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Page 1: QFVFH01501 VET FEE-HELP ENROLMENT … - VETFeeHelpApplicationForm...VET FEE-HELP ENROLMENT APPLICATION FORM QFVFH01501 V15.09.29 Page 2 of 8 Section 7: Education A - Are you still

VET FEE-HELP ENROLMENT APPLICATION FORM

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Section 1: How did you hear about us?

An Abbey Representative (Name): _________________________________________________________

Others such as friends, Google, Magazine/Newspaper ad: _______________________________________________________

Section 2: Eligibility

I am an Australian Citizen: Yes

Please go to the section 2

No I have a current Humanitarian Visa

and my visa number is:

__________________________

Section 3: Personal Details

Given Names: __________________________ Surname: ___________________________

Date of Birth: ______ /______ / ________ Gender: Male Female

Country of Birth:

______________________________________________

If born outside Australia:

Year of arrival in Australia: __________________________

Section 4: Residential Address and Contact Details

Residential Address: ______________________________________________________________________

Suburb: ___________________________ State: ___________________ Post Code: _________________

Home Phone: ____________________________ Mobile: __________________________

Email: ___________________________________@____________________________________________

Section 5: Supporting Evidence

Please attach evidence of Australian Citizenship or Humanitarian Visa

Copy of Passport: Copy of Australian Birth Certificate:

Copy of Medicare Card: Copy of Citizenship Certificate or Humanitarian Visa:

Do you have a valid Tax File Number (TFN)? Yes No

Section 6: Current or Previous VET FEE- HELP Study

Have you undertaken any other study through VET FEE-HELP? Yes No (if No go to the section 7)

If Yes:

Name of the qualification: ____________________________________ Completion Date: ____________

Name of the qualifiction: _____________________________________ Completion Date: ____________

Name of the qualifiction: _____________________________________ Completion Date: ____________

If you have experience or prior studies that may make you eligible for recognition of prior learning (RPL) or recognition of current competency (RCC) or credit transfer, please ask our administration for assistance in making an application. A minimum fee of $550 applies for assessment of each RPL or RCC unit.

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Section 7: Education

A - Are you still at school? Yes No

B - Highest School Year Completed:

Yr 12 � Yr 11 � Yr 10 � Yr 9 � Yr 8 � or Below �

C - What year did you finish school?: __________________________________

D - Have you completed any of the qualification levels below? Tick all that apply:

Certificate 2 Certificate 3 Certificate 4 Diploma Advanced Diploma Degree

� � � � � �

E - Which of the following categories BEST describes your reason for applying for the course now?

To get a better job or promotion: I want extra skills for my job:

To get into another course of study: To try for a different career:

To develop my existing business: To get a job:

It is a requirement of my job:

Section 8: Employment Status

An Employer A Self employed - not employing others

Full Time employee Employed - unpaid worker in a family business

Part Time employee Unemployed - not seeking employment

Unemployed – seeking full time work Unemployed – seeking part time work

Section 9: Language Spoken at Home and Background

English Others (Specify) _________________________________________

If not English, how well do you speak English?

Very Well Well Not Well Not at All

Are you:

Aboriginal Torres Strait Islander Both Neither

Section 10: Disability

Do you have a disablity? Yes (If Yes, specify below) No (If No, go to the next section)

Hearing Vision Mental Illness Learning Physical Medical

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Intended Choice of Course

CODE COURSE Please Tick to Select a Course

PSP52312 Diploma of Translating

PSP61012 Advanced Diploma of Translating

BSB50215 Diploma of Business

ICT50210 Diploma of Telecommunication Network Engineering

CHC50113 Diploma of Early Childhood Education and Care

Cancellation and Refund Policy (VET FEE-HELP Students) who are eligible for VET FEE-HELP assistance:

This section applies to domestic students who are Australian citizens or permanent humanitarian visa holders (who are resident in Australia for the duration of the VET unit of study) enrolled in a VET FEE-HELP enabled course offered by Abbey College Australia. In the event of a student withdrawing from a VET unit of study on or before the census date for that unit of study:

• 100% of tuition fees paid for that unit will be refunded to the student; • The student will not incur a VET FEE-HELP debt. In the event of a student withdrawing from a VET unit of study after census date for that unit of

study; • No refund is applicable; and • The student will incur a VET FEE-HELP debt.

