Services (r the relevant State Training Authrity). If I am a temprary visa hlder I declare that I have read and understd the cnditins relating t the enrlment f temprary visa hlders in TAFE NSW. Please refer t the Student Privacy ntice at the end f this dcument. Signature:... Date:... Parent/caregiver acknwledgment f Enrlment Gvernment schl student I supprt this Enrlment Frm fr placement in a TVET curse and cnfirm my awareness f the travel and/r time matters mentined in the attached Advice dcument. I have read the sectin titled Management f Risk f Harm t Students and Staff at the end f this dcument. I understand that my child s welfare/safety and that f ther TAFE students and staff is best served by my cmplete and hnest disclsure f any particular needs that he r she may have that may affect his r her safety r supervisin during the TVET curse. Signature:... Name (Please print):... Date:... Nn-gvernment schl student I supprt this Enrlment fr placement in a TVET curse and cnfirm my awareness f the travel and/r time matters mentined in the attached Advice dcument. I have read the sectin titled Management f Risk f Harm t Students and Staff at the end f this dcument.. I understand that my child s welfare/safety and that f ther TAFE students and staff is best served by my cmplete and hnest disclsure f any particular needs that he r she may have that may affect his r her safety r supervisin during the TVET curse. I understand that there will be a TVET fee and applicable charges fr this curse, which are nn-refundable. I agree t pay fees and charges as ntified t me by the schl. I will cntact the schl fr details f all required payments. Name (Please print):... Signature:... Date:... Secure Internet Access and Students are prvided with an Internet and accunt t enable learning pprtunities in a prtected and secure envirnment. Students must abide by the Department f Educatin and Training's (DET) plicies when using the DET Internet and services. Parents r Guardians f students aged under 18 years will need t infrm the student's campus in writing if they DO NOT want their child t have access t the NSW DET Internet and facility. TAFE NSW Credit Transfer If yu have successfully cmpleted exactly the SAME r EQUIVALENT unit(s) f cmpetency/mdule(s) in yur current curse, yur TAFE NSW Transcript f Academic Recrd will indicate that the result frm yur previus study is TRANSFERRED t the unit(s) f cmpetency/mdule(s) fr which yu are seeking recgnitin. Yur Head Teacher/Teacher can advise yu f the mdules in which yur results will transfer. There may be sme unit(s) f cmpetency/mdule(s) where it is NOT pssible t transfer yur result. Instead yur TAFE NSW Transcript f Academic Recrd will indicate that the unit f cmpetency/mdule has been achieved BY ADVANCED STANDING. Student Privacy The NSW TAFE Cmmissin (having its principal ffice lcated at Level 2, 35 Bridge Street Sydney NSW 2000) cllects persnal infrmatin cncerning students during their enrlment at TAFE NSW including, but nt limited t, their attendance, participatin, and academic prgress. The infrmatin cllected by TAFE NSW thrughut a student s enrlment (cllectively the infrmatin ) will be used by TAFE NSW r ther authrised rganisatins fr the purpses f general student administratin, identificatin, cmmunicatin, state and natinal reprting, prgram mnitring and evaluatin. Student infrmatin will be held securely and dispsed f securely when n lnger needed. The infrmatin may be disclsed t Centrelink, the Department f Veteran s Affairs, the Department f Immigratin and Citizenship, the Universities Admissins Centre, Office f the Bard f Studies and the Natinal Centre fr Vcatinal Educatin Research (NCVER) and/r an agency authrised t undertake surveys. In rder t meet the requirements f Registered Training Organisatins under the Apprenticeships and Traineeships Act 2001, apprentice and trainee infrmatin is prvided t emplyers, Australian Apprenticeship Centres and State Training Services (r the relevant State Training Authrity). Statewide and reginal statistics derived frm infrmatin prvided by all students will als be prvided t the Cmmnwealth. While the prvisin f this infrmatin is nt mandatry under legislatin, it is a requirement f TAFE NSW that this infrmatin be prvided in rder fr yur enrlment t be accepted. This is t assist TAFE NSW in recrding enrlments fr certain target grups fr which funding is prvided fr student services. Withut that funding, TAFE NSW wuld be unable t cntinue prviding training and services at current levels. Yu may crrect yur persnal details by cntacting yur TAFE NSW campus administratin r by using TAFE NSW Student e-services. Management f Risk f Harm t Students and Staff TAFE NSW is required by law t ensure the health and safety f students, staff and visitrs n ur premises. In rder t meet these legal bligatins it is necessary fr us t assess and manage any knwn risk f vilent behaviur. If yu have a histry f vilence that may suggest that yu culd pse a