Enrolment form

First Aid
2020-12-01
to
2020-12-01
Queensland Australia
100
Personal details


Please write the name that you used when you applied for your Unique Student Identifier (USI), including any middle names. If you do not yet have a USI and want Flight One Academy to apply for a USI on your behalf, you must write your name, including any middle names, exactly as written in the identity document you choose to use for this purpose. See section on the USI at the end of this form for a detailed explanation.


What is the first name you used to register your USI?

What is the last name you used to register your USI?

Telephone number - home

Telephone number - work

Telephone number - mobile

Email Address

Residency




You should have registered for this already – enter the USI you were sent via email
Emergency contact details



Aircraft Maintenance Engineer (AME)


English Language


File uploads




Address

Please provide the physical address (street number and name not post office 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 state’s or territory’s ‘rural property addressing’ or ‘numbering’ system as your residential street address.


Address building/property name is the official place name or common usage name for an address site

Address flat/unit details identifies an address within a building/sub-complex

Identifies the number of the address in the street

Identifies the name and type of the street to the address site.

Address location — suburb, locality or town is the name of a suburb, locality or town of a physical geographic location

The state or territory of a physical location or postal address

Postcode
International Address




Language & Diversity

Choose the country where you were born

The main language other than English spoken at home

Do you self-identify as being of Australian Aboriginal or Torres Strait Islander descent?
Disability

Schooling

If you are still as school choose which you have completed, not the current year.

Previous qualification

Employment

Tell us about the relationship you have with your main workplace
Study Reason

The client’s main reason for study.
Privacy Statement

I declare that the information I have provided is true and correct. I am aware of the consequences that may arise from providing false, misleading or incomplete information, including the cancellation of my enrolment or the withdrawal of any offer made by Cortex Learning Pty Ltd, trading as Flight One Academy.

I understand that Flight One Academy is required to submit data sourced from this enrolment form to the national VET administrative collection as a regulatory reporting requirement. The information contained on my enrolment form may be used by Flight One Academy or the following third parties for administrative, regulatory and/or research purposes:

  • Government departments and agencies and authorised VET related bodies.
  • VET regulators.

If you would like us Flight One Academy to apply for a USI on your behalf you must authorise us to do so and declare that you have read the privacy information at http://www.usi.gov.au/Training-Organisations/Pages/Privacy-Notice.aspx. You must also provide some additional information as noted at the end of this form so that we can apply for a USI on your behalf.

I authorise Flight One Academy to apply pursuant to sub-section 9 (2) of the Student Identifiers Act 2014, for a USI on my behalf.

I understand that I may receive a National Centre for Vocational Education Research (NCVER) student survey.