Supplementary Agrifood Systems Application Form

Supplementary Agrifood Systems Application Form Who should use this form? Applicants who have completed the UNE Undergraduate Admission form for entry to the Bachelor of Agrifood Systems or Associate Degree in Agrifood Systems. Course Notification and Privacy Information Please read the following information before proceeding. 1. Applicants agree that by completing this Form they are applying for admission to both the University of New England (UNE) and TAFE New England Institute (NEI) and will be subject to the Acts, By-Laws, Policies, Procedures and Rules of both institutions. 2. Applicants agree that UNE and TAFE NEI will share the Applicant s Personal Information and will do so in accordance with the Privacy and Personal Information Act 1998 (NSW) and the Health and Records and Information Privacy 2002 (NSW). For further details see the student privacy information contained in the TAFE NSW Enrolment Information Sheet and UNE s Privacy Statement. TAFE NSW New England Institute Application Form 2014 Please answer all questions Course Name: Diploma of Agriculture (co-enrolment) Course No: 19949 Campus Name: TAFE New England Delivery Mode: Online with Intensive Schools On Campus Entry Pathway: via UNE Personal Details Title: Last Name: First Name: Second Name: Date of Birth (dd/mm/yyyy): Residential Address: No. and Street Name: Suburb/Town: State: Postcode: Postal Address: No. and Street Name or PO Box No.: Suburb/Town: State: Postcode: Home Telephone No: Work Telephone No: Mobile Telephone No: Email address: Are you an Australian Aboriginal or Torres Strait Islander?: No Aboriginal Torres Strait Islander If you are both an Australian Aboriginal and Torres Strait Islander mark both boxes. Page 1

Citizenship and Residency Do you reside in Australia?: Yes No If yes, please mark your Citizenship or Residency status below: Australian Citizen New Zealand Citizen Australian Permanent Resident Australian Temporary Visa Holder Visa Sub Class Permanent Humanitarian Visa Holder If you are a TEMPORARY VISA HOLDER and you are required to pay tuition fees you will need to complete the SUPPLEMENTARY ENROLMENT FORM. Disability/Special Needs Do you consider yourself to have a disability, impairment or long-term condition?: Yes No If Yes, select any applicable box: Vision Hearing/Deafness Physical Intellectual Medical condition Mental Illness Acquired brain impairment Learning Other Do you require or are you receiving assistance for this disability, impairment or long-term condition from a Teacher/Consultant for Students with Disabilities? Yes No If Yes, contact a Teacher/Consultant for Students with Disabilities at enrolment or as soon as possible for further information. Student Declaration I acknowledge that it is a condition of my enrolment that I abide by all TAFE NSW policies and procedures. I have read the section titled Management of Risk Harm to Students and Staff included with this application form. I also acknowledge that it is a condition of my enrolment to advise the Campus Manager, a TAFE Counsellor or my Head Teacher if I have a history of violence. I confirm the accuracy of the information I have provided on this Application Form and acknowledge that providing any false information and/or failing to disclose any relevant information, including any history of violence, may lead to the immediate termination of my enrolment at TAFE NSW. Information provided on this form and collected or otherwise obtained throughout my enrolment will be handled by TAFE NSW in accordance with the student privacy notice included with this application form, the Privacy and Personal Information Protection Act 1998 and Health and Records and Information Privacy Act 2002. Signature Date Page 2

Student Statistics 2014 To help us to provide a better service please complete the personal details below. All information will be treated confidentially. Please see the Student Privacy Statement on the TAFE NSW Enrolment Information sheet. If your personal details change please update by contacting your TAFE NSW Campus administration or by using TAFE NSW e-services. 1. What is your highest completed school level? Year 12 or equivalent Year 11 or equivalent Year 10 or equivalent Year 9 or equivalent Year 8 or equivalent Never attended school 2a. In which year did you complete the above school level? 