Courses

×

[[[["field3","equal_to","Customer Service (Funded)"]],[["set_value",null,"35",null,"field9"]],"and"]]

1

YARRAWONGA NEIGHBOURHOOD HOUSE

REGISTER INTEREST IN A COURSE FORM

Course Name

Select Course NameCustomer ServiceResponsible Service of Alcohol - VictoriaSITHFAB002 Provide responsible service of alcoholSITHGAM001 Provide responsible gambling servicesHygiene for Food HandlersHLTAID003 Provide first aidHLTAID001 Provide cardiopulmonary resucitationSkills for Devices and DesktopsExcel BasicsIntroducing Online SellingCHC30113 Certificate III in Early Childhood Education & CareCHC33015 Certificate III in Individual SupportTAE40110 Certificate IV in Training & AssessmentCHC43115 Certificate IV in DisabilityBeauty and WellbeingPrepare for StudyEvent Planning

PERSONAL INFORMATION

Legal names should match those used for your unique student identifier.

Please provide the physical address (street number and name not postoffice 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 ‘rural property addressing’or ‘numbering’ system as your residential address.

Title

MrMrsMissMs

Gender

MaleFemale

First NameLegal Given Name/s

Middle NameLegal Middle Name

SurnameLegal Family Name

Date of Birthdd/mm/yy

Contact Phone

Alternative Contact Phone

Email

Home Address

Building / Property Name

Flat / Unit, Number & Name

Suburb

State

Select StateVictoriaNew south WalesQueenslandTasmaniaSouth AustraliaWestern AustraliaNorth Territory

Postcode

Submit Form

Previous

Next

Register Interest

Would you like to assist people with disabilities to achieve their goals.

This qualification will give you the skills you need to work in a range of roles assisting people to achieve greater levels of independence through self-determination and community participation.

With the roll out of the NDIS job opportunities in this rewarding and diverse sector are expected to increase

Induction: Thursday 26th July
Commences: Thursday 2nd August
Time: 9:00am – 3:30pm
Cost:
Funded: $941
Concession: $473
Unfunded: $3,500 (GST Free)
Venue: YNH Adult Learning Centre

This training is delivered to eligible individuals with Victorian and Commonwealth funding.
Individuals with disabilities are encouraged to access training funded through the Skills First Program

The student tuition fees as published are subject to change given individual circumstances at enrolment. Fees include Materials fee of $260 and Amenities of $95.

Tags : disability individual support certificate

×

[[[["field3","equal_to","Customer Service (Funded)"]],[["set_value",null,"35",null,"field9"]],"and"]]

1

YARRAWONGA NEIGHBOURHOOD HOUSE

REGISTER INTEREST IN A COURSE FORM

Course Name

Select Course NameCustomer ServiceResponsible Service of Alcohol - VictoriaSITHFAB002 Provide responsible service of alcoholSITHGAM001 Provide responsible gambling servicesHygiene for Food HandlersHLTAID003 Provide first aidHLTAID001 Provide cardiopulmonary resucitationSkills for Devices and DesktopsExcel BasicsIntroducing Online SellingCHC30113 Certificate III in Early Childhood Education & CareCHC33015 Certificate III in Individual SupportTAE40110 Certificate IV in Training & AssessmentCHC43115 Certificate IV in DisabilityBeauty and WellbeingPrepare for StudyEvent Planning

PERSONAL INFORMATION

Legal names should match those used for your unique student identifier.

Please provide the physical address (street number and name not postoffice 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 ‘rural property addressing’or ‘numbering’ system as your residential address.

Title

MrMrsMissMs

Gender

MaleFemale

First NameLegal Given Name/s

Middle NameLegal Middle Name

SurnameLegal Family Name

Date of Birthdd/mm/yy

Contact Phone

Alternative Contact Phone

Email

Home Address

Building / Property Name

Flat / Unit, Number & Name

Suburb

State

Select StateVictoriaNew south WalesQueenslandTasmaniaSouth AustraliaWestern AustraliaNorth Territory

Postcode

Submit Form

Previous

Next

Register Interest

Would you like a career where you can really make a difference in an older persons life?

Aged care is a rapidly expanding industry with lots of employment opportunities.

This Blended delivery model is designed for those who want a more flexible way of learning. Technical support is provided to assist in the use of our Online Campus and Virtual Classroom.

Commences: Wednesday 18th July
Time: 9:00am – 3:30pm
Cost:
Funded: $879
Concession: $516
Unfunded: $3,000 (GST Free)
Venue: YNH Adult Learning Centre

This training is delivered to eligible individuals with Victorian and Commonwealth Government Funding.  Individuals with disabilities are encouraged to access training funded through the Skills First Program. 

The student tuition fees are subject to change given individual circumstances at enrolment.  Fees include a Materials fee of $280 and Amenities fee of $145

Tags : Aged, Home, Community, Care, online, blended delivery, HACC

×

[]

1

Yarrawonga Neighbourhood House

Education Enrolment Form

COURSE INFORMATION

Course

HLTAID003 Provide first aid ($150) Wednesday 8th AugustHLTAID004 Provide an emergency first aid response in an education and care setting ($160) Wednesday 8th AugustHLTAID001 Provide cardiopulmonary resuscition ($75) Wednesday 8th AugustSITHFAB002 Provide responsible service of alcohol ($175) Friday 3rd AugustSITHGAM001 Provide responsible gambling services ($130) Friday 10th AugustHygiene for Food Handlers (Full Fee $110) TBAHygiene for Food Handlers (Concession $90) TBAResponsible Service of Alcohol (Victoria) ($75) Friday 24th AugustEvent Planning ($113) Wednesday 1st AugustEvent Planning ($92) Wednesday 1st AugustCustomer Service ($125) Tuesday 21st AugustIntroduction to Childcare ($95) Wednesday 8th AugustIntroduction to Childcare ($77) Wednesday 8th AugustPrepare for Study ($44) TBAPrepare for Study ($26) TBA Beauty and Wellbeing ($126) Monday 30th JulyBeauty and Wellbeing ($96) Monday 30th JulySkills for Devices and Desktops ($113) Monday 23rd JulySkills for Devices and Desktops ($92) Monday 23rd JulyExcel Basics ($150) Wednesday 15th AugustExcel Basics ($150) Tuesday 4th September

Course	Cost	Total
Course/s Fee	1	[(field119)]

Course Fee

If this is an accredited course, do you agree to be assessed?

YesNo

PERSONAL INFORMATION

Legal names should match those used for your unique student identifier.

Please provide the physical address (street number and name not postoffice 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 ‘rural property addressing’or ‘numbering’ system as your residential address.

Title

MrMrsMissMs

Gender

MaleFemaleIndeterminate / Intersex / Unspecified

First NameLegal Given Name/s

Middle NameLegal Middle Name

SurnameLegal Family Name

Date of Birthdd/mm/yyyy

Contact Phone

Alternative Contact Phone

Email

Home Address

Building / Property Name

Flat / Unit, Number & Name

Suburb

State

Select StateVictoriaNew south WalesQueenslandTasmaniaSouth AustraliaWestern AustraliaNorth Territory

Postcode

Postal Address (if different from above)

Building / Property Name

Flat / Unit, Number & Name

PO Box / Roadside Delivery Box

Suburb

State

Select StateVictoriaNew south WalesQueenslandTasmaniaSouth AustraliaWestern AustraliaNorth Territory

Postcode

EMPLOYMENT

Employment StatusPlease tick the category that BEST describes your current employment status.

