Application Form (Short Course) (1)

Application Form Short Courses

Step 1 of 5

20%

Personal Details

Given Name(Required)

Middle Name

Surname(Required)

Gender(Required)

Male

Female

Other

Date of Birth(Required)

Number

Other please specify(Required)

Contact Details

Mobile Phone(Required)

Home Phone

Work Phone

Email address(Required)

Email address alternative optional

Contact Method(Required)

Mobile

Mail

What is the address of your usual residence?

Unit

Street Number(Required)

Street Name(Required)

Suburb locality or town(Required)

State/Territory(Required)

Postcode(Required)

Emergency Contact Details

Contacts Name(Required)

Phone No(Required)

Relationship to student(Required)

Language and Cultural Diversity

In which country were you born?(Required)

Australia

Other

If other, Please specify

Towncity of birth(Required)

Are you of Aboriginal or Torres Strait Islander origin?(Required)

Yes, Aboriginal

Yes, Torres Strait Islander

Do you speak a language other than English at home?(Required)

No, English only

Yes

If Yes, please specify(Required)

Schooling

What is your highest COMPLETED school level?(Required)

Completed Year 12

Completed Year 11

Completed Year 10

Completed Year 9 or Equivalent

Completed Year 8 or Lower

Never attended School

Previous qualification achieved

Have you SUCCESSFULLY completed any of qualifications listed in next question?(Required)

Yes

Bachelor

008 – Bachelor Degree or Higher Degree

Untitled(Required)

Australian

Australian equivalent

International

Advanced Diploma

410 – Advanced Diploma or Associate Degree

Untitled(Required)

Australian

Australian equivalent

International

Diploma

420 – Diploma or Associate Diploma

Untitled(Required)

Australian

Australian equivalent

International

CertIV

511 – Certificate IV or Advanced Certificate/Technician

Untitled(Required)

Australian

Australian equivalent

International

Cert3

514 – Certificate III or Trade Certificate

Untitled(Required)

Australian

Australian equivalent

International

Cert2

521 – Certificate II

Untitled(Required)

Australian

Australian equivalent

International

Cert1

524 – Certificate I

Untitled(Required)

Australian

Australian equivalent

International

Other

990 – Other education (including certificates or overseasqualifications not listed above)

Untitled(Required)

Australian

Australian equivalent

International

Employment

Of the following categories, which BEST describes your current employment status?(Required)

Employed – unpaid worker in a family business/05

Full time employee/01

Not employed – not seeking employment/08

Not stated/@@

Part time employee/02

Self employed – not employing others/03

Self-Employed – Employing Others/04

Unemployed – seeking full time work/06

Unemployed – seeking part time work/07

Study reason

Of the following categories, which BEST describes your main reason for undertaking this program/traineeship/apprenticeship?(Required)

01 – To get a job

02 – To develop my existing business

03 – To start my own business

04 – To try for a different career

05 – To get a better job or promotion

06 – It was a requirement of my job

07 – I wanted extra skills for my job

08 – To get into another program of study

12 – For personal interest or self-development

11 – Other reasons

13 – To get skills for community/voluntary work

Disability

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

Yes

If Yes, please indicate the areas of disability, impairment or long-term condition:(Required)

Hearing/deaf

Physical

Intellectual

Learning

Mental illness

Acquired brain impairment

Vision

Medical condition

Other

Residency Status and USI

Citizenship Status(Required)

None of the above

Australian Citizenship

New Zealand Citizen

New Zealand Permanent Resident

None of the Above & Residing Outside Australia Not Stated

Pacific Engagement Visa holder (PEV) Permanent Humanitarian Visa Holder Permanent Resident

Temporary Visa Holder Visa (Study)

Visa (Work)

Temporary Entry Permit or Diplomat or Dependent of a Diplomat (except New Zealand) and Resides in Australia

Do you have Unique Student Identifier (USI)?