2b. Are you still attending secondary school? Yes No 3a. Have you successfully completed any of the following qualifications? Yes No 3b. If yes, then select any applicable boxes Bachelor or Higher Degree Diploma or Associated Diploma Advanced Diploma or Associate Degree Certificate IV or Advanced/Technician Certificate Certificate III or Trade Certificate Certificate 11 Certificate 1 Certificate other than above 3c. Please select any applicable boxes below to indicate from where you obtained the above qualifications. Overseas TAFE NSW Adult & Community Education (ACE) HSC VET Course Other Training provider Tertiary Institution 4. Of the following categories, which BEST describes your current employment status? Select one box only. Full-time employee Self-Employed not employing others Employed- unpaid worker in a family business Unemployed- seeking part-time work Part-time employee Employer Unemployed seeking full-time work Not employed- not seeking employment 5. Of the following categories, which BEST describes your reason for undertaking this course? Select one box only. To get a job To develop my existing business To start my own business To try a different job It is a requirement of my job I want extra skills for my job To get into another course of study For personal interest or self-development To get a better job or promotion Other reasons Page 3

Student Statistics 2014 continued 6. In which country were you born? Please specify: 7. If you were not born in Australia, what year did you first arrive in Australia? 8. Did you speak a language other than English? Yes No, English only If Yes, please specify: 9. How well do you speak English? Very Well Well Not Well Not at All 10. Do you require help with English? Yes No If Yes, please contact the college enrolment centre for further information. 11. Child Care Survey Do you need assistance with child care to attend this course? Yes No Note: Limited child care places are available at some TAFE NSW campuses for a fee. Applications for child care must be made separately. Next Steps Thank you for completing the Student Statistics form. Ensure that you have signed and dated the Student Declaration on the Supplementary Agrifood Systems Application Form. Ensure that you have read the following TAFE NSW Enrolment Information document. If you wish to apply for TAFE Credit for Previous Studies, complete and sign the Enrolment Adjustment Credit- Previous Studies Form and ensure that you have included all the requested information. Once you have completed and signed the Supplementary Agrifood Systems Application Form and the TAFE Enrolment Adjustment Credit- Previous Studies Form (if applicable) please scan and have available as an electronic copy to upload at Step 11 of the Online Admissions Process. Page 4

TAFE NSW ENROLMENT INFORMATION Changes to courses TAFE NSW reserves the right to: run or withdraw any course; hold a course at a Campus other than that advertised; alter the times or dates for the whole or any part of the course. If any of these course changes become necessary, you will be advised of the changes and the alternative arrangements which may be available for you to complete your course. Payment of the TAFE NSW fee Your enrolment is not complete and you are not entitled to attend class until you have paid either the TAFE NSW fee, a Concession fee or have been exempted from the TAFE NSW fee. TAFE NSW has a policy of cashless enrolment at all times and will NOT accept cash as a means of paying fees or any other enrolment-related charges. You may pay by EFTPOS, Visa card, MasterCard, cheque or money order payable to TAFE NSW. If your course runs for more than one semester you may have the option to pay your TAFE NSW fee in two equal instalments. The first payment is due when you enrol. You will be notified when your second payment is due. For first semester enrolments, the second instalment is required by 31 May. Students who receive a Commonwealth benefit or allowance may be eligible to pay a Concession fee per course enrolment per annum, rather than the full TAFE NSW fee. Aboriginal or Torres Strait Islander students are exempt from paying the TAFE NSW fee. Students in receipt of the Disability Support Pension or students with a disability (clients of a Teacher/Consultant) are entitled to one full-fee exemption for one TAFE NSW course per year. The Concession fee applies for subsequent enrolments in that year. Note: Individual students who are eligible for a full fee exemption from the TAFE NSW fee on the basis of being either a recipient of the Disability Support Pension or a Client of Teacher Consultant may only be granted one full fee exemption for one TAFE NSW course per year, and are eligible for the concession fee for subsequent enrolments in that year, ie they are not entitled to concurrent full fee exemptions in the one calendar year on the basis of being a recipient of both the Disability Support Pension and Client of a Teacher Consultant provisions. The Concession fee is not payable by instalments. Apprentices and trainees must provide proof of their status an apprentice or trainee at the time of payment. TAFE NSW is an approved FEE-HELP provider. A FEE-HELP student loan may be available for eligible full-fee paying students enrolling in an eligible course. Different enrolment and refund conditions apply. For more information about FEE-HELP and VET FEE-HELP. go to https://www.tafensw.edu.au or contact your campus of enrolment. Refund of the TAFE NSWfee A refund of all or part of the TAFE NSW fee may be given in the following