Full-time EmployeePart-time EmployeeSelf-employed (not employing others)Self-employed (employing others)Employed (unpaid worker in family business)Unemployed (seeking full-time work)Unemployed (seek part-time work)Not employed (not seeking work)

Recent OccupationPlease tick the category that BEST describes your current or recent occupation.

ManagersProfessionalsTechnicians and Trade WorkersCommunity & Personal Service WorkersClerical & Administrative WorkersSales WorkersMachinery Operators & DriversLabourersOtherNever Employed

IndustryPlease tick the classification that BEST describes your current or previous employers industry.

Agriculture, Forestry & FishingMiningManufacturingElectricity, Gas, Water and Waste ServicesConstructionWholesale TradeRetail TradeInformation Media and TelecommunicationsTransport, Postal & WarehousingFinancial & Insurance ServicesRental, hiring & Real Estate ServicesAdministrative & Support ServicesPublic Administration & SafetyEducation & TrainingHealth Care & Social ServicesProfessional, Scientific & Technical ServicesOther ServicesNever Employed

SCHOOLING

Are you still attending school

YesNo

What is your highest COMPLETED school level?

Year 12Year 11Year 10Year 9 or equivalentYear 8 or belowNever attended school

PREVIOUS QUALIFICATION ACHIEVED

Have you SUCCESSFULLY COMPLETED any of the following qualifications?

YesNo

If YES, please select the type of qualification

AustralianAustralian EquivalentInternational

Qualification Level

Bachelor Degree or Higher EducationAdvanced Diploma or Associate DegreeDiploma (or Associate Diploma)Certificate IV (or Advanced Certificate / Technician)Certificate III (or Trade Certificate)Certificate IICertificate ICertificate other than above

LANGAUGE & CULTURAL DIVERSITY

Were you born in Australia?

YesNo

If No, please specify

Do you speak a language othan than English at home?pick one!

YesNo

If YES, please indicate the ONE that is spoken most often

Are you Aboriginal or Torres Strait Islander orgin?

NoAboriginalTorres Strait Islander

DISABILITY

Do you consider yourself to have a disability, impairment or long-term condition?

YesNo

If YES, please make a selection below:

Hearing / DeafPhysicalIntellectualLearningMental IllnessAcquired Brain ImpairmentVisionMedical ConditionOther

STUDY REASONS

Please tick ONE code that BEST describes your reasons for undertaking this course/program?

To get a jobTo develop my existing businessTo start my own businessTo try for a different careerTo get a better job or promotionIt was a requirement for my jobI wanted extra skills for my jobTo get into another course of studyFor personal interest or self-developmentOther reasons

FEE CONCESSION (This concession applies to funded courses only)

Do you hold one of the following concession cards? If yes, please tick.

Family Allowance SupplementParenting Payment SingleMature Age AllowanceNewstart AllowanceNewstart Mature AgeYouth AllowanceAgeCarer'sDisability AllowancePartner AllowanceWidow AllowanceWife PensionSickness AllowanceLow IncomeSpecial Benefit

VICTORIAN STUDENT NUMBER

VSN Number

No – I have not attended a Victorian school since 2009 or a TAFE or other VET training

Yes – I have attended a Victorian school since 2009. Most recent Victorian school attended: And/or

School Name

Yes – I have participated in training at a TAFE or other training organisation since the beginning of 2011.

List the most recent training organisations with which you have participated in training in Victoria since 2011 (list up to 3 organisations)

0 /

UNIQUE STUDENT IDENTIFIER

From 1 January 2015, Yarrawonga Neighbourhood House Inc. can be prevented from issuing you with a nationally recognised VET qualification or statement of attainment when you complete your program if you do not have a Unique Student Identifier (USI). If you have not yet obtained a USI, you can apply for it directly at http://www.usi.gov.au/create-your-USI/ on computer or mobile device.

If you already have a USI please enter here:

EMERGENCY CONTACT

Emergency Contact Name

Relationship

Contact Phone

Alternative Contact Phone

HOW DID YOU HEAR ABOUT US

Choose One

NewspaperWebsiteWord of MouthBeen here beforeTerm GuideJob NetworkOther (please specify)

REFUND POLICY

Yarrawonga Neighbourhood House will

All Courses

• Provide full refunds forany course that is cancelled by YNH prior to commencement.
• Provide full refunds toany student who cancels their enrolment with one weeks’ notice prior to coursecommencement
• Pay all refunds bycheque.

Government Funded Courses

• Provide refunds for anycourse that is discontinued by YNH as prescribed by the Victorian TrainingGuarantee Guidelines about Fees.
• Consider requests for refunds after coursecommencement on an individual basis. These requests must be made in writing tothe Committee of Management.  Should theCommittee of Management approve a refund, adjustments will be made, taking intoaccount materials provided and/or returned in good condition, administration,course costs and hardship (if applicable).

Non-Government Funded Courses

• Provide a refund of anyfees less an administration fee where the student withdraws from the courseless than one week prior to commencement.
• Consider requests forrefunds after course commencement on an individual basis.  These requests must be made in writing to theCommittee of Management

I am aware of the YNH Refund Policy

YesNo

DECLARATION

I declare that all information provided on this enrolment form is correct and accurate.

YesNo

Please Note: Enrolment is not complete until fees are paid and this form is fully completed.Unless enrolment is complete and fees are paid you will not be eligible for accreditation.

VICTORIAN GOVERNMENT VET STUDENT ENROLMENT PRIVACY NOTICE

The Victorian Government, through the Department of Education and Training (the Department), develops, monitors and funds vocational education and training(VET) in Victoria. The Victorian Government is committed to ensuring that Victorians have access to appropriate and relevant VET services. Any personal information collected by the Department for VET purposes is protected in accordance with the Privacy and Data Protection Act 2014 (Vic) and the Health Records Act 2001 (Vic).

Collection of your data

Yarrawonga Neighbourhood House Inc (YNH) is required to provide the Department with student and training activity data. This includes personal information collected in the YNH enrolment form and unique identifiers such as the Victorian Student Number (VSN) and the Commonwealth’s Unique Student Identifier(USI).

YNH provides data to the Department in accordance with the Victorian VET Student Statistical Collection Guidelines, available at: http://www.education.vic.gov.au/training/providers/rto/Pages/datacollection.aspx.

Use of your data

The Department uses student and training data, including personal information, for a range of VET purposes including administration, monitoring and planning.

A student’s USI may be used for specific VET purposes including the verification of student data provided by YNH; the administration and audit of VET providers and programs; education-related policy and research purposes; and to assist in determining eligibility for training subsidies.

Disclosure of your data

As necessary and where lawful, the Department may disclose VET data, including personal information, to its contractors, other government agencies, professional bodies and/or other organisations for VET-related purposes. In particular, this includes disclosure of VET student and training data to the Commonwealth and the National Centre for Vocational Education Research (NCVER).

Legal and Regulatory

The Department’s collection and handling of enrolment data and VSNs is authorised under the Education and Training Reform Act 2006 (Vic). The Department is also authorised to collect and handle USIs in accordance with the Student Identifiers Act 2014 (Cth) and the Student Identifiers Regulation 2014 (Cth).

