Fee for service enrolment form

Thank you for enrolling with Five Star College. If you require any assistance completing this enrolment form, please call our office on 1800 709 035 or email info@fivestar.edu.au

Student details

Full Name
Please use your full (legal) name as it appears on your identification to support the enrolment.

Mobile phone number

Home phone number

Email address

Residential address

Gender

Birth date

What is your residency status?

Do you identify as being of Aboriginal or Torres Strait Islander background?

Are you registered with an employment services provider?
I.e. Job Active or Disability Employment Services provider.

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 & Employment Details

Are you currently attending High School?

Are you registered as home schooled?

Highest level of schooling completed

Year completed

Please list any qualifications you have completed, and the year they were achieved.

Have you successfully completed any of the following qualifications?

Bachelor degree or higher degree‎ Advanced diploma or associate degree‎ Diploma (or associate diploma)‎ Certificate IV (or advanced certificate/technician)‎ Certificate III (or trade certificate)‎ Certificate II‎ Certificate I ‎ Certificates other than the above‎ I have not completed any qualifications‎

Which of the following best describes your employment status?

Full-time employee Part-time employee Self-employed – not employing others Employer Employed – unpaid worker in a family business Unemployed – seeking full-time work Unemployed – seeking part-time work Not employed – not seeking employment

A Unique Student Identifier (USI) is a reference number made up of numbers and letters that gives students access to their USI account. A USI will allow an individual to see all of their training results from all providers including all completed training units and qualifications. By selecting one of the options below, you agree to the terms and conditions listed on the USI website including but not limited to the privacy policy. There are two options for you to obtain your USI- either create it yourself or allow us to do it for you. Please select one of the options below

Do you have a unique student identification (USI)?

Yes‎ No‎

Please list USI if known

USI Declaration

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 us 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
These courses are delivered online and may have a work experience component to complete. Please see the individual course pages on the website for more information.

Certificate II in Retail Services (SIR20216)* Certificate III in Retail (SIR30216)* Certificate II in Hospitality (SIT20213)* Certificate III in Hospitality (SIT30713)* Diploma of Human Resources Management (BSB50615) Diploma of Business (BSB50215)

Courses with * symbol at the end have been superseded and must be completed by a certain date. Please check our website page for this date.

Course delivery mode

Online

Are you interested in gaining employment in the industry related to this course?

Yes No

Are you comfortable completing work experience if required as part of this course?

Yes No

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Recognition of Prior Learning

Do you wish to apply for recognition of prior learning?
Recognition of prior learning (RPL) is a process of providing evidence of your competency against the components of the unit of competency.

Details of RPL application
List units or areas you would like to be considered for RPL or credit transfer.

Assistance

Do you identify as requiring additional assistance with any of the following:
Select all which apply

Please outline any additional assistance you may require
If required

Indicate your disability status
Select all which apply

I have a disability I am a dependant child or spouse of a person in receipt of a disability support pension No disability

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 employment status
Select all which apply

Unemployed for less than 12 months Unemployed for more than 12 months Employed

Indicate your welfare status
Select all which apply

I am a welfare recipient I am a dependent child or spouse of a welfare recipient Not a welfare recipient

Do you speak a language at home other than English?

Yes No

If yes, what other language(s)?

How well do you speak English?

Very well Well Not well Not well at all

How would you describe your English writing skills?

Very well Well Not well Not well at all

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 current resume if available.

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Language, literacy, numeracy and suitability assessment

The below questions are used by Five Star College to ensure our course is appropriate for your current language, literacy and numeracy skills. By completing the below questions you declare they are your own work.

1. A box holds 15 lettuces. At the end of the day the farm crew had filled 86 boxes. How many lettuces is that in total? Show how you worked this out.

2. Diesel costs $1.86 per litre. The tractor’s fuel tank is empty. When full it holds 1200 litres. How much money would it cost to fill up the tractor with fuel? Show how you worked this out.

3. Use the following graph to answer the questions below.

3. a) Which month had the highest number of workplace injuries?

3. b) Which month had the lowest number of workplace injuries?

3. c) What was the total number of injuries in September and October combined?

4.Write a set of instructions to complete ONE of the following tasks: Taking a customer’s order OR Sending an SMS OR Making a cup of tea or coffee.

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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 Government departments and bodies. I consent to the collection, use and disclosure of my Personal Information in the manner outlined above.