circumstances: You have overpaid the TAFE NSW fee. You enrolled in a course that has been cancelled by the campus or Institute. You have paid the full TAFE NSW fee but now receive Youth Allowance or Austudy commencing within two weeks of the date of enrolment or the date of first attendance at class (you will be eligible for the Concession fee). You are offered and accept a place in a course at university or at the same/another TAFE NSW campus within the first three teaching weeks. You enrol in a course only to repeat a failed unit/module but are then granted a pass in that unit/module by an Assessment Review Committee. You formally advise the campus, before classes commence and with no attendance, that you are withdrawing from the course. You made a full-year payment and withdrew with no attendance in Semester Two. You may be eligible for a refund of the Semester Two TAFE NSW fee. The campus delegate is of the opinion that you would be unreasonably disadvantaged if you were not granted a refund, for example, if you meet with a serious misadventure and you were unable to continue your enrolment. Completion of the HSC and TPC (conditions apply). International students International students enrolment at TAFE NSW is subject to certain conditions including the payment of international course fees. The terms and conditions applicable to international students, including refund policy, are stated on the International Student Application form. For further details see http://www.detinternational.nsw.edu. au/tafe/apply_arrive.htm or contact International Students Centre on 1300 302 4S6. Temporary Visa Holders Temporary visa holders enrolment in TAFE NSW is subject to specific conditions. For further information contact the Temporary Visa Holders Officer at the local TAFE NSW campus or visit https:f/www.tafensw.edu.au/courses/enrol/guide/visa_holder.htm Behind in paying your TAFE NSW fee, the Concession fee or other fees or charges? If you have outstanding fees or charges in the current year, or previous years, you will not receive: - Testamur - Transcript of Academic Record - Record of Successful Study - Statement of Competencies Achieved - Report to Employer. Disability Services If you would like information about disability support and services please contact a Teacher/Consultant for Students with Disabilities. Contact details are available at your campus of enrolment or on the TAFE NSW website https://www.tafensw.edu.au/services/disability/index.htm TAFE NSW Credit Transfer If you have successfully completed the SAME or an EQUIVALENT unit to one that is in your current course, the result from your previous study will be TRANSFERRED to your current course and included on your TAFE NSW Transcript of Academic Record. Your Head Teacher/Teacher can advise you of the units for which grades will transfer. There may be some cases where it is NOT possible to transfer a grade. In these cases, your TAFE NSW Transcript of Academic Record will indicate that the unit has been achieved by ADVANCED STANDING or log onto your student e-services account and view the Enrolment Details Screen. TAFEcard The TAFEcard is a compulsory form of identification at TAFE NSW. Your enrolment is not complete until you have your TAFEcard photograph taken. Please keep your TAFEcard as it can be re-activated if you decide to re-enrol. Student Association The annual Student Association membership fee funds facilities and services that improve the educational environment of a campus. For more information, contact the Campus Administration Office, a Student Association or visit http://www. studentassociations.info/ Online communication Services- Acceptable Usage Students must abide by the Department of Education and Communities (DEC) policies when using the Internet and email services at https://www.det.nsw.edu.au/policiesinter/category. do,jevei=tafe. If you are under 18 years of age you are required to take home an Under 18 Information Brochure for your parent or guardians to read. This is available online at: http:// www.schools. nsw.edu.au/media/downloads/schooisweb/adminsupportlschtechnologies/internetl sibe_infosheet.pdf Preferred given name TAFE NSW uses your preferred given name (or your First Given Name) + Family Name to create a Unique Username for you to access the TAFE NSW Student e-services. lf you supply a preferred given name (eg Kim rather than Kimberley), your user name will reflect the preferred given name (eg Kim.Jones). lf there already is a Kim jones you will be Kim.Jones2. Management of risk of harm to students and staff TAFE NSW is required by law to ensure the health and safety of students, staff and visitors on our premises. In order to meet these legal obligations it is necessary for us to assess and manage any known risk of violent behavior. If you have a history of violence that may suggest that you could pose a current risk of any type to TAFE students, staff and/or visitors it is a condition of your enrolment