Survey participation

You may be contacted to participate in a survey conducted by NCVER or a Department-endorsed project, audit or review relating to your training. This provides valuable feedback on the delivery of VET programs in Victoria.                            Please note you may opt out of the NCVER survey at the time of being contacted.

Consequences of not providing your information

Failure to provide your personal information may mean that it is not possible for you to enrol in VET and/or to obtain a Victorian Government VET subsidy

Access, correction and complaints

You have the right to seek access to or correction of your own personal information. You may also complain if you believe your privacy has been breached. 

For more information, please contact YNH’s Executive Officer in the first instance by phone 03 5744 3911 or email manager@ynh.org.au.

Further information

For further information about the way the Department collects and handles personal information, including access,correction and complaints, go to: http://www.education.vic.gov.au/Pages/privacypolicy.aspx.

For further information about Unique Student Identifiers, including access, correction and complaints, go to: http://www.usi.gov.au/Students/Pages/student-privacy.aspx.

I acknowledge that I have read the Victorian Government’s VET Student Enrolment Privacy Notice.

Yes

YNH STATEMENT OF PRIVACY

Yarrawonga Neighbourhood House Inc. (YNH) has always been committed to maintaining your privacy.  We are responsible for administering Adult Education Programs, Community Programs, Centrelink Agency, Tax Help Program, and an Information & Referral Service.  Federal and Victorian Privacy Legislation is of the utmost importance to us.

To provide a high quality and personalised service YNH often needs to collect and record your personal information.  The information collected is kept in a secure location and can only be accessed by authorised people.

When we collect your personal information we will only use it for the purposes for which it was collected.

Your personal information is used to:

• Register you as a learner and allocate staff and resources to provide for your learning and support needs.
  
• Provide information & referral and personal support.
• Administer and manage the services we provide.
• Develop an understanding of your personal needs in order for us to provide you with a better service.
• Enable us to contact you or others in case of emergency. 

On occasions we may be required to disclose some personal information to other agencies or government departments.

It is important that the personal information we collect,use and disclose is accurate, complete and up-to-date.  We depend on you to let us know as soon as you become aware of any errors in our records and of any changes to your personal circumstances such as your name and address.  If you wish to obtain a copy of our Privacy Policy, arrange to view your personal information, or you have any questions in relation to privacy please contact the Executive Officer.

You can also write to:

            Executive Officer

            YarrawongaNeighbourhood House Inc

            PO Box 308

            YarrawongaVic 3730

I am aware of the Yarrawonga Neighbourhood House Inc. Privacy Policy and that this enrolment information can be used for State Funding statistical purposes.

Yes

Date

Submit Form

Previous

Next

Enrol

Date: Monday 30th July – 3rd September
Time: 10:00am – 3:30pm
Cost: Fuunded $126
Concession: $ 96 (GST Free)
Venue: YNH Adult Learning Centre

×

[]

1

Yarrawonga Neighbourhood House

Education Enrolment Form

COURSE INFORMATION

Course

HLTAID003 Provide first aid ($150) Wednesday 8th AugustHLTAID004 Provide an emergency first aid response in an education and care setting ($160) Wednesday 8th AugustHLTAID001 Provide cardiopulmonary resuscition ($75) Wednesday 8th AugustSITHFAB002 Provide responsible service of alcohol ($175) Friday 3rd AugustSITHGAM001 Provide responsible gambling services ($130) Friday 10th AugustHygiene for Food Handlers (Full Fee $110) TBAHygiene for Food Handlers (Concession $90) TBAResponsible Service of Alcohol (Victoria) ($75) Friday 24th AugustEvent Planning ($113) Wednesday 1st AugustEvent Planning ($92) Wednesday 1st AugustCustomer Service ($125) Tuesday 21st AugustIntroduction to Childcare ($95) Wednesday 8th AugustIntroduction to Childcare ($77) Wednesday 8th AugustPrepare for Study ($44) TBAPrepare for Study ($26) TBA Beauty and Wellbeing ($126) Monday 30th JulyBeauty and Wellbeing ($96) Monday 30th JulySkills for Devices and Desktops ($113) Monday 23rd JulySkills for Devices and Desktops ($92) Monday 23rd JulyExcel Basics ($150) Wednesday 15th AugustExcel Basics ($150) Tuesday 4th September

Course	Cost	Total
Course/s Fee	1	[(field119)]

Course Fee

If this is an accredited course, do you agree to be assessed?

YesNo

PERSONAL INFORMATION

Legal names should match those used for your unique student identifier.

Please provide the physical address (street number and name not postoffice 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 ‘rural property addressing’or ‘numbering’ system as your residential address.

Title

MrMrsMissMs

Gender

MaleFemaleIndeterminate / Intersex / Unspecified

First NameLegal Given Name/s

Middle NameLegal Middle Name

SurnameLegal Family Name

Date of Birthdd/mm/yyyy

Contact Phone

Alternative Contact Phone

Email

Home Address

Building / Property Name

Flat / Unit, Number & Name

Suburb

State

Select StateVictoriaNew south WalesQueenslandTasmaniaSouth AustraliaWestern AustraliaNorth Territory

Postcode

Postal Address (if different from above)

Building / Property Name

Flat / Unit, Number & Name

PO Box / Roadside Delivery Box

Suburb

State

Select StateVictoriaNew south WalesQueenslandTasmaniaSouth AustraliaWestern AustraliaNorth Territory

Postcode

EMPLOYMENT

Employment StatusPlease tick the category that BEST describes your current employment status.

Full-time EmployeePart-time EmployeeSelf-employed (not employing others)Self-employed (employing others)Employed (unpaid worker in family business)Unemployed (seeking full-time work)Unemployed (seek part-time work)Not employed (not seeking work)

Recent OccupationPlease tick the category that BEST describes your current or recent occupation.

ManagersProfessionalsTechnicians and Trade WorkersCommunity & Personal Service WorkersClerical & Administrative WorkersSales WorkersMachinery Operators & DriversLabourersOtherNever Employed

IndustryPlease tick the classification that BEST describes your current or previous employers industry.

Agriculture, Forestry & FishingMiningManufacturingElectricity, Gas, Water and Waste ServicesConstructionWholesale TradeRetail TradeInformation Media and TelecommunicationsTransport, Postal & WarehousingFinancial & Insurance ServicesRental, hiring & Real Estate ServicesAdministrative & Support ServicesPublic Administration & SafetyEducation & TrainingHealth Care & Social ServicesProfessional, Scientific & Technical ServicesOther ServicesNever Employed

SCHOOLING

Are you still attending school

YesNo

What is your highest COMPLETED school level?

Year 12Year 11Year 10Year 9 or equivalentYear 8 or belowNever attended school

PREVIOUS QUALIFICATION ACHIEVED

Have you SUCCESSFULLY COMPLETED any of the following qualifications?

YesNo

If YES, please select the type of qualification

AustralianAustralian EquivalentInternational

Qualification Level

Bachelor Degree or Higher EducationAdvanced Diploma or Associate DegreeDiploma (or Associate Diploma)Certificate IV (or Advanced Certificate / Technician)Certificate III (or Trade Certificate)Certificate IICertificate ICertificate other than above

LANGAUGE & CULTURAL DIVERSITY

Were you born in Australia?

