Student enrolment form | Australian Operator Training

Your Course Details

I Wish to Enroll into:*

Confined Spaces Full ($250)
Confined Spaces In House Refresher ($250)
Working at Heights Full ($295)
Working at Heights In House Refresher ($250)
Standard 11 Full ($50)
Standard 11 In House Refresher ($400)
Construction White Card ($125)
Underground Unit In House Refresher ($350)
Supervisor Course Full ($400)
Supervisor Course In House Refresher ($250)
G2 ($250)
G2 In House Refresher ($250)
First Aid ($200)
CPR ($110)
LVR / CPR ($175)
Operate 4x4 - Light Vehicle/4WD ($395)
MC Licence ($1,650)
SARC Safely Access the Rail Corridor FULL ($275)
SARC Safely Access the Rail Corridor 2 Units ($395)
Issue Work Permit ($200)
Forklift High Risk Work Licence 3 day course (Emerald $700)
EWP High Risk Licence 3 day course (Emerald $900)

Enrolment Fee

$ 0.00

Concessional Coupon (if applicable)

(If applicable)

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Student Details

Your USI will help keep your training records and results together in an online account controlled by you. Each time you enrol to study with a new training organisation, your USI will be used to store your training records and results. By having a USI you will be able to access your training records and results (or transcript) whenever you need them. For example, for a new employer or when you enrol to study at a new training organisation. Your USI can be accessed online from your computer, tablet or smart phone and gives you access to your training records and results at your fingertips.

To create a new USI or find your current USI click on the following. Unique Student Identifier Once you have an USI then come back to this form and enter it to the field above.

Unique Student Identifier (USI)*

(10 digits)

Your Name*

Title First Middle Last

Previous Last Name

(e.g. maiden name)

Date of Birth*

(DD/MM/YYYY)

Gender*

Email*

Mobile Phone*

Work Phone

Home Phone

Address*

Street Address Suburb State Postcode

Drivers Licence#

Emergency Contact Name*

Emergency Contact Phone*

Your Employment Details

Which best describes your employment situation?*

Occupation*

Industry*

Employer / Company Name*

Employer / Company Address*

Street Address Suburb State PostCode

Language

Were you born in Australia*

Yes
No

Country of Birth*

Do you speak a language Other than English at home?*

Yes
No

Please specify the main language spoken at home?*

How well do you speak English?*

Very well
Well
Not well
Not at all

Do you need English Language Assistance?*

Yes
No

If you do require assistance, please contact us to discuss your needs.

Cultural Diversity and Citizenship

What is your Indigenous Status?*

Aboriginal
Torres Strait Islander
Both Aboriginal and Torres Strait Islander
Neither Aboriginal and Torres Strait Islander

What is your current Citizenship Status?*

If you are not an Australian or New Zealand Citizen, what is your country of citizenship?*

Do you have a Disability?*

Other Disability

Your Education Background

What is Your highest completed School Level?*

What year did you leave school?*

Prior Qualifications Achieved*

No previous qualifications
Certificate I
Certificate II
Certificate III
Certificate V
Diploma level
Advanced diploma or associate degree level
Bachelor degree or higher degree level
Miscellaneous education

Miscellaneous Education?*

What is your Main Reason for doing this Course?*

Student Declaration

I give permission to release training information to your employer if required*

Yes
No

I acknowledge that I have received and understand the Australian Operator Training’s Student Handbook and accept these terms and conditions*

Yes
No

You may also download the Student Handbook here: Download the Australian Operator Student Handbook

I acknowledge that I have been offered Recognition of Prior Learning (RPL) for the course or qualification that I have enrolled in with Australian Operator Training*

Yes
No

I give permission for Australian Operator Training to disclose my contact details to ASQA if requested for quality assurance purposes.*

Yes
No

I understand that it may be necessary for my photo to be taken as evidence of compliance.*

I consent to my photo being taken
I don't consent to my photo being taken

Signature*

Date*

Book Course by Completing the Form Below

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