Acceptance and Declaration:

I hereby declare that:

• I have read and understood and accepted the terms and conditions of enrolment stated on VET FEE-HELP BOOKLET and Abbey College Australia’s

"Enrolment Terms and Conditions”. I also acknowledge that I have read the information contained within the Student Handbook. I understand that

information contained in these forms may be provided to State and Commonwealth agencies and research organisations. I certify that all details

provided on these forms are correct;

• I understand that I will incur liability by enrolling and not withdrawing before the census date for each course/unit of study. I declare that I have been

given a copy of the VET FEE-HELP Information for 2015 which provides all details regarding VET FEE-HELP rights and obligations. I have been

given accurate information in regards to the total tuition fees for the course I am enrolling in; and

• By signing this declaration I accept and agree to Abbey College Australia’s total tuition fees for the course I am enrolling in under the Australian

Government’s VET FEE-HELP program.

Name: _______________________________________ Signature: ________________________________ Date: _____/______/_______

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Unique Student Identifier (USI)

A Unique Student Identifier (USI) is a reference number made up of 10 numbers and letters (e.g. 1X2YW55YP9) that gives students access to their online USI account. A USI will allow an

individual's USI account to be linked to the National Vocational Education and Training (VET) Data Collection allowing an individual to see all of their training results from all providers

including all completed training units and qualifications.

From 1 January 2015 if you are undertaking nationally recognised training you will need to have a Unique Student Identifier (USI). This includes all students who are continuing a course

they started prior to 2015, and all new students. Before completing this form, students should review the Fact Sheet: Student Information for the Unique Student Identifier available at

the USI website www.usi.gov.au/students.

Creating your own USI IMPORTANT:

A USI is free and easy to create online. You can create your own USI

or Abbey College Australia can create one for you as a part of the

enrolment process.

To make sure we keep all of your training records together, the USI will be linked to your name as it appears on the

form of ID you used to create the USI. The personal details entered when you create a USI must match exactly with

those on your form of ID. If you do not have proof of ID from the list above, contact Abbey College Australia

administration office to learn about other acceptable forms of ID to obtain a USI.

Follow these 8 steps if you would like to create your own USI:

ID List

• Driver’s Licence

• Medicare Card

• Australian Passport

• Visa (with Non-Australian Passport) for

international students

• Birth Certificate (Australian)

• Certificate Of Registration By Descent

• Citizenship Certificate

• ImmiCard

International students in Australia

If you are an international student studying in

Australia with an Australian training organisation

you will need a USI from 1 January 2015.

All international students in Australia will have

been issued with an Australian Visa. This will let

you use your passport as proof of ID when

creating your USI.

Step 1 Have two forms of identification (ID) ready from the ID List

Step 2 Have your personal contact details ready (e.g. email address, or mobile number, or address).

Step 3 Visit the USI website at: http://www.usi.gov.au/create-your-USI/Pages/default.aspx

Step 4 Select the ‘Create a USI’ link and follow the steps.

Step 5 Agree to the Terms and Conditions

Step 6

Follow the instructions to create a USI – it should only take a few minutes. Upon

completion, the USI will be displayed on the screen. It will also be sent to your preferred

method of contact.

Step 7 Write down the USI and keep it somewhere handy and safe.

Step 8 Once you create your own USI, you should provide your USI to Abbey College Australia as

soon as possible so that you’re USI can be verified and records updated.

Provide your USI to Abbey College Australia:

Student First Name: Student Family Name: Student Middle Name: (optional)

Abbey College Australia Student ID:

If you have received your student Card

Date of Birth Your USI Number:

______/______/_______

I have read and understand Abbey College Australia Privacy

Statement and that my details provided are true and

correct.

Signature Date

____/____/_____

OFFICE USE ONLY: For an authorised Abbey College Australia representative to declare

I declare that the student’s USI has been verified on the USI

portal and all details are matched.

Abbey College Australia Representative Signature Date

____/____/_____

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Creating a USI for a student:

Abbey College Australia can apply a USI for you on your behalf.

You ONLY need to complete this page if you would like us to apply and create a USI on your behalf. Student First Name:

Student Family Name: Student Middle Name:

Abbey College Australia Student ID:

If you have received your student Card

Date of Birth Country of Birth

______/______/_______

I have read and understand Abbey College Australia’s

Privacy Statement and hereby give permission to Abbey

College Australia to verify my USI and /or apply for my USI

on my behalf.

Date Signature

______/______/_______

Please provide us with ONE valid ID from below:

A valid Driver’s License:

A Driver's License must be current and valid

and issued by an Australian State or Territory.