ptential risk f any type t TAFE students, staff and/r visitrs it is a cnditin f yur enrlment t advise the Campus Manager, a TAFE Cunsellr r yur Head Teacher prir t attending yur first class. Fr these purpses vilence is nt restricted t physical acts. It includes any behaviur in the last ten years that seriusly interferes with the physical r psychlgical safety and wellbeing f thers such as: actual vilence t any persn pssessin f r use f a weapn r any item with the intentin t cause harm r injury t thers threats f vilence r intimidatin f thers suspensin r expulsin frm any schl r educatinal institutin fr vilent r aggressive behaviur. TAFE NSW is cmmitted t ffering vcatinal educatin and training t the entire cmmunity. Fllwing yur advice f a ptential risk, we will carry ut an assessment f the risk and, if necessary, prvide supprt and a management plan. Only in exceptinal circumstances will a risk assessment lead t exclusin frm enrlment. It is ur aim t prvide an apprpriate, safe envirnment t suit every student s needs and maximise yur success in yur studies

4 Emergency Cntact infrmatin *Emergency Cntact Infrmatin details are Mandatry Medicare N: Emergency cntact Name: _ Phne N.:_ Authrity t Publish This frm is an agreement between yu and TAFE NSW - Western Sydney Institute. Please read it carefully and sign at the bttm f the page if yu cnsent t allw publicatin as set ut belw. TAFE NSW - Western Sydney Institute wuld like t be able t use phtgraphs and/r vide f yu and/r sund recrding f yur vice and/r qute yur wrds in sme f its printed and/r electrnic prmtinal material and/r fr publicatin in the media. If yu sign this release frm yu agree t the fllwing: 1. The Institute is authrised t use still r vide images, sund recrding r qutes btained by interview frm yu fr any TAFE NSW - Western Sydney Institute prmtinal purpses including nline and printed media and publicatins 2. The Institute is authrised t reprduce images f yu in black and white r clur and images may be altered/edited fr design purpses 3. Yu may r may nt be cnsulted abut the specific cntext and medium in which yur images and/r cmments are published 4. The Institute is authrised t disclse infrmatin abut yur study chice 5. Material will be stred fr an indefinite time and dispsed f securely. TAFE NSW will nt use this material fr any ther purpse than the prmtin and marketing f educatin and training and wrkfrce develpment. Yur cnsent t the use f phtgraphs and/r vide f yu and/r sund recrding f yur vice and/r qute yur wrds is greatly appreciated. Any inquiries yu may have can be directed t External Relatins and Prmtins n (02) T be able t sign this release frm yu must be ver 18 years f age. If yu are nt 18 years f age, the Institute requires the cnsent f a parent r guardian. Yur details Name Address Cntact telephne Curse name Cllege Signature Date If yu re under 18 Parent/ Guardian Name Signature Date Witness Witness Name Signature Date Please submit this frm t Mrs Perry by Friday 1st September

5 Unique Student Identifier (USI) Privacy Ntice Dcument B Macquarie Park RTO Befre yu can be issued with a credential frm a Registered Training Organisatin yu must supply yur Unique Student Identifier (USI). T be issued with a credential yu must: 1. Ensure that bth yu and yur parents/carers read this ntice and sign it 2. Return this ntice t yur schl with the all required signatures 3. As part f this prcess yu need t create r have already created a USI. Lg n t and create a USI Number 4. Prvide a cpy f yur USI number verificatin printed frm the USI website The infrmatin n yur USI Student Declaratin r Lcate My USI frm will be prvided t the Student Identifiers Registrar fr the purpses f: verifying a USI that yu have prvided r lcating yur USI if it has been lst r frgtten; reslving prblems with a USI; creating authenticated vcatinal educatin and training (VET) transcripts; and in rare cases it may be used t create a USI n yur behalf The infrmatin yu prvide may als be disclsed t: Cmmnwealth and State/Territry gvernment departments and agencies and statutry bdies perfrming functins relating t VET fr: the purpses f administering and auditing Vcatinal Educatin and Training (VET), VET prviders and VET prgrams; educatin related plicy and research purpses; and t assist in determining eligibility fr training subsidies; VET Regulatrs t enable them t perfrm their VET regulatry functins; VET Admissin Bdies fr the purpses f administering VET and VET prgrams; current and frmer Registered Training Organisatins t enable them t deliver VET curses t the individual, meet their reprting bligatins under the VET standards and gvernment cntracts and assist in determining eligibility fr training subsidies; schls fr the purpses f delivering VET curses t the individual and reprting n these curses; the Natinal Centre fr Vcatinal Educatin Research fr the purpse f creating authenticated VET transcripts, reslving prblems with USIs and fr the cllectin, preparatin and auditing f natinal VET statistics; researchers fr educatin and training related research purpses; any ther persn r agency that may be authrised r required by law t access the infrmatin; any entity cntractually engaged by the Student Identifiers Registrar t assist in the perfrmance f his r her functins in the administratin f the USI system; and The infrmatin yu prvide will nt therwise be disclsed withut yur cnsent unless authrised r required by r under law. B_USI-Privacy Ntice