YesNo

If No, please specify

Do you speak a language othan than English at home?pick one!

YesNo

If YES, please indicate the ONE that is spoken most often

Are you Aboriginal or Torres Strait Islander orgin?

NoAboriginalTorres Strait Islander

DISABILITY

Do you consider yourself to have a disability, impairment or long-term condition?

YesNo

If YES, please make a selection below:

Hearing / DeafPhysicalIntellectualLearningMental IllnessAcquired Brain ImpairmentVisionMedical ConditionOther

STUDY REASONS

Please tick ONE code that BEST describes your reasons for undertaking this course/program?

To get a jobTo develop my existing businessTo start my own businessTo try for a different careerTo get a better job or promotionIt was a requirement for my jobI wanted extra skills for my jobTo get into another course of studyFor personal interest or self-developmentOther reasons

FEE CONCESSION (This concession applies to funded courses only)

Do you hold one of the following concession cards? If yes, please tick.

Family Allowance SupplementParenting Payment SingleMature Age AllowanceNewstart AllowanceNewstart Mature AgeYouth AllowanceAgeCarer'sDisability AllowancePartner AllowanceWidow AllowanceWife PensionSickness AllowanceLow IncomeSpecial Benefit

VICTORIAN STUDENT NUMBER

VSN Number

No – I have not attended a Victorian school since 2009 or a TAFE or other VET training

Yes – I have attended a Victorian school since 2009. Most recent Victorian school attended: And/or

School Name

Yes – I have participated in training at a TAFE or other training organisation since the beginning of 2011.

List the most recent training organisations with which you have participated in training in Victoria since 2011 (list up to 3 organisations)

0 /

UNIQUE STUDENT IDENTIFIER

From 1 January 2015, Yarrawonga Neighbourhood House Inc. can be prevented from issuing you with a nationally recognised VET qualification or statement of attainment when you complete your program if you do not have a Unique Student Identifier (USI). If you have not yet obtained a USI, you can apply for it directly at http://www.usi.gov.au/create-your-USI/ on computer or mobile device.

If you already have a USI please enter here:

EMERGENCY CONTACT

Emergency Contact Name

Relationship

Contact Phone

Alternative Contact Phone

HOW DID YOU HEAR ABOUT US

Choose One

NewspaperWebsiteWord of MouthBeen here beforeTerm GuideJob NetworkOther (please specify)

REFUND POLICY

Yarrawonga Neighbourhood House will

All Courses

• Provide full refunds forany course that is cancelled by YNH prior to commencement.
• Provide full refunds toany student who cancels their enrolment with one weeks’ notice prior to coursecommencement
• Pay all refunds bycheque.

Government Funded Courses

• Provide refunds for anycourse that is discontinued by YNH as prescribed by the Victorian TrainingGuarantee Guidelines about Fees.
• Consider requests for refunds after coursecommencement on an individual basis. These requests must be made in writing tothe Committee of Management.  Should theCommittee of Management approve a refund, adjustments will be made, taking intoaccount materials provided and/or returned in good condition, administration,course costs and hardship (if applicable).

Non-Government Funded Courses

• Provide a refund of anyfees less an administration fee where the student withdraws from the courseless than one week prior to commencement.
• Consider requests forrefunds after course commencement on an individual basis.  These requests must be made in writing to theCommittee of Management

I am aware of the YNH Refund Policy

YesNo

DECLARATION

I declare that all information provided on this enrolment form is correct and accurate.

YesNo

Please Note: Enrolment is not complete until fees are paid and this form is fully completed.Unless enrolment is complete and fees are paid you will not be eligible for accreditation.

VICTORIAN GOVERNMENT VET STUDENT ENROLMENT PRIVACY NOTICE

The Victorian Government, through the Department of Education and Training (the Department), develops, monitors and funds vocational education and training(VET) in Victoria. The Victorian Government is committed to ensuring that Victorians have access to appropriate and relevant VET services. Any personal information collected by the Department for VET purposes is protected in accordance with the Privacy and Data Protection Act 2014 (Vic) and the Health Records Act 2001 (Vic).

Collection of your data

Yarrawonga Neighbourhood House Inc (YNH) is required to provide the Department with student and training activity data. This includes personal information collected in the YNH enrolment form and unique identifiers such as the Victorian Student Number (VSN) and the Commonwealth’s Unique Student Identifier(USI).

YNH provides data to the Department in accordance with the Victorian VET Student Statistical Collection Guidelines, available at: http://www.education.vic.gov.au/training/providers/rto/Pages/datacollection.aspx.

Use of your data

The Department uses student and training data, including personal information, for a range of VET purposes including administration, monitoring and planning.

A student’s USI may be used for specific VET purposes including the verification of student data provided by YNH; the administration and audit of VET providers and programs; education-related policy and research purposes; and to assist in determining eligibility for training subsidies.

Disclosure of your data

As necessary and where lawful, the Department may disclose VET data, including personal information, to its contractors, other government agencies, professional bodies and/or other organisations for VET-related purposes. In particular, this includes disclosure of VET student and training data to the Commonwealth and the National Centre for Vocational Education Research (NCVER).

Legal and Regulatory

The Department’s collection and handling of enrolment data and VSNs is authorised under the Education and Training Reform Act 2006 (Vic). The Department is also authorised to collect and handle USIs in accordance with the Student Identifiers Act 2014 (Cth) and the Student Identifiers Regulation 2014 (Cth).

Survey participation

You may be contacted to participate in a survey conducted by NCVER or a Department-endorsed project, audit or review relating to your training. This provides valuable feedback on the delivery of VET programs in Victoria.                            Please note you may opt out of the NCVER survey at the time of being contacted.

Consequences of not providing your information

Failure to provide your personal information may mean that it is not possible for you to enrol in VET and/or to obtain a Victorian Government VET subsidy

Access, correction and complaints

You have the right to seek access to or correction of your own personal information. You may also complain if you believe your privacy has been breached. 

For more information, please contact YNH’s Executive Officer in the first instance by phone 03 5744 3911 or email manager@ynh.org.au.

Further information

For further information about the way the Department collects and handles personal information, including access,correction and complaints, go to: http://www.education.vic.gov.au/Pages/privacypolicy.aspx.

For further information about Unique Student Identifiers, including access, correction and complaints, go to: http://www.usi.gov.au/Students/Pages/student-privacy.aspx.

I acknowledge that I have read the Victorian Government’s VET Student Enrolment Privacy Notice.

Yes

YNH STATEMENT OF PRIVACY

Yarrawonga Neighbourhood House Inc. (YNH) has always been committed to maintaining your privacy.  We are responsible for administering Adult Education Programs, Community Programs, Centrelink Agency, Tax Help Program, and an Information & Referral Service.  Federal and Victorian Privacy Legislation is of the utmost importance to us.

To provide a high quality and personalised service YNH often needs to collect and record your personal information.  The information collected is kept in a secure location and can only be accessed by authorised people.

When we collect your personal information we will only use it for the purposes for which it was collected.

Your personal information is used to:

• Register you as a learner and allocate staff and resources to provide for your learning and support needs.
  
