TAFE Queensland

Construction Skills Queensland (CSQ) Small Business Enrolment Form

Application form

Select the Short Course you are applying for

Reason for Study
Which best describes your main reason for undertaking this training?

TAFE Student Number (if known)
If you have studied with TAFE Queensland before and know your student number, please enter. If unknown, write 'unknown'.

Unique Student Identifier (if known)

If you know your Unique Student Identifier (USI), please enter. Visit www.usi.gov.au to apply for your USI.

Creation of Unique Student Identifier
If you do not have an existing USI, do you give TAFE Queensland permission to create it for you?

Learner Unique Identifier (if known & U18)
If you are under 18 and know your Learner Unique Identifier (LUI), please enter. For more information visit www.qcaa.qld.edu.au/

First Name

Middle Name/s

Last Name

Previous Last Name(s)
If any - e.g. maiden name

Date of Birth
Please record as dd/mm/yyyy

Gender

Place of Birth
Please record your town/city and country of birth.

Best Contact Number
Can be a mobile or landline.

Email
Enter the email you use most often.

Home Address
If you are an overseas student you need to supply your overseas address in this section. Please record as per below. If you are not an overseas student, enter Not Applicable.
*Unit/Street number
*Street name
*Suburb/Town or City
*Postcode.

Emergency Contact Details
First Name:
Last Name:
Relationship (i.e. mother, brother):
Best Contact Number:
Secondary Contact Number:
Email:

Ethnic Identity
Select the appropriate box.

Citizenship Status
Select the appropriate box. If you pick OTHER, please specify below.

Other Visa
If you selected 'Other Visa' above, please identify the type of visa you currently hold.

Country of Citizenship
If entering Australia on a visa, what is your country of citizenship?

Main Language
If you speak other language/s at home apart from ENGLISH, please specify the main language spoken at home.

Current English Language Proficiency
Where English is NOT the main language spoken at home, please clarify how well you speak English?

Is English language assistance required?
If assistance is required contact TAFE Queensland to discuss your needs.

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

Description of Identified Disability
If you do identify with a disability, please give a brief description of your disability as per examples listed.

Hearing / Deafness
Physical
Intellectual
Learning
Mental Illness
Acquired Brain Impairment
Vision
Medical Condition
Other - please describe.

Disability Support
Would you like to receive advice on support services, equipment and facilities which may assist (if applicable)? If you have indicated Yes then evidence may be required.

School Attendance
Are you still attending school?

Employment Status
Which best describes your current employment status?

Employer Details
Please record your primary employer's details as follows. If not employed, record Not Applicable.

Company Name
Address
Contact person and their position
Contact's email
Contact's phone number

Job Title + Duties
Please provide your job title with your current role and list the duties you undertake.

TAFE Queensland Disclosure Statement
Please indicate if you accept all disclosures listed below. For those students who require assistance in reading and understanding these statements please contact TAFE Queensland Customer Service Centres prior to enrolling.

Your information will be stored securely. If you wish to access or correct any of your information, discuss how it has been managed, or have a concern or complaint about the way your personal information has been collected, used, stored, or disclosed, please contact TAFE Queensland customer services or your teacher.

1. I agree to participate in surveys run by educational authorities such as TAFE Queensland, research organisations contracted by TAFE Queensland, and the National Centre for Vocational Education Research for customer satisfaction, improvement and marketing purposes.

2. Privacy statement - TAFE Queensland collects your personal information in accordance with the TAFE Queensland Act 2013 to manage your enrolment, training progress, and administration. For specific cohorts of students and as a matter of routine, your personal information (including attendance details, progress, and results) will be disclosed to the following people and organisations:
• If you are a school-based apprentice or trainee or VET in schools student – your school, the Queensland Curriculum and Assessment Authority, and the Queensland Tertiary Admissions Centre (for your results only).
• If you are an apprentice or trainee or enrolled in training paid for by your employer, or in which you consent to release information to your employer – your employer/host employer.
• If you are enrolled with TAFE Queensland and undertaking training with another organisation (including other training providers, community organisations, schools or universities ) – the organisation with which you are undertaking training.
• If you are enrolled in a program eligible for

Student Declaration
Please indicate if you accept all declarations listed below. For those students who require assistance in reading and understanding these statements please contact TAFE Queensland Customer Service Centres prior to enrolling.

1. I agree to abide by TAFE Queensland rules, regulations and policies and acknowledge that facilities made available for my use will be used only in accordance with the principles of proper use and relevant rules.
2. I confirm the accuracy of the information contained within this form and where necessary identification documents provided.
3. I confirm that the information provided is my own and accurately represents my enrolment in this program.
4. I have sought information and understand my eligibility for any fee subsidy (if applicable). I also understand that I must provide evidence of subsidy and/or concession eligibility at the time of enrolment, and that subsequent evidence will not be accepted.
5. Please note that media, photos and filming may take place as part of this program.
Please indicate your agreement to be a part of the media activities during your involvement.

Send me a copy of my responses

Application Document Link:

Construction Skills Queensland (CSQ) Small Business Enrolment Form

Application form

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