6 Dcument B Macquarie Park RTO In accrdance with sectin 11 f the Student Identifiers Act 2014 Cth (SI Act), we will securely destry persnal infrmatin which we cllect frm yu slely fr the purpse f applying fr a USI n yur behalf as sn as practicable after the USI applicatin has been made r the infrmatin is n lnger needed fr that purpse, unless we are required by r under any law t retain it. The persnal infrmatin abut yu that we prvide t the Registrar, including yur identity infrmatin, is prtected by the Privacy Act 1988 Cth (Privacy Act). The cllectin, use and disclsure f yur USI are prtected by the Student Identifiers Act. Privacy plicies and cmplaints Yu can find further infrmatin n hw the Student Identifiers Registrar cllects, uses and disclses the persnal infrmatin abut yu in the Registrar s Privacy Plicy which can be fund at r telephne the Skilling Australia Infrmatin line n The Registrar s Privacy Plicy cntains infrmatin abut hw yu may access and seek crrectin f the persnal infrmatin held abut yu and hw yu may make a cmplaint abut a breach f privacy by the Registrar in cnnectin with the USI and hw such cmplaints will be dealt with. Yu may als make a cmplaint t the Infrmatin Cmmissiner abut an interference with privacy pursuant t the Privacy Act, which includes the fllwing: misuse r interference f r unauthrised cllectin, use, access, mdificatin r disclsure f USIs; and a failure by the Student Identifier Registrar t destry persnal infrmatin prvided by yu nly fr the purpse f applying fr a USI n yur behalf. The NSW Department f Educatin and Cmmunities is als bund be the Privacy and Persnal Infrmatin Prtectin Act 1998 (NSW) and the Health Recrds and Infrmatin Privacy Act 2002 (NSW). T find ut hw t make a cmplaint abut hw the NSW Department f Educatin and Cmmunities cllects uses and disclses yur persnal infrmatin generally, including hw yu can make a cmplaint abut a breach f privacy, please refer t the Department s Cmplaints Handling Plicy which can be fund at By signing this dcument yu acknwledge that yu have been advised and that yu understand and cnsent that the persnal infrmatin yu prvide t us will be prvided t the Student Identifiers registrar t either create, verify r lcate yur USI and that yu understand hw yu can make a cmplaint if yu believe there has been a breach f yur privacy either by the NSW Department f Educatin and Cmmunities r the Student Identifiers Registrar. Student name: Signature: Date: Parent/Carer name: Signature: Date: This frm is t be archived in the student s file Return cmpleted Dcument B and Dcument C with yur TVET Expressin f Interest Applicatin t Mrs Perry by Friday 1st September B_USI-Privacy Ntice

7 Macquarie Park RTO Unique Student Identifier (USI) Dcument C I have a USI (please prvide in the spaces belw and cmplete Part A) I have a USI and have frgtten it I give permissin fr the schl t search fr my USI (please cmplete Part A) I d nt have a USI and want t create ne at schl (please cmplete Part A and B) Part A - Cmplete this part f the frm if yu already have a USI r yu want the Schl t search fr yur USI Persnal Details Middle Name Gender Date f Birth Cuntry f Birth Twn f Birth Residential Address Suburb State & Pstcde Hme Phne Mbile Part B - Cmplete this part f the frm ONLY if yu wuld like the Schl t Create a USI n yur behalf Evidence f Identity Only prvide details fr ONE frm f identificatin. E.g. Birth Certificate r Medicare Card. IMPORTANT - The infrmatin yu prvide the RTO belw must match the details shwn n yur chsen frm f Identificatin Birth Certificate fr New Suth Wales, Victria & Western Australia Registratin Number Year f Registratin Birth Certificate fr ACT, Nrthern Territry & Suth Australia Registratin Number Certificate Number Date Printed Birth Certificate fr Queensland & Tasmania Registratin Number Date f Registratin (DD/MM/YYYY) Medicare Card Card Number Individual reference Number Medicare Card Clur Green Blue Red Expiry Date Drivers Licence Middle Name Date f Birth State Licence Number Australian Passprt Date f Birth Passprt Number Visa (nn-australian passprt hlders) First name Date f Birth Cuntry f Issue Passprt Number Immigratin Card Date f Birth Immigratin Number Citizenship Certificate Details Date f Birth Acquisitin Date Stck Number DOCUMENT C WILL BE DESTROYED ONCE YOUR USI HAS BEEN APPLIED FOR AND\OR VERIFYED* Nte: Failure t prvide cmplete and accurate infrmatin will result in the RTO nt being able t verify yur VET credentials and may in sme cases place yur HSC at risk.