to advise the Campus Manager, a TAFE Counsellor, your Head Teacher prior to attending your first class. For this purposes violence is not restricted to physical acts. It includes any behaviour in the last ten years that seriously interferes with the physical or psychological safety and wellbeing of others such as: actual violence to any person; possession of or use of a weapon or any item with the intention to cause harm or injury to others; threats of violence or intimidation of others - suspension or expulsion from any school or educational institution for violent aggressive behaviour. TAFE NSW is committed to offering vocational education and training to the entire community. Following your advice of a potential risk, we will carry out an assessment of the current risk and, if necessary, provide Support and a management plan. Only in exceptional circumstances will a risk assessment lead to exclusion from enrolment. It is our aim to provide an appropriate, safe environment to suit every students need and maximise your success in your studies. Student Privacy Information collected by the New South Wales TAFE Commission during a student s enrolment and attendance will be used for the purposes of general student administration, identification, communication, state and national reporting, program monitoring. evaluation and surveys. Student information will be held securely and disposed of securely when no longer needed. The information may be disclosed to Centrelink, the Department of Veterans Affairs, the Department of Education, Employment and Workplace Relations, the Department of Immigration and Citizenship, the Universities Admission Centre, Office of the Board of Studies and the National Centre for Vocational Education Research. In order to meet the requirements of Registered Training Organisations under the Apprenticeships and Traineeships Act 200 I, apprentice and trainee information is provided to employers, Australian Apprenticeship Centres and State Training Services (or the relevant State Training Authority). While the provision of the information requested on this student enrolment form is not required by law, it is a requirement of TAFE NSW and your enrolment will not be accepted if it is not provided. You may correct your personal details by contacting your TAFENSW campus administration or by using TAFENSW Student e-services.

All evidence for recognition must be attached to this form. Enrolment Adjustment - Credit - Previous Studies This form is to be used to request credit for previous formal studies undertaken at either TAFE NSW or with another training or Higher Education provider. See next page for instructions. Section 1: Student Information to be completed by student Student number Course number Course name Course version Latest year of enrolment College/Campus number College/Campus name Family name First given name Other given name Postal address State Postcode Date of Birth (in figures) Day Month Year Day time contact phone number Section 2: Previous studies relevant to current enrolment. Student to select any relevant box. A TAFE NSW (auto-credit) - I wish to receive authorised credit from all previously B TAFE NSW (auto-credit) - I wish to receive authorised credit from selected studied TAFE NSW courses. No other details required. previous TAFE NSW courses. List courses selected in Section 3. C TAFE NSW - I wish to receive authorised credit for selected units previously D Other Provider - I wish to apply for credit for units listed in Section 4. studied in TAFE NSW. List units in Section 4. Attach a certified copy of previous studies. Section 3: Autocredit from selected TAFE NSW courses. Student to complete only if Option B is selected. 2014 Campus Copy Staff Use Only Request Course Completion (once evidence of student entitlement has been confirmed) No Yes Where course completion is requested contact (email or phone) re outcome Key for previous provider code 1 University or other HE provider 2 Adult and Community Education 3 School 4 TAFE NSW 5 Other VET provider Course No. Course Name Course Version Course Attempt Course No. Course Name Course Version Course Attempt Section 4: Unit Claims (A TAFE NSW Unit may be a Unit of Competency, Module or a Higher Education Subject). Student to complete only if options C & D are selected. Student to complete: List unit in current studies for which you are seeking credit transfer and provide details of previous study Unit Number Name of Unit Details of previous study Arrangement No (only used when section 2 option C is selected Teacher/Head Teacher/Course Co-ordinator Use Only. Please read instructions on next page. Pre-arranged Credit National Recognition Previous Provider S M Code Approved Yes/No 108 (10/12) Student Declaration The information I have provided is true and correct Signature of Student Date Head Teacher/Teacher/Course Co-ordinator Declaration I have confirmed the student is entitled to the credit as approved above. Name of Head Teacher/Teacher (Please Print) Signature of Head Teacher/Teacher Date

