AADA College (RTO 41512) - Participant Enrolment Form

* Mandatory Fields

Participant Enrolment Form 

Under the Data Provision Requirements 2012, AADA is required to collect personal information about you and to disclose that personal information to the National Centre for Vocational Education Research Ltd (NCVER). 

Your Personal information (including the personal information contained on this enrolment form), may be used or disclosed by (AADA) for statistical, administrative, regulatory and research purposes to

• Commonwealth and State or Territory government departments and authorised agencies; and NCVER Personal Information          that has been disclosed to NCVER may be used or disclosed by NCVER for the following purposes: 

• Populating authentication VET Transcripts, facilitating statistics and research relating to education, including surveys and              data linkage. 

• Understanding how the VET market operates, for policy, workforce planning and consumer information and;
 
• Administering VET, including program administration, regulation, monitoring and evaluation. 

You may receive a student survey which may be administered by government department or NCVER employee, agent or third-party contractor or other authorised agencies. Please note you may opt out of the survey at the time of being contacted. 
NCVER will collect, hold, use and disclose your personal information in accordance with the Privacy Act 1988. 

Course

Please select the course you are enrolling into below. 
×
× ×
HLT35021 (Fee for Service) - Certificate III in Dental Assisting
AADA College - Training Room
Available
HLT45021 (Fee for Service) - Certificate IV in Dental Assisting
AADA College - Training Room
Available
BSB30120 - Certificate III in Business
AADA College - Training Room
Available
BSB30120 - Certificate III in Business - Traineeship
AADA College - Training Room
Available
HLT35021 (Traineeships) - Certificate III in Dental Assisting
AADA College - Training Room
Available

Personal Details

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* Student Profile Picture - (uploading your photo is for internal use only)
Entity Data - Profile - Profile Picture
* AVETMISS - Unique Student Identifier (USI)

From 1st January 2015 all RTO’s can be prevented from issuing you with a nationally recognised VET qualification or statement of attainment when you complete your course if you do not have a Unique Student Identifier (USI). In addition, we are required to include your USI in the data we submit to NCVER.
Entity Data - AVETMISS - Unique Student Identifier (USI)
Profile - Title
Entity Data - Profile - Title
* First Name
Entity Data - Profile - First Name
* Surname
If you have a single name, write your single name in the “Family Name section
Entity Data - Profile - Surname
Profile - Middle Name
Entity Data - Profile - Middle Name
* Profile - Birth Date
Entity Data - Profile - Birth Date
Preferred Name (Known by) 
Entity Data - Profile - Known By
Previously known by (please complete this section if you have been known by any other name)
Basic - Text
* Profile - Gender assigned at birth
Entity Data - Profile - Gender
Home Phone
Entity Data - Contact - Home - Phone Number
* Mobile Number
Entity Data - Contact - Home - Mobile Number
* E-mail Address
Entity Data - Contact - Home - E-mail Address
* Address - Postal - Lookup
Entity Data - Address - Postal - Lookup
Address - Postal - Unit/Flat Number
Entity Data - Address - Postal - Unit/Flat Number
Address - Postal - Street/Lot number
Entity Data - Address - Postal - Street/Lot number
Address - Postal - Street Name
Entity Data - Address - Postal - Street Name
Address - Postal - Suburb
Entity Data - Address - Postal - Suburb
Address - Postal - Post Code
Entity Data - Address - Postal - Post Code
Address - Postal - State
Entity Data - Address - Postal - State
Address - Postal - Country
Entity Data - Address - Postal - Country

Language and Diversity

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* Profile - Citizenship Status
Entity Data - Profile - Citizenship Status
* In which country where you born?
Entity Data - Profile - Country of Birth
Profile - Town/City of Birth
Entity Data - Profile - Town/City of Birth
* What language do you primarily speak at home?
Entity Data - AVETMISS - Main Language
* How well do you speak English?
Entity Data - AVETMISS - Proficiency in spoken English
* Are you of Aboriginal or Torres Strait Islander origin? 
Entity Data - AVETMISS - Indigenous Status

Disability

* Do you consider yourself to have a disability, impairment or long-term condition? 
Entity Data - AVETMISS - Disability Flag
If you indicated the presence of a disability, impairment or long-term condition, please select the area(s) in the following list:
Entity Data - AVETMISS - Disability Type

Schooling

Are you still enrolled in secondary or senior secondary education? 
Entity Data - AVETMISS - At School
If you've selected Yes on the above, please set your Learner Unique Identifier below
If you are currently attending secondary school and enrolling into a qualification with AADA, please include your Learner Unique Identifier (LUI) number below. This will ensure the information is reflected on your QCAA account and banked towards your QCS.
Basic - Text
* What is the highest COMPLETED school level? 

If you are currently enrolled in secondary education, the highest school level completed refers to the highest school level you have actually completed and not the level you are currently undertaking for example, if you are currently in year 10 the Highest school level completed is Year 9.
Entity Data - AVETMISS - Highest School Level
* What year did you complete the above?
Entity Data - AVETMISS - Year Completed (Highest School)

Previous Qualifications Achieved

* Have you successfully completed previous qualifications listed below?
Entity Data - AVETMISS - Prior Education Flag
If so, please select from the list:
Entity Data - AVETMISS - Prior Education Type
Name of Qualifications completed
Basic - Textarea

Employment / Study Reason

Study Mode
Reference Data - Study Mode
* Of the following categories, select the one which BEST describes the main reason you are undertaking this course/traineeship/apprenticeship
Basic - Dropdown
* Current Employment Status 
Entity Data - AVETMISS - Labour Force Status
Have you completed any units of competency that may be relevant to this enrolment? (credit transfer's to be applied)

If YES, please provide copies of your statement of attainment or USI Transcript https://www.usi.gov.au/help/login-to-usi-registry

For enrolment into the Certificate IV in Dental Assisting proof is required that you have completed the Certificate III in Dental Assisting qualification as this is a pre-request for the Cert IV in Dental Assisting.

Basic - File

Employer and Emergency Contact

Employer Details (If applicable)
Basic - Checkboxes
Business Contact:
Basic - Text
ABN:
Basic - Text
Business Name:
Basic - Text
Business Address:
Basic - Text
Email Address: 
Basic - Text
Phone No:
Basic - Text
Contact - Type
Entity Data - Contacts - Type
Contact - Surname
Entity Data - Contacts - Surname
Contact - First Name
Entity Data - Contacts - First Name
Contact - Gender
Entity Data - Contacts - Gender
Phone - Home - E-mail Address
Entity Data - Phone - Home - E-mail Address
Phone - Home - Phone Number
Entity Data - Phone - Home - Phone Number
Contact - Relationship
Entity Data - Contacts - Relationship

Declarations

* Photo Identification (either a copy of your Drivers Licence or Passport is acceptable) 
Basic - File
* Proof of address (either a copy of the back of your Drivers Licence or Utility bill is acceptable)
Basic - File
* Colour Copy of your Medicare Card is required
Basic - File
Colour copy of your Health Care Card (Concession Card) if applicable
Basic - File
* Participant Declaration

I confirm the information declared on this participant enrolment form to be true and correct.
I acknowledge the participant handbook has been issued to me and can be accessed at any time on the aada.edu.au website.
Basic - Checkboxes
* Participant's Name
Basic - Text
* Participant's Signature
Basic - Digital Signature
* Date
Basic - Date
Parent/Guardian Name:
**if the participant is under the age of 18 years old at time of completing this form, a parent/guardian must complete this section**
Basic - Text
Parent/Guardian Signature:
Basic - Digital Signature
Date
Basic - Date