Student enrolment form
01
Student details
02
JA/DES information
03
Education details
04
Course details
05
RPL
06
ID Verification
Student details
Full Name
Please use your full name as it appears on your identification to support the enrolment.
Mobile phone number
Home phone number
Email address
Residential address
Afghanistan
Albania
Algeria
Andorra
Angola
Anguilla
Antigua & Deps
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei
Bulgaria
Burkina
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Rep
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea North
Korea South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Saint Vincent & the Grenadines
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
St Kitts & Nevis
St Lucia
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Other
Gender
Please select
Male
Female
Birth date
What is your residency status?
Please select
Australian citizen
Permanent resident
Non resident
Do you identify as being of Aboriginal or Torres Strait Islander background?
Select
Aboriginal
Torres Strait Islander
Both
Neither
Are you living in NSW social housing, or are you on the NSW Housing Register
Yes
No
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JA/DES information (Employment Services Provider)
JSID
CRN
JA/DES Provider Activity referral ID
JA/DES Provider ID
JA/DES Provider Please supply the registered name here.
The JA/DES provider details here must be as per the Employment Services Contract.
Site
Client stream
Advisor/Consultant
Advisor/Consultant email address
Advisor/Consultant Contact Phone
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Education Details
Are you currently attending High School?
Please select
Yes
No
Highest level of schooling completed
Select
Year 9
Year 10
Year 11
Year 12
Certificate II
Certificate III
Certificate IV
Diploma
Advanced Diploma
Degree
Year completed
Please list any qualifications you have completed, and the year they were achieved.
Does you have a unique student identification (USI)?
Yes
No
Please list USI if known
Obtaining a USI: There are two options for you to obatin your USI- either your client creates it themself or allow us to do it for them. Please select one of the options below
Option one declaration
Create your own USI
I agree I will advise Five Star College of my USI
I grant permission for Five Star College to verify my records via the USI
I understand my qualification or statement of attainment cannot be released until I provide my USI
Option two declaration
Give permission for a USI to be created on your behalf
I grant permission to Five Star College to create a USI on my behalf
I grant permission to Five Star College to verify my records via the USI
I understand Five Star College will provide me with a USI
I understand that I will be required to activate the USI
I understand my qualification or statement of attainment cannot be released until I have a USI
I agree to provide the appropriate ID as requested by Five Star College
Town of birth
Country of Birth
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Course details
Course
Please only select the course you have been approved for.
SIR30212 Certificate III in Retail Operations
SIT30616 Certificate III in Hospitality
SIT30713 Certificate III in Hospitality
SIT40416 Certificate IV in Hospitality
Location
Please only select the course you have been approved for.
Orange
Wyong
Singleton
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Recognition of Prior Learning
Do you wish to apply for recognition of prior learning?
Please select
Yes
No
Details of RPL application
List units applicable to RPL or credit transfer.
Assistance
Does your client identify as requiring additional assistance with any of the following:
Select all which apply
Reading
Writing
English (written/verbal)
Basic mathematics
Other
Indicate disability status of the student
Select all which apply
Student has a disability
Student is dependant child or spouse of a person in receipt of a disability support pension
No disability
Indicate employment status
Select all which apply
Unemployed for less than 12 months
Unemployed for more than 12 months
Employed
Indicate welfare status of the student
Select all which apply
Student is a welfare recipient
Dependent child or spouse of a welfare recipient
Not a welfare recipient
Indicate disability assessment type
Select all which apply
Recipient of a disability support pension
Assessed by a specialist support professional as a student with disability
Indicate welfare assessment type
Select all which apply
Age pension
Austudy
Carer Payment
Exceptional Circumstance Relief Payment
Family Tax Benefit Part A- Maxiumum Rate
Farm Household Allowance
Parenting Payment (single)
Sickness Allowance
Special Benefit
Veterans' Affairs Pensions
Veterans' Children Education Scheme
Widow Allowance
Widow B Pension
Wife Pension
Youth Allowance
Additional informaton
If required
Identification verification
Please upload a copy of your identification.
Either- current drivers license, passport, birth certificate, proof of age card
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Employment History
Upload resume
To provide customised support we request a copy of your clients current resume if available.
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Upload
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Terms and conditions
I understand and agree that personal information (information or an opinion about me), collected from me, my parent or guardian, such as my name, Unique Student Identifier, date of birth, contact details, training outcomes and performance, or sensitive personal information (including my ethnicity or health information) (together Personal Information) collected by Five Star College may be disclosed to the Department of Industry (Department) The Department may disclose my Personal Information to other Australian government agencies, including those located in States and Territories outside of New South Wales. The above government agencies may use my Personal Information for any purpose relating to the exercise of their government functions, including but not limited to the evaluation and assessment of my training, the determination of my eligibility to receive subsidised training or for any Fee Concessions or Exemptions. My Personal Information may be disclosed to other third parties if required by law. I consent to the collection, use and disclosure of my Personal Information in the manner outlined above. I also acknowledge and agree that the Department may contact me by telephone email or post during or after I have ceased subsidised training with Five Star College for the purposes of evaluating and assessing my subsidised training.
I understand and accept this condition.
I have been informed about my rights and responsibilities as a student, about the training and assessment process and the RTOs concerns and appeals procedures.
I understand and accept this condition.
This course must be completed prior to the course end date.
I understand and accept this condition.
All information provided in relation to my enrolment is true, accurate, complete and not misleading in any way.
I understand and accept this condition.
I have read, understood and agree to the terms in the student handbook located on the website. Link provided here - http://goo.gl/T02MC1
I understand and accept this condition.
I understand this course is subsidised by the NSW government under the Smart and Skilled funding. Completing this course may make me ineligible for future funding.
I understand and accept this condition
I acknowledge the terms and condition regarding withdrawal and deferral, as per the Student Handbook.
I understand and accept this condition
I have been provided with the details of the Fee chargeable (if applicable).
I understand and accept this condition
Additional information
If required.
Submit