• Provide information & referral and personal support.
• Administer and manage the services we provide.
• Develop an understanding of your personal needs in order for us to provide you with a better service.
• Enable us to contact you or others in case of emergency. 

On occasions we may be required to disclose some personal information to other agencies or government departments.

It is important that the personal information we collect,use and disclose is accurate, complete and up-to-date.  We depend on you to let us know as soon as you become aware of any errors in our records and of any changes to your personal circumstances such as your name and address.  If you wish to obtain a copy of our Privacy Policy, arrange to view your personal information, or you have any questions in relation to privacy please contact the Executive Officer.

You can also write to:

            Executive Officer

            YarrawongaNeighbourhood House Inc

            PO Box 308

            YarrawongaVic 3730

I am aware of the Yarrawonga Neighbourhood House Inc. Privacy Policy and that this enrolment information can be used for State Funding statistical purposes.

Yes

Date

Submit Form

Previous

Next

Enrol

Provide responsible service of alcohol is conducted using the New South Wales Liquor Licensing guidelines, this unit is essential for any person involved in the sale, supply and service of alcohol.

To work in the liquor industry in NSW, you need an RSA/RGS competency card. The competency card is a plastic card, similar to a driver licence. It is valid for five years.

The Competency Card Fee is included in the course cost. Renewing your card involves an online refresher training through Liquor & Gaming NSW and paying a small renewal fee.  You can not renew your card through a RTO. 

Date:  Friday 3rd August
Time: 9:30am – 4:00pm
Cost: $175 (GST Free)
Venue: Yarrawonga Neighbourhood House

Tags : RSA, alcohol, responsible

×

[]

1

Yarrawonga Neighbourhood House

Education Enrolment Form

COURSE INFORMATION

Course

HLTAID003 Provide first aid ($150) Wednesday 8th AugustHLTAID004 Provide an emergency first aid response in an education and care setting ($160) Wednesday 8th AugustHLTAID001 Provide cardiopulmonary resuscition ($75) Wednesday 8th AugustSITHFAB002 Provide responsible service of alcohol ($175) Friday 3rd AugustSITHGAM001 Provide responsible gambling services ($130) Friday 10th AugustHygiene for Food Handlers (Full Fee $110) TBAHygiene for Food Handlers (Concession $90) TBAResponsible Service of Alcohol (Victoria) ($75) Friday 24th AugustEvent Planning ($113) Wednesday 1st AugustEvent Planning ($92) Wednesday 1st AugustCustomer Service ($125) Tuesday 21st AugustIntroduction to Childcare ($95) Wednesday 8th AugustIntroduction to Childcare ($77) Wednesday 8th AugustPrepare for Study ($44) TBAPrepare for Study ($26) TBA Beauty and Wellbeing ($126) Monday 30th JulyBeauty and Wellbeing ($96) Monday 30th JulySkills for Devices and Desktops ($113) Monday 23rd JulySkills for Devices and Desktops ($92) Monday 23rd JulyExcel Basics ($150) Wednesday 15th AugustExcel Basics ($150) Tuesday 4th September

Course	Cost	Total
Course/s Fee	1	[(field119)]

Course Fee

If this is an accredited course, do you agree to be assessed?

YesNo

PERSONAL INFORMATION

Legal names should match those used for your unique student identifier.

Please provide the physical address (street number and name not postoffice 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 ‘rural property addressing’or ‘numbering’ system as your residential address.

Title

MrMrsMissMs

Gender

MaleFemaleIndeterminate / Intersex / Unspecified

First NameLegal Given Name/s

Middle NameLegal Middle Name

SurnameLegal Family Name

Date of Birthdd/mm/yyyy

Contact Phone

Alternative Contact Phone

Email

Home Address

Building / Property Name

Flat / Unit, Number & Name

Suburb

State

Select StateVictoriaNew south WalesQueenslandTasmaniaSouth AustraliaWestern AustraliaNorth Territory

Postcode

Postal Address (if different from above)

Building / Property Name

Flat / Unit, Number & Name

PO Box / Roadside Delivery Box

Suburb

State

Select StateVictoriaNew south WalesQueenslandTasmaniaSouth AustraliaWestern AustraliaNorth Territory

Postcode

EMPLOYMENT

Employment StatusPlease tick the category that BEST describes your current employment status.

Full-time EmployeePart-time EmployeeSelf-employed (not employing others)Self-employed (employing others)Employed (unpaid worker in family business)Unemployed (seeking full-time work)Unemployed (seek part-time work)Not employed (not seeking work)

Recent OccupationPlease tick the category that BEST describes your current or recent occupation.

ManagersProfessionalsTechnicians and Trade WorkersCommunity & Personal Service WorkersClerical & Administrative WorkersSales WorkersMachinery Operators & DriversLabourersOtherNever Employed

IndustryPlease tick the classification that BEST describes your current or previous employers industry.

Agriculture, Forestry & FishingMiningManufacturingElectricity, Gas, Water and Waste ServicesConstructionWholesale TradeRetail TradeInformation Media and TelecommunicationsTransport, Postal & WarehousingFinancial & Insurance ServicesRental, hiring & Real Estate ServicesAdministrative & Support ServicesPublic Administration & SafetyEducation & TrainingHealth Care & Social ServicesProfessional, Scientific & Technical ServicesOther ServicesNever Employed

SCHOOLING

Are you still attending school

YesNo

What is your highest COMPLETED school level?

Year 12Year 11Year 10Year 9 or equivalentYear 8 or belowNever attended school

PREVIOUS QUALIFICATION ACHIEVED

Have you SUCCESSFULLY COMPLETED any of the following qualifications?

YesNo

If YES, please select the type of qualification

AustralianAustralian EquivalentInternational

Qualification Level

Bachelor Degree or Higher EducationAdvanced Diploma or Associate DegreeDiploma (or Associate Diploma)Certificate IV (or Advanced Certificate / Technician)Certificate III (or Trade Certificate)Certificate IICertificate ICertificate other than above

LANGAUGE & CULTURAL DIVERSITY

Were you born in Australia?

YesNo

If No, please specify

Do you speak a language othan than English at home?pick one!

YesNo

If YES, please indicate the ONE that is spoken most often

Are you Aboriginal or Torres Strait Islander orgin?

NoAboriginalTorres Strait Islander

DISABILITY

Do you consider yourself to have a disability, impairment or long-term condition?

YesNo

If YES, please make a selection below:

Hearing / DeafPhysicalIntellectualLearningMental IllnessAcquired Brain ImpairmentVisionMedical ConditionOther

STUDY REASONS

Please tick ONE code that BEST describes your reasons for undertaking this course/program?

To get a jobTo develop my existing businessTo start my own businessTo try for a different careerTo get a better job or promotionIt was a requirement for my jobI wanted extra skills for my jobTo get into another course of studyFor personal interest or self-developmentOther reasons

FEE CONCESSION (This concession applies to funded courses only)

Do you hold one of the following concession cards? If yes, please tick.

Family Allowance SupplementParenting Payment SingleMature Age AllowanceNewstart AllowanceNewstart Mature AgeYouth AllowanceAgeCarer'sDisability AllowancePartner AllowanceWidow AllowanceWife PensionSickness AllowanceLow IncomeSpecial Benefit

VICTORIAN STUDENT NUMBER

VSN Number

No – I have not attended a Victorian school since 2009 or a TAFE or other VET training

Yes – I have attended a Victorian school since 2009. Most recent Victorian school attended: And/or

School Name

Yes – I have participated in training at a TAFE or other training organisation since the beginning of 2011.

