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RTO Code: 45808 | CRICOS Code: 03984H
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BSB
BSB50420 – Diploma of Leadership and Management
BSB60420 – Advanced Diploma of Leadership and Management
BSB80120 – Graduate Diploma of Management (Learning)
CPC
CPC30220 – Certificate III In Carpentry
CPC30620 – Certificate III in Painting and Decorating
CPC31320 – Certificate III in Wall and Floor Tiling
CPC50220 – Diploma of Building and Construction (Building)
ICT
ICT60220 – Advanced Diploma of Information Technology
SIT
SIT30821 – Certificate III in Commercial Cookery
SIT40521 – Certificate IV in Kitchen Management
SIT50422 – Diploma of Hospitality Management
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Step
1
of 4
Personal Details (including full legal name)
Title
*
Mr
Miss
Ms
Mrs
Other
Family Name(s)
First Name
*
Middle Name
Gender
*
Male
Female
Other
Preferred Name
Date of Birth
*
Your Contact Details
Home Phone
Mobile Phone
*
Email Address
*
Work Phone
Alternative email address
Preferred Contact Method
via Mobile Phone
via Email
via Post (address below)
Your Emergency Contact
Name
*
Relationship
Home Phone
Mobile Phone
*
Work Phone
Next
What is the address of your usual residence?
Please provide the physical address (street number and name not post office box) where you usually reside rather than any temporary address at which you reside for training, work or other purposes before returning to your home. If you are from a rural area, use the address from your state or territory’s ‘rural property addressing’ or ‘numbering’ system as your residential street address. Building/property name is the official place name or common usage name for an address site, including the name of a building, Aboriginal community, homestead, building complex, agricultural property, park or unbounded address site.
Building/property name
*
Flat/unit details
*
Street or lot number (e.g. 205 or Lot 118)
*
Street name
*
Suburb, locality or town
*
State/territory
*
Postcode
*
What is your postal address (if different from above)?
Provide the address detail place where you currently reside
Building/property name
Flat/unit details
Street or lot number (e.g. 205 or Lot 118)
Street name
Postal delivery information (e.g. PO Box 254)
Suburb, locality or town
State/territory
Postcode
What is your overseas address?
Provide the detail of your home country
Building/property name
*
Flat/unit details
*
Street or lot number (e.g. 205 or Lot 118)
*
Street name
*
Postal delivery information (e.g. PO Box 254)
*
Suburb, locality or town
State/territory
*
Postcode
*
Country
*
Next
Workplace employer details (if applicable)
Trading Name
Contact Name:
Supervisor Name:
Training Address
Phone
Employer email
Language and Cultural Diversity
Are you of Aboriginal/Torres Strait Islander origin?
No
Yes, Aboriginal
Yes, Torres Strait Islander
Yes, Aboriginal & T.S. Islander
In which country were you born?
Australia
Other (please specify below)
(please specify below)
Do you speak a language other than English at home?
No (English only)
Yes (please specify below)
(please specify below)
If you speak a language other than English at home, how well do you speak English?
Very Well
Well
Not well
Not at all
Next
Unique Student Identifier (USI)
Enter your USI
If you want the RTO to create a USI on your behalf, then go to section "USI application through your RTO" and complete the information.
Application for Unique Student Identifier (USI)
If you would like us [Stanford Institute] to apply for a USI on your behalf you must authorise us to do so and declare that you have read the privacy information at (https://www.usi.gov.au/documents/privacy-notice-when-rto-applies-their-behalf). You must also provide some additional information as noted at the end of this form so that we can apply for a USI on your behalf.
Name
I [NAME] authorise Stanford Institute to apply pursuant to sub-section 9(2) of the Student Identifiers Act 2014, for a USI on my behalf.
I Have Read....
I have read and I consent to the collection, use and disclosure of my personal information (which may include sensitive information) pursuant to the information detailed at (https://www.usi.gov.au/documents/privacy-notice-when-rto-applies-their-behalf).
Town/City of Birth
(please write the name of the Australian or overseas town or city where you were born)
Please provide details for one of the forms of identity below (numbered 1 to 8).
Please ensure that the name written in the ‘Personal Details’ section is exactly the same as written in the document you provide below.
