Online Enrolment Form – Assistant Agent Course

1 – Course Details

Course Name: Assistant Agent Course/Certificate of Registration

Course Delivery

2 – Personal Details

Title:

Name

First

Middle

Last

Gender

Male
Female
Prefer not to specify

Date of Birth:

Email

Mobile/Telephone:

Home Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Emergency Contact

Contact Name

First

Last

Contact Number

Relationship:

How did you hear about us?

3 – Unique Student Identifier (USI)

Information

From 1 January 2015, Brighten Institute Australia can be prevented from issuing you with a nationally recognised VET qualification or statement of attainment when you complete your course if you do not have a Unique Student Identifier (USI). In addition, we are required to include your USI in the data we submit to NCVER. If you have not yet obtained a USI you can apply for it directly at https://www.usi.gov.au/students/create-your-usi on computer or mobile device.

Enter your Unique Student Identifier (USI) (if you already have one)

You may already have a USI if you have done any nationally recognised training, which could include training at work, completing a first aid course or RSA (Responsible Service of Alcohol) course, getting a white card, or studying at a TAFE or training organisation. It is important that you try to find out whether you already have a USI before attempting to create a new one. You should not have more than one USI. To check if you already have a USI, use the ‘Forgotten USI’ link on the USI website at https://www.usi.gov.au/faqs/i-have-forgotten-my-usi/

CREATE A USI

4 – AVETMISS Data Collection

Q2. Of the following categories, which best describes your current employment status?

Full-time employee
Part-time employee
Self-employed - Not employing others
Self-employed - Employing others
Employed - Unpaid worker in a family business
Unemployed - Seeking full-time work
Unemployed - Seeking part-time work
Not Employed - Not seeking employment

Q3. Are you still enrolled in secondary schooling?

Yes
No

Q4. What is your HIGHEST completed school level?

Q5. In which year did you complete that school level?

Previous Qualifications Achieved

Q6. Have you successfully completed any post-secondary education?

Yes
No

Language

Q7. In what country were you born?

Australia (1101)
Other Country

Q8. Do you speak a language other than English at home (If more than one, please specify the language you speak most often)

No, English only
Yes, other.

Disability

Indigenous Status

Q11. Are you of Aboriginal or Torres Strait Islander origin?

Yes, Aboriginal.
Yes, Torres Strait Islander
Yes, Aborigial and Torres Strait Islander
No, neither Aboriginal nor Torres Strait Islander

5 – Privacy Notice

Please read carefully

Why we collect your personal information

As a registered training organisation (RTO), we collect your personal information so we can process and manage your enrolment in a vocational education and training (VET) course with us.

How we use your personal information

We use your personal information to enable us to deliver VET courses to you, and otherwise, as needed, to comply with our obligations as an RTO.

How we disclose your personal information

We are required by law (under the National Vocational Education and Training Regulator Act 2011 (Cth) (NVETR Act)) to disclose the personal information we collect about you to the National VET Data Collection kept by the National Centre for Vocational Education Research Ltd (NCVER). The NCVER is responsible for collecting, managing, analysing and communicating research and statistics about the Australian VET sector.

We are also authorised by law (under the NVETR Act) to disclose your personal information to the relevant state or territory training authority.

For this product specifically, we must also provide your personal information to the NSW Food Authority as part of the administration and record-keeping requirements associated with the NSW Food Safety Supervisor certification.

How NCVER and other bodies handle your personal information

NCVER will collect, hold, use and disclose your personal information in accordance with the law, including the Privacy Act 1988 (Cth) (Privacy Act) and the NVETR Act. Your personal information may be used and disclosed by NCVER for purposes that include populating authenticated VET transcripts; administration of VET; facilitation of statistics and research relating to education, including surveys and data linkage; and understanding the VET market.

NCVER is authorised to disclose information to the Australian Government Department of Education, Skills and Employment (DESE), Commonwealth authorities, state and territory authorities (other than registered training organisations) that deal with matters relating to VET and VET regulators for the purposes of those bodies, including to enable:

administration of VET, including program administration, regulation, monitoring and evaluation
facilitation of statistics and research relating to education, including surveys and data linkage
understanding how the VET market operates, for policy, workforce planning and consumer information.

NCVER may also disclose personal information to persons engaged by NCVER to conduct research on NCVER’s behalf.

NCVER does not intend to disclose your personal information to any overseas recipients.

For more information about how NCVER will handle your personal information please refer to the NCVER’s Privacy Policy at www.ncver.edu.au/privacy.

If you would like to seek access to or correct your information, in the first instance, please contact your RTO using the contact details listed below.

DESE is authorised by law, including the Privacy Act and the NVETR Act, to collect, use and disclose your personal information to fulfil specified functions and activities. For more information about how the DESE will handle your personal information, please refer to the DESE VET Privacy Notice at https://www.dese.gov.au/national-vet-data/vet-privacy-notice.

Surveys

You may receive a student survey which may be run by a government department or an NCVER employee, agent, third-party contractor or another authorised agency. Please note you may opt out of the survey at the time of being contacted.

Contact information

At any time, you may contact Brighten Institute Australia to:

request access to your personal information
correct your personal information
make a complaint about how your personal information has been handled
ask a question about this Privacy Notice

Please tick and agree below to state that you have read, understood and agree to the Privacy Notice outlined above:

Privacy Notice – Please read carefully

YES, I understood and agree to the Privacy Notice outlined above:

6 – Payment

Consent *

CONSENT

I have read and understand BIA’s Privacy Notice and agree to the Disclosure of Personal Information to the Department of Education and Other Government Agencies.

CONSENT 2

I authorise Brighten Institute Australia and the Department of Education to have appropriate access to my USI records.

Student Declaration

The information I have provided is true, accurate, complete, and not misleading in any way.
I have read and understood the Learner Handbook
I agree to abide by all relevant policies that apply to my enrolment as detailed in the Learner Handbook.

I understand that, under the Data Provision Requirements 2012, Brighten Institute Australia is required to collect personal information about me and to disclose that personal information to the National Centre for Vocational Education Research Ltd (NCVER).

More information regarding this is found on page 6 of the Enrolment Application form, and in our Privacy Policy (https://brighten.edu.au/archive/downloadable/policies/privacy)

Student Name

Signature

Clear Signature

Total

$0.00

*If the course fee exceeds $1,500 the payment structure will automatically be applied as instalments. An initial payment of $1,500 is due upon enrolment, with the remaining balance payable one month after enrolment.

Credit Card

Card

Name on Card

Coupon

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