List the most recent training organisations with which you have participated in training in Victoria since 2011 (list up to 3 organisations)

0 /

UNIQUE STUDENT IDENTIFIER

From 1 January 2015, Yarrawonga Neighbourhood House Inc. can be prevented from issuing you with a nationally recognised VET qualification or statement of attainment when you complete your program if you do not have a Unique Student Identifier (USI). If you have not yet obtained a USI, you can apply for it directly at http://www.usi.gov.au/create-your-USI/ on computer or mobile device.

If you already have a USI please enter here:

EMERGENCY CONTACT

Emergency Contact Name

Relationship

Contact Phone

Alternative Contact Phone

HOW DID YOU HEAR ABOUT US

Choose One

NewspaperWebsiteWord of MouthBeen here beforeTerm GuideJob NetworkOther (please specify)

REFUND POLICY

Yarrawonga Neighbourhood House will

All Courses

• Provide full refunds forany course that is cancelled by YNH prior to commencement.
• Provide full refunds toany student who cancels their enrolment with one weeks’ notice prior to coursecommencement
• Pay all refunds bycheque.

Government Funded Courses

• Provide refunds for anycourse that is discontinued by YNH as prescribed by the Victorian TrainingGuarantee Guidelines about Fees.
• Consider requests for refunds after coursecommencement on an individual basis. These requests must be made in writing tothe Committee of Management.  Should theCommittee of Management approve a refund, adjustments will be made, taking intoaccount materials provided and/or returned in good condition, administration,course costs and hardship (if applicable).

Non-Government Funded Courses

• Provide a refund of anyfees less an administration fee where the student withdraws from the courseless than one week prior to commencement.
• Consider requests forrefunds after course commencement on an individual basis.  These requests must be made in writing to theCommittee of Management

I am aware of the YNH Refund Policy

YesNo

DECLARATION

I declare that all information provided on this enrolment form is correct and accurate.

YesNo

Please Note: Enrolment is not complete until fees are paid and this form is fully completed.Unless enrolment is complete and fees are paid you will not be eligible for accreditation.

VICTORIAN GOVERNMENT VET STUDENT ENROLMENT PRIVACY NOTICE

The Victorian Government, through the Department of Education and Training (the Department), develops, monitors and funds vocational education and training(VET) in Victoria. The Victorian Government is committed to ensuring that Victorians have access to appropriate and relevant VET services. Any personal information collected by the Department for VET purposes is protected in accordance with the Privacy and Data Protection Act 2014 (Vic) and the Health Records Act 2001 (Vic).

Collection of your data

Yarrawonga Neighbourhood House Inc (YNH) is required to provide the Department with student and training activity data. This includes personal information collected in the YNH enrolment form and unique identifiers such as the Victorian Student Number (VSN) and the Commonwealth’s Unique Student Identifier(USI).

YNH provides data to the Department in accordance with the Victorian VET Student Statistical Collection Guidelines, available at: http://www.education.vic.gov.au/training/providers/rto/Pages/datacollection.aspx.

Use of your data

The Department uses student and training data, including personal information, for a range of VET purposes including administration, monitoring and planning.

A student’s USI may be used for specific VET purposes including the verification of student data provided by YNH; the administration and audit of VET providers and programs; education-related policy and research purposes; and to assist in determining eligibility for training subsidies.

Disclosure of your data

As necessary and where lawful, the Department may disclose VET data, including personal information, to its contractors, other government agencies, professional bodies and/or other organisations for VET-related purposes. In particular, this includes disclosure of VET student and training data to the Commonwealth and the National Centre for Vocational Education Research (NCVER).

Legal and Regulatory

The Department’s collection and handling of enrolment data and VSNs is authorised under the Education and Training Reform Act 2006 (Vic). The Department is also authorised to collect and handle USIs in accordance with the Student Identifiers Act 2014 (Cth) and the Student Identifiers Regulation 2014 (Cth).

Survey participation

You may be contacted to participate in a survey conducted by NCVER or a Department-endorsed project, audit or review relating to your training. This provides valuable feedback on the delivery of VET programs in Victoria.                            Please note you may opt out of the NCVER survey at the time of being contacted.

Consequences of not providing your information

Failure to provide your personal information may mean that it is not possible for you to enrol in VET and/or to obtain a Victorian Government VET subsidy

Access, correction and complaints

You have the right to seek access to or correction of your own personal information. You may also complain if you believe your privacy has been breached. 

For more information, please contact YNH’s Executive Officer in the first instance by phone 03 5744 3911 or email manager@ynh.org.au.

Further information

For further information about the way the Department collects and handles personal information, including access,correction and complaints, go to: http://www.education.vic.gov.au/Pages/privacypolicy.aspx.

For further information about Unique Student Identifiers, including access, correction and complaints, go to: http://www.usi.gov.au/Students/Pages/student-privacy.aspx.

I acknowledge that I have read the Victorian Government’s VET Student Enrolment Privacy Notice.

Yes

YNH STATEMENT OF PRIVACY

Yarrawonga Neighbourhood House Inc. (YNH) has always been committed to maintaining your privacy.  We are responsible for administering Adult Education Programs, Community Programs, Centrelink Agency, Tax Help Program, and an Information & Referral Service.  Federal and Victorian Privacy Legislation is of the utmost importance to us.

To provide a high quality and personalised service YNH often needs to collect and record your personal information.  The information collected is kept in a secure location and can only be accessed by authorised people.

When we collect your personal information we will only use it for the purposes for which it was collected.

Your personal information is used to:

• Register you as a learner and allocate staff and resources to provide for your learning and support needs.
  
• Provide information & referral and personal support.
• Administer and manage the services we provide.
• Develop an understanding of your personal needs in order for us to provide you with a better service.
• Enable us to contact you or others in case of emergency. 

On occasions we may be required to disclose some personal information to other agencies or government departments.

It is important that the personal information we collect,use and disclose is accurate, complete and up-to-date.  We depend on you to let us know as soon as you become aware of any errors in our records and of any changes to your personal circumstances such as your name and address.  If you wish to obtain a copy of our Privacy Policy, arrange to view your personal information, or you have any questions in relation to privacy please contact the Executive Officer.

You can also write to:

            Executive Officer

            YarrawongaNeighbourhood House Inc

            PO Box 308

            YarrawongaVic 3730

I am aware of the Yarrawonga Neighbourhood House Inc. Privacy Policy and that this enrolment information can be used for State Funding statistical purposes.

Yes

Date

Submit Form

Previous

Next

Enrol

This unit is an essential requirement of the Gaming Machines Regulation 2010 for any person with gaming activities as part of their job role in New South Wales.

To work in the gaming industry in NSW, you need an RSA/RGS competency card. The competency card is a plastic card, similar to a driver licence. It is valid for five years.

The Competency Card Fee is included in the course cost. Renewing your card involves an online refresher training through Liquor & Gaming NSW and paying a small renewal fee.  You can not renew your card through a RTO. 