Forms of Identity
Forms of Identity Multiple choice
Australian Driver's Licence
Medicare Card
Certificate of Registration by Descent
Australian Birth Certificate
Non-Australian Passport(with Australian Visa)
Australian Passport
Citizenship Certificate
Education Details
Australian Driver’s Licence
State:
Licence Number:
Medicare Card
Medicare card number
Individual reference number (next to your name on Medicare card):
Card colour:
Green
Yellow
Blue
Expiry date
(day/month/year)
Immicard Number
Certificate of Registration by Descent
Acquisition date
(day/month/year)
Australian Birth Certificate
State/Territory
Details vary according to State/Territory (see note above)
Non-Australian Passport (with Australian Visa)
Passport number
Country of issue
Australian Passport
Passport number
Citizenship Certificate
Stock number
Acquisition date
day/month/year
In accordance with section 11 of the Student Identifiers Act 2014, Stanford Institute will securely destroy personal information which we collect from individuals solely for the purpose of applying for a USI on their behalf as soon as practicable after we have made the application or the information is no longer needed for that purpose.
Education Details
Are you still enrolled in secondary or senior secondary education?
No
Yes
What is your highest COMPLETED school level?
Completed Year 12
Completed Yr. 8 or lower
Completed Year 11
Completed Yr. 9 or equivalent
Completed Year 10
Never attended school
In which year did you complete this school level?
If still attending school, name of school:
Previous secondary school (if applicable):
Employment Status
Which of the following categories BEST describes your current employment status?
Employed – unpaid worker in a family business
Full time employee
Self-employed – not employing others
Part time employee
Not employed – not seeking employment
Employer
Unemployed – seeking full time work
Unemployed – seeking part time work
Where are you employed?
How many employees are at your current employer?
Up to 20
Over 20
Occupation
Which of the following classifications BEST describes your current (or recent) occupation?
Managers
Sales Workers
Professionals
Machinery Operators & Drivers
Technicians & Trade Workers
Labourers
Community and Personal Service Workers
Other
Clerical & Administrative Workers
Industry of Employment
Which of the following classifications BEST describes the Industry of your current (or recent) Employer?
Agriculture, Forestry and Fishing
Mining
Manufacturing
Electricity, Gas, Water & Waste Services
Construction
Wholesale Trade
Retail Trade
Accommodation & Feed Services
Transport, Postal & Warehousing
Information Media & Telecommunications
Financial & Insurance Services
Rental, Hiring & Real Estate Services
Professional, Scientific & Technical Svc’s
Administrative Support Services
Public Administration and Safety
Education & Training
Health Care & Social Assistance
Arts and Recreation Services
Other Services
Disability
Do you consider yourself to have a disability, impairment or long term condition?
YES
NO
If yes, please indicate the areas of disability, impairment or long term condition. You may indicate more than one.
Hearing/deaf
Physical
Intellectual
Acquired brain impairment
Mental illness
Learning
Vision
Medical condition
Other
Other
Previous Qualifications/Education
Have you successfully COMPLETED any of the following qualifications?
Yes
No
If yes, please tick ONE applicable box relating to your prior education at ANY applicable Level as follows:
Bachelor Degree or Higher Degree
Certificate III or Trade Certificate
Advanced Diploma or Associate Degree
Certificate II
Diploma or Associate Diploma
Certificate I
Certificate IV or Advanced Cert/Technician
Other (please specify)
Other
Study Reason
Of the following reasons, which BEST describes your main reason for undertaking this course / traineeship / apprenticeship?
To get a job
It was a requirement of my job
To develop my existing business
I wanted extra skills for my job
To start my own business
To get into another course of study
To try for a different career
For personal interest or self-development
To get skills for community/voluntary work
Other Reasons
Other Reasons
How did you find out about the course you are enrolling in?
Job Services
Word of mouth
Staff Member
Social Media (e.g. Facebook)
Current/Past Student
Apprentice Centre
Flyer
Newspapers
Website
Workplace
Radio advertising
Other (please specify)
Other (please specify)
Student Handbook
o Student fee information
o Refund Policy
o Code of conduct
o Complaints procedure
o Appeals procedure
o Assessment guidelines
o Student welfare and support services
o Recognition of prior learning
I declare that I have read and understood the RTO student handbook and their policies & procedures regarding the above.
Signature
Date
The Student Handbook can be found on the RTO website.
Australian Citizenship Status
Australian Citizen
New Zealand Citizen
Permanent Resident
Other (please provide details)
Other
Training product to be enrolled in. Select one of the following training product/s:
BSB50420 - Diploma of Leadership and Management
BSB60420 - Advanced Diploma of Leadership and Management
BSB80120 – Graduate Diploma of Management (Learning)
Submit
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