Yes

USI(Required)

Privacy Statement & Student Declaration

NCVER Privacy Notice Why we collect your personal information As a registered training organisation (RTO), we collect your personal information so we can process and manage your enrolment in a vocational education and training (VET) course with us. How we use your personal information We use your personal information to enable us to deliver VET courses to you, and otherwise, as needed, to comply with our obligations as an RTO. How we disclose your personal information We are required by law (under the National Vocational Education and Training Regulator Act 2011 (Cth) (NVETR Act)) to disclose the personal information we collect about you to the National VET Data Collection kept by the National Centre for Vocational Education Research Ltd (NCVER). The NCVER is responsible for collecting, managing, analysing and communicating research and statistics about the Australian VET sector. We are also authorised by law (under the NVETR Act) to disclose your personal information to the relevant state or territory training authority. How NCVER and other bodies handle your personal information NCVER will collect, hold, use and disclose your personal information in accordance with the law, including the Privacy Act 1988 (Cth) (Privacy Act) and the NVETR Act. Your personal information may be used and disclosed by NCVER for purposes that include populating authenticated VET transcripts; administration of VET; facilitation of statistics and research relating to education, including surveys and data linkage; and understanding the VET market. NCVER is authorised to disclose information to the Australian Government Department of Employment and Workplace Relations (DEWR), Commonwealth authorities, state and territory authorities (other than registered training organisations) that deal with matters relating to VET and VET regulators for the purposes of those bodies, including to enable: administration of VET, including program administration, regulation, monitoring and evaluation facilitation of statistics and research relating to education, including surveys and data linkage understanding how the VET market operates, for policy, workforce planning and consumer information. NCVER may also disclose personal information to persons engaged by NCVER to conduct research on NCVER’s behalf. NCVER does not intend to disclose your personal information to any overseas recipients. For more information about how NCVER will handle your personal information please refer to the NCVER’s Privacy Policy at www.ncver.edu.au/privacy. If you would like to seek access to or correct your information, in the first instance, please contact your RTO using the contact details listed below. DEWR is authorised by law, including the Privacy Act and the NVETR Act, to collect, use and disclose your personal information to fulfil specified functions and activities. For more information about how DEWR will handle your personal information, please refer to the DEWR VET Privacy Notice at https://www.dewr.gov.au/national-vet-data/vet-privacy-notice. Surveys You may receive a student survey which may be run by a government department or an NCVER employee, agent, third-party contractor or another authorised agency. Please note you may opt out of the survey at the time of being contacted. Contact information At any time, you may contact Next Step Institute to: request access to your personal information correct your personal information make a complaint about how your personal information has been handled ask a question about this Privacy Notice Next Step Institute contact details: Address: 11/11-17 Pearcedale Parade, Broadmeadows VIC 3047 Email: info@nextstep.edu.au(Required)

I declare that the information I have provided to the best of my knowledge is true and correct. I consent to the collection, use and disclosure of my personal information in accordance with the Privacy Notice below

NCVER Privacy Notice

Why we collect your personal information

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

How we use your personal information

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

How we disclose your personal information

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

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

How NCVER and other bodies handle your personal information

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

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

administration of VET, including program administration, regulation, monitoring and evaluation

facilitation of statistics and research relating to education, including surveys and data linkage

understanding how the VET market operates, for policy, workforce planning and consumer information.

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

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

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

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

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

Surveys

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

Contact information

At any time, you may contact Next Step Institute to:

request access to your personal information

correct your personal information

make a complaint about how your personal information has been handled

ask a question about this Privacy Notice

Next Step Institute contact details:

Address: 11/11-17 Pearcedale Parade, Broadmeadows VIC 3047

Email: info@nextstep.edu.au

Student Signature(Required)

Your Name
Your Name
Your Name

Student Name(Required)

Date(Required)

Guardian Signature(Required)

Your Name
Your Name
Your Name

Date(Required)

Early Childhood
Education and Care

Aged Care and Health

Business and Leadership

Short Courses

Application Form (Short Course) (1)

Personal Details

Contact Details

What is the address of your usual residence?

Emergency Contact Details

Language and Cultural Diversity

Schooling

Previous qualification achieved

Employment

Study reason

Disability

Residency Status and USI

Privacy Statement & Student Declaration

Early Childhood Education and Care

Aged Care and Health

Business and Leadership

Short Courses

Application Form (Short Course) (1)

Personal Details

Contact Details

What is the address of your usual residence?

Emergency Contact Details

Language and Cultural Diversity

Schooling

Previous qualification achieved

Employment

Study reason

Disability

Residency Status and USI

Privacy Statement & Student Declaration

NCVER Privacy Notice

Why we collect your personal information

How we use your personal information

How we disclose your personal information

How NCVER and other bodies handle your personal information

Surveys

Contact information

Early Childhood
Education and Care