Date: Friday 10th August
Time: 9:30am – 4:00pm
Cost: $130 (GST Free)
Venue: YNH Adult Learning Centre

Tags : RGS, gambling, responsible

×

[[[["field3","equal_to","Customer Service (Funded)"]],[["set_value",null,"35",null,"field9"]],"and"]]

1

YARRAWONGA NEIGHBOURHOOD HOUSE

REGISTER INTEREST IN A COURSE FORM

Course Name

Select Course NameCustomer ServiceResponsible Service of Alcohol - VictoriaSITHFAB002 Provide responsible service of alcoholSITHGAM001 Provide responsible gambling servicesHygiene for Food HandlersHLTAID003 Provide first aidHLTAID001 Provide cardiopulmonary resucitationSkills for Devices and DesktopsExcel BasicsIntroducing Online SellingCHC30113 Certificate III in Early Childhood Education & CareCHC33015 Certificate III in Individual SupportTAE40110 Certificate IV in Training & AssessmentCHC43115 Certificate IV in DisabilityBeauty and WellbeingPrepare for StudyEvent Planning

PERSONAL INFORMATION

Legal names should match those used for your unique student identifier.

Please provide the physical address (street number and name not postoffice 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 ‘rural property addressing’or ‘numbering’ system as your residential address.

Title

MrMrsMissMs

Gender

MaleFemale

First NameLegal Given Name/s

Middle NameLegal Middle Name

SurnameLegal Family Name

Date of Birthdd/mm/yy

Contact Phone

Alternative Contact Phone

Email

Home Address

Building / Property Name

Flat / Unit, Number & Name

Suburb

State

Select StateVictoriaNew south WalesQueenslandTasmaniaSouth AustraliaWestern AustraliaNorth Territory

Postcode

Submit Form

Previous

Next

Register Interest

Do you want to work in restaurants, cafes or bakeries? Are you a member of a community group involved in food preparation?

On successful completion YNH will issue a statement of attainment for SITXFSA101 Use hygienic practices for food safety from the Hospitality Training Package.

Date:  TBA
Time: 9.30am – 4:00pm
Cost: Full Fee: $110
Concession: $90 (GST Free)
Venue: Lions Commercial Kitchen

Tags : Hygiene, food, handling

×

[]

1

Yarrawonga Neighbourhood House

Education Enrolment Form

COURSE INFORMATION

Course

HLTAID003 Provide first aid ($150) Wednesday 8th AugustHLTAID004 Provide an emergency first aid response in an education and care setting ($160) Wednesday 8th AugustHLTAID001 Provide cardiopulmonary resuscition ($75) Wednesday 8th AugustSITHFAB002 Provide responsible service of alcohol ($175) Friday 3rd AugustSITHGAM001 Provide responsible gambling services ($130) Friday 10th AugustHygiene for Food Handlers (Full Fee $110) TBAHygiene for Food Handlers (Concession $90) TBAResponsible Service of Alcohol (Victoria) ($75) Friday 24th AugustEvent Planning ($113) Wednesday 1st AugustEvent Planning ($92) Wednesday 1st AugustCustomer Service ($125) Tuesday 21st AugustIntroduction to Childcare ($95) Wednesday 8th AugustIntroduction to Childcare ($77) Wednesday 8th AugustPrepare for Study ($44) TBAPrepare for Study ($26) TBA Beauty and Wellbeing ($126) Monday 30th JulyBeauty and Wellbeing ($96) Monday 30th JulySkills for Devices and Desktops ($113) Monday 23rd JulySkills for Devices and Desktops ($92) Monday 23rd JulyExcel Basics ($150) Wednesday 15th AugustExcel Basics ($150) Tuesday 4th September

Course	Cost	Total
Course/s Fee	1	[(field119)]

Course Fee

If this is an accredited course, do you agree to be assessed?

YesNo

PERSONAL INFORMATION

Legal names should match those used for your unique student identifier.

Please provide the physical address (street number and name not postoffice 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 ‘rural property addressing’or ‘numbering’ system as your residential address.

Title

MrMrsMissMs

Gender

MaleFemaleIndeterminate / Intersex / Unspecified

First NameLegal Given Name/s

Middle NameLegal Middle Name

SurnameLegal Family Name

Date of Birthdd/mm/yyyy

Contact Phone

Alternative Contact Phone

Email

Home Address

Building / Property Name

Flat / Unit, Number & Name

Suburb

State

Select StateVictoriaNew south WalesQueenslandTasmaniaSouth AustraliaWestern AustraliaNorth Territory

Postcode

Postal Address (if different from above)

Building / Property Name

Flat / Unit, Number & Name

PO Box / Roadside Delivery Box

Suburb

State

Select StateVictoriaNew south WalesQueenslandTasmaniaSouth AustraliaWestern AustraliaNorth Territory

Postcode

EMPLOYMENT

Employment StatusPlease tick the category that BEST describes your current employment status.

Full-time EmployeePart-time EmployeeSelf-employed (not employing others)Self-employed (employing others)Employed (unpaid worker in family business)Unemployed (seeking full-time work)Unemployed (seek part-time work)Not employed (not seeking work)

Recent OccupationPlease tick the category that BEST describes your current or recent occupation.

ManagersProfessionalsTechnicians and Trade WorkersCommunity & Personal Service WorkersClerical & Administrative WorkersSales WorkersMachinery Operators & DriversLabourersOtherNever Employed

IndustryPlease tick the classification that BEST describes your current or previous employers industry.

Agriculture, Forestry & FishingMiningManufacturingElectricity, Gas, Water and Waste ServicesConstructionWholesale TradeRetail TradeInformation Media and TelecommunicationsTransport, Postal & WarehousingFinancial & Insurance ServicesRental, hiring & Real Estate ServicesAdministrative & Support ServicesPublic Administration & SafetyEducation & TrainingHealth Care & Social ServicesProfessional, Scientific & Technical ServicesOther ServicesNever Employed

SCHOOLING

Are you still attending school

YesNo

What is your highest COMPLETED school level?

Year 12Year 11Year 10Year 9 or equivalentYear 8 or belowNever attended school

PREVIOUS QUALIFICATION ACHIEVED

Have you SUCCESSFULLY COMPLETED any of the following qualifications?

YesNo

If YES, please select the type of qualification

AustralianAustralian EquivalentInternational

Qualification Level

Bachelor Degree or Higher EducationAdvanced Diploma or Associate DegreeDiploma (or Associate Diploma)Certificate IV (or Advanced Certificate / Technician)Certificate III (or Trade Certificate)Certificate IICertificate ICertificate other than above

LANGAUGE & CULTURAL DIVERSITY

Were you born in Australia?

YesNo

If No, please specify

Do you speak a language othan than English at home?pick one!

YesNo

If YES, please indicate the ONE that is spoken most often

Are you Aboriginal or Torres Strait Islander orgin?

NoAboriginalTorres Strait Islander

DISABILITY

Do you consider yourself to have a disability, impairment or long-term condition?

YesNo

If YES, please make a selection below:

Hearing / DeafPhysicalIntellectualLearningMental IllnessAcquired Brain ImpairmentVisionMedical ConditionOther

STUDY REASONS

Please tick ONE code that BEST describes your reasons for undertaking this course/program?