License Number:

State: Expiry Date:

______/______/________

A valid Medicare Card:

• Issued by Medicare Australia.

• Green, Yellow and Blue Colours are

acceptable

Card Number: Card Colour:

Reference Number: Valid to:

_______/________/_______

Australian Passport:

Must be issued by the Australian Government

and be current or have an expiry date within

the last two years.

Document Number: Expiry Date:

______/______/________

A Current and Valid Visa (with Non-Australian

Passport) for international students: Passport Number: Expiry Date:

______/______/________

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Birth Certificate (Australian)

A Birth Certificate extract is not sufficient

Registration Number: Date of Registration:

______/______/________

Certificate Of Registration By Descent Certificate number: Acquisition Date:

______/______/________

Citizenship Certificate Stock Number: Acquisition Date:

______/______/________

ImmiCard

Expired ImmiCards will verify unless DIBP has

cancelled the ImmiCard. Card number:

Expiry Date: ______/______/________

For more information in regard to USI and proof of ID please visit USI Help Centre at http://usi.gov.au/help-centre/

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LANGUAGE LITERACY and NUMERACY (LLN) SKILLS TEST

Applicant Name: Date

______/______/______

Multiplication 25 x4

62 x2

Division 116 ÷2

600 ÷10

Addition 1756 +44

85 +15

Subtraction 120 –40

116 –69

Bob’s study aspirations are outlined below. You are required to read the following and answer the questions.

Bob completed school at the age of seventeen and wanted a job that would allow him to work in many countries. Bob is now nineteen

years of age and is considering a career in the hospitality industry. Bob prides himself on being naturally friendly. He loves to cook meals at

home for his friends and family. He is looking at gaining the appropriate training to ensure he can obtain chef qualifications. He wants to

attend a 1 year course to become a qualified chef.

How old is Bob now?

How old was Bob when he left school?

What does Bob like to do for his friends and family?

What is the duration of the course Bob wants to attend?

Your pay rate is $12 per hour. This week you worked the following hours:

Monday 1PM – 4PM

Tuesday 9AM – 2PM

Wednesday Nil

Thursday 10AM – 5PM

Friday Nil

How much will you receive in pay for the week? (tick appropriate box)

� $135 � $120 � $180

Are you able to complete the following tasks without any assistance?

Login into a computer Yes □ No □ Use mouse and keyboard Yes □ No □

Print a document Yes □ No □ Type a letter and save it Yes □ No □

Create an email account Yes □ No □ Send and receive email Yes □ No □

Attach a file to an email Yes □ No □ Download a file Yes □ No □

Open a PDF file Yes □ No □ Save / Print a word file as PDF file Yes □ No □

Conduct online searches Yes □ No □ Sending a txt message using a phone Yes □ No □

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Your level of computer experience (0: None, 1: Limited, 2: Good, 3: Very Good)

Software 0 1 2 3 Technology 0 1 2 3

Microsoft Word Skype

Microsoft Excel Moodle

Microsoft PowerPoint Face Book

Please provide a short answer to the following questions:

Do you have any particular expectations for this course?

_____________________________________________________________________________________________

_____________________________________________________________________________________________

What do you hope to achieve by completing this course?

_____________________________________________________________________________________________

_____________________________________________________________________________________________

In a few sentences please describe what your hobbies and interests are?

_____________________________________________________________________________________________

_____________________________________________________________________________________________

PREFERRED LEARNING METHODS (How do you feel that you learn best)

Demonstration (being shown how to do

something) Being advised/coached by a colleague / classmate

Hands-on (practical) exercises Doing tutorials

Being part of a discussion group Watching a video/using CD ROM

Reading about/studying something Private research (e.g. internet)

Thank you for taking the time to complete this form and answering the questions. Your results and all other personal information will be kept in your training file and in the strictest confidence.

Abbey College Australia Office Use Only.

The applicant will not need assistance and meet the course requirements.

The applicant needs assistance. Assistance with ___________________________________________________.

Course Coordinator needs to review and finalise this application.

Abbey College Australia

Representative

Date: ______/______/_______

Depending on the prospective leaner’s background, we may seek further information by requesting the learner to complete a course suitability form or provide further evidence to identify

suitability of applicant and / or any additional support individual learners may need. Abbey College Australia must advise the applicant if we are unable to provide a service (e.g. LLN) that

is required for the applicant to meet the course pre-requisites.