Instructions for Enrolment Adjustment Credit Previous studies STUDENT INSTRUCTIONS (SECTIONS 1, 2, 3 AND 4 TO BE COMPLETED BY THE STUDENT) ASK your Head Teacher/Teacher/Course Co-ordinator for details of authorised credit transfer arrangements and IDENTIFY the unit(s) in your course that match your previous study. CHECK the Course Credit Estimate Report from Student e-services on the TAFE NSW internet site if your previous study was in TAFE NSW. COMPLETE Sections 1 and 2 of this form. If you choose: Option A TICK box A only and SIGN and DATE the form Option B TICK box B, LIST your previous TAFE NSW courses in Section 3, then SIGN and DATE the form Option C TICK box C, LIST the units you are claiming for in Section 4, then SIGN and DATE the form Option D TICK box D, LIST the units you are claiming for in Section 4, ATTACH a certified transcript of your previous studies, then SIGN and DATE the form. If you have previously studied at TAFE NSW, your Transcript of Academic Record will indicate unit(s) which have been achieved either by transferring your result from previous TAFE NSW study or where this is not applicable your record will indicate a result BY ADVANCED STANDING. STUDENT PRIVACY Information collected by the New South Wales TAFE Commission during a student s enrolment and attendance will be used for the purposes of general student administration, identification, communication, state and national reporting, program monitoring, evaluation and surveys. Student information will be held securely and disposed of securely when no longer needed. The information may be disclosed to the Department of Human Services (Centrelink), the Department of Veterans Affairs, the Department of Industry, Innovation, Science, Research and Tertiary Education, the Department of Immigration and Citizenship, the Australian Skills Quality Authority, the Universities Admissions Centre, Office of the Board of Studies and the National Centre for Vocational Education Research. In order to meet the requirements of Registered Training Organisations under the Apprenticeships and Traineeships Act 2001, apprentice and trainee information is provided to employers, Australian Apprenticeship Centres and State Training Services (or the relevant State Training Authority). While the provision of the information requested on this student enrolment form is not required by law, it is a requirement of TAFE NSW and your enrolment will not be accepted if it is not provided. You may correct your personal details by contacting your TAFE NSW campus administration or by using TAFE NSW Student e-services. HEAD TEACHER/TEACHER/COURSE CO-ORDINATOR INSTRUCTIONS REFER to the relevant guidelines on credit at https://detwww.det.nsw.edu.au/tafe/tes/credit_arrangements/index.htm or for Higher Education courses refer to https://detwww.det.nsw.edu.au/policies/students/high_edu/stan_cred/ PD20100412_i.shtml?query=higher+education&start=1 ADVISE student about their entitlements to credit for their previous studies. CHECK Student Information System and PRINT Student Record Summary (What If Report) and explain the report to the student (College Administration are also able to generate this report). CHECK that at least one box in Section 2 has been crossed (x) to indicate previous study source. In relation to: Section 1 CHECK details provided by the student Section 2 CHECK that at least one box has been ticked Section 3 CHECK that this correlates with Option B being ticked Section 4 INDICATE the arrangement number (if applicable) applying to previous TAFE study INDICATE if recognition against a unit has been granted if Pre-Arranged credit applies, WRITE S in the relevant column if National Recognition applies, WRITE M in the relevant column ENTER the appropriate previous provider code into the relevant column (see key SELECT one provider only for each Unit nominated) Where credit transfer is not recorded on CIS (where a mapping is not available), or where Pre-Arranged Credit or National Recognition do not apply, PROCESS the claim as Recognition of Prior Learning using the Credit Enrolment Adjustment Form No.102 COMPLETE Request Course Completion Box (TICK relevant option and PROVIDE relevant details). CHECK that student has signed and dated form. SIGN and DATE the Head Teacher/Teacher/Course Co-ordinator authorisation after confirmation the student is entitled to the credit claimed. Z CROSS underneath the last unit listed in Section 4 prior to approval and processing. INITIAL ALL alterations to the form. DISTRIBUTE the three forms as required, once the process has been finalised. COPIES OF THE FORM 1. Campus (To be used for adjusting the student record on the Student Information System [SIS]). 2. Teaching Section (Documentary evidence of justification for granting credit should be attached to this copy). 3. Student (To be sent to the Student with notification of the outcome). 108 (10/12)