To get a jobTo develop my existing businessTo start my own businessTo try for a different careerTo get a better job or promotionIt was a requirement for my jobI wanted extra skills for my jobTo get into another course of studyFor personal interest or self-developmentOther reasons

FEE CONCESSION (This concession applies to funded courses only)

Do you hold one of the following concession cards? If yes, please tick.

Family Allowance SupplementParenting Payment SingleMature Age AllowanceNewstart AllowanceNewstart Mature AgeYouth AllowanceAgeCarer'sDisability AllowancePartner AllowanceWidow AllowanceWife PensionSickness AllowanceLow IncomeSpecial Benefit

VICTORIAN STUDENT NUMBER

VSN Number

No – I have not attended a Victorian school since 2009 or a TAFE or other VET training

Yes – I have attended a Victorian school since 2009. Most recent Victorian school attended: And/or

School Name

Yes – I have participated in training at a TAFE or other training organisation since the beginning of 2011.

List the most recent training organisations with which you have participated in training in Victoria since 2011 (list up to 3 organisations)

0 /

UNIQUE STUDENT IDENTIFIER

From 1 January 2015, Yarrawonga Neighbourhood House Inc. can be prevented from issuing you with a nationally recognised VET qualification or statement of attainment when you complete your program if you do not have a Unique Student Identifier (USI). If you have not yet obtained a USI, you can apply for it directly at http://www.usi.gov.au/create-your-USI/ on computer or mobile device.

If you already have a USI please enter here:

EMERGENCY CONTACT

Emergency Contact Name

Relationship

Contact Phone

Alternative Contact Phone

HOW DID YOU HEAR ABOUT US

Choose One

NewspaperWebsiteWord of MouthBeen here beforeTerm GuideJob NetworkOther (please specify)

REFUND POLICY

Yarrawonga Neighbourhood House will

All Courses

• Provide full refunds forany course that is cancelled by YNH prior to commencement.
• Provide full refunds toany student who cancels their enrolment with one weeks’ notice prior to coursecommencement
• Pay all refunds bycheque.

Government Funded Courses

• Provide refunds for anycourse that is discontinued by YNH as prescribed by the Victorian TrainingGuarantee Guidelines about Fees.
• Consider requests for refunds after coursecommencement on an individual basis. These requests must be made in writing tothe Committee of Management.  Should theCommittee of Management approve a refund, adjustments will be made, taking intoaccount materials provided and/or returned in good condition, administration,course costs and hardship (if applicable).

Non-Government Funded Courses

• Provide a refund of anyfees less an administration fee where the student withdraws from the courseless than one week prior to commencement.
• Consider requests forrefunds after course commencement on an individual basis.  These requests must be made in writing to theCommittee of Management

I am aware of the YNH Refund Policy

YesNo

DECLARATION

I declare that all information provided on this enrolment form is correct and accurate.

YesNo

Please Note: Enrolment is not complete until fees are paid and this form is fully completed.Unless enrolment is complete and fees are paid you will not be eligible for accreditation.

VICTORIAN GOVERNMENT VET STUDENT ENROLMENT PRIVACY NOTICE

The Victorian Government, through the Department of Education and Training (the Department), develops, monitors and funds vocational education and training(VET) in Victoria. The Victorian Government is committed to ensuring that Victorians have access to appropriate and relevant VET services. Any personal information collected by the Department for VET purposes is protected in accordance with the Privacy and Data Protection Act 2014 (Vic) and the Health Records Act 2001 (Vic).

Collection of your data

Yarrawonga Neighbourhood House Inc (YNH) is required to provide the Department with student and training activity data. This includes personal information collected in the YNH enrolment form and unique identifiers such as the Victorian Student Number (VSN) and the Commonwealth’s Unique Student Identifier(USI).

YNH provides data to the Department in accordance with the Victorian VET Student Statistical Collection Guidelines, available at: http://www.education.vic.gov.au/training/providers/rto/Pages/datacollection.aspx.

Use of your data

The Department uses student and training data, including personal information, for a range of VET purposes including administration, monitoring and planning.

A student’s USI may be used for specific VET purposes including the verification of student data provided by YNH; the administration and audit of VET providers and programs; education-related policy and research purposes; and to assist in determining eligibility for training subsidies.

Disclosure of your data

As necessary and where lawful, the Department may disclose VET data, including personal information, to its contractors, other government agencies, professional bodies and/or other organisations for VET-related purposes. In particular, this includes disclosure of VET student and training data to the Commonwealth and the National Centre for Vocational Education Research (NCVER).

Legal and Regulatory

The Department’s collection and handling of enrolment data and VSNs is authorised under the Education and Training Reform Act 2006 (Vic). The Department is also authorised to collect and handle USIs in accordance with the Student Identifiers Act 2014 (Cth) and the Student Identifiers Regulation 2014 (Cth).

Survey participation

You may be contacted to participate in a survey conducted by NCVER or a Department-endorsed project, audit or review relating to your training. This provides valuable feedback on the delivery of VET programs in Victoria.                            Please note you may opt out of the NCVER survey at the time of being contacted.

Consequences of not providing your information

Failure to provide your personal information may mean that it is not possible for you to enrol in VET and/or to obtain a Victorian Government VET subsidy

Access, correction and complaints

You have the right to seek access to or correction of your own personal information. You may also complain if you believe your privacy has been breached. 

For more information, please contact YNH’s Executive Officer in the first instance by phone 03 5744 3911 or email manager@ynh.org.au.

Further information

For further information about the way the Department collects and handles personal information, including access,correction and complaints, go to: http://www.education.vic.gov.au/Pages/privacypolicy.aspx.

For further information about Unique Student Identifiers, including access, correction and complaints, go to: http://www.usi.gov.au/Students/Pages/student-privacy.aspx.

I acknowledge that I have read the Victorian Government’s VET Student Enrolment Privacy Notice.

Yes

YNH STATEMENT OF PRIVACY

Yarrawonga Neighbourhood House Inc. (YNH) has always been committed to maintaining your privacy.  We are responsible for administering Adult Education Programs, Community Programs, Centrelink Agency, Tax Help Program, and an Information & Referral Service.  Federal and Victorian Privacy Legislation is of the utmost importance to us.

To provide a high quality and personalised service YNH often needs to collect and record your personal information.  The information collected is kept in a secure location and can only be accessed by authorised people.

When we collect your personal information we will only use it for the purposes for which it was collected.

Your personal information is used to:

• Register you as a learner and allocate staff and resources to provide for your learning and support needs.
  
• Provide information & referral and personal support.
• Administer and manage the services we provide.
• Develop an understanding of your personal needs in order for us to provide you with a better service.
• Enable us to contact you or others in case of emergency. 

On occasions we may be required to disclose some personal information to other agencies or government departments.

It is important that the personal information we collect,use and disclose is accurate, complete and up-to-date.  We depend on you to let us know as soon as you become aware of any errors in our records and of any changes to your personal circumstances such as your name and address.  If you wish to obtain a copy of our Privacy Policy, arrange to view your personal information, or you have any questions in relation to privacy please contact the Executive Officer.

You can also write to:

            Executive Officer

            YarrawongaNeighbourhood House Inc

            PO Box 308

            YarrawongaVic 3730

I am aware of the Yarrawonga Neighbourhood House Inc. Privacy Policy and that this enrolment information can be used for State Funding statistical purposes.

Yes

Date

Submit Form

Previous

Next

Enrol