• Image field 111
  • Work & Training Enrolment Form

  • Gearbox restriction clearance does not require you to enroll with Learning Partners.

    If your employer requested you to fill out this form, let them know that this form does not apply to Gearbox Restiriction Clearnace. Your employer will need to fill out the DriveTrain Trainee Driver Registration Form.

  • 1. Personal Details

  • A USI (Unique Student Identifier) is a personal education number required for all students completing nationally recognised training in Australia. You only need to create it once. If you do not have one already, please go to the link below to create one. 

    www.usi.gov.au

  • Title:*
  • Date of Birth (Day/Month/Year)*
     / /
  • Gender:*
  • Format: 0000000000.
  • Format: 0000000000.
  • Preferred contact method:*
  • Which is your preferred email?*
  • 2. Emergency Contact Details

  • Format: 0000000000.
  • Format: 0000000000.
  • 3. Residency Status

  • Were you born in Australia?*
  • Are you an Australian citizen?*
  • Are you of Aboriginal or Torres Strait Islander origin?*
  • Please select from the options below:
  • Do you speak a language other than English at home?*
  • How well do you speak English?*
  • 4. Support / Medical Information

  • Do you consider yourself to have disability, impairment or long-term condition?*
  • Please select from the following:
  • Please see below for additional information to assist with answering the disability question above. 

    If you indicated the presence of a disability, impairment or long-term condition, please select the area(s) in the following list:


    Disability in this context does not include short-term disabling health conditions such as a fractured leg, influenza, or corrected physical conditions such as impaired vision managed by wearing glasses or lenses.

    ‘Hearing/deaf’

    Hearing impairment is used to refer to a person who has an acquired mild, moderate, severe or profound hearing loss after learning to speak, communicates orally and maximises residual hearing with the assistance of amplification. A person who is deaf has a severe or profound hearing loss from, at, or near birth and mainly relies upon vision to communicate, whether through lip reading, gestures, cued speech, finger spelling and/or sign language.

    ‘Physical’

    A physical disability affects the mobility or dexterity of a person and may include a total or partial loss of a part of the body. A physical disability may have existed since birth or may be the result of an accident, illness, or injury suffered later in life; for example, amputation, arthritis, cerebral palsy, multiple sclerosis, muscular dystrophy, paraplegia, quadriplegia or post-polio syndrome.

    ‘Intellectual’

    In general, the term ‘intellectual disability’ is used to refer to low general intellectual functioning and difficulties in adaptive behaviour, both of which conditions were manifested before the person reached the age of 18. It may result from infection before or after birth, trauma during birth, or illness.

    ‘Learning’

    A general term that refers to a heterogeneous group of disorders manifested by significant difficulties in the acquisition and use of listening, speaking, reading, writing, reasoning, or mathematical abilities. These disorders are intrinsic to the individual, presumed to be due to central nervous system dysfunction, and may occur across the life span. Problems in self-regulatory behaviours, social perception, and social interaction may exist with learning disabilities but do not by themselves constitute a learning disability.

    ‘Mental illness’

    Mental illness refers to a cluster of psychological and physiological symptoms that cause a person suffering or distress and which represent a departure from a person’s usual pattern and level of functioning.

    ‘Acquired brain impairment’

    Acquired brain impairment is injury to the brain that results in deterioration in cognitive, physical, emotional or independent functioning. Acquired brain impairment can occur as a result of trauma, hypoxia, infection, tumour, accidents, violence, substance abuse, degenerative neurological diseases or stroke. These impairments may be either temporary or permanent and cause partial or total disability or psychosocial maladjustment.

    ‘Vision’

    This covers a partial loss of sight causing difficulties in seeing, up to and including blindness. This may be present from birth or acquired as a result of disease, illness or injury.

    ‘Medical condition’

    Medical condition is a temporary or permanent condition that may be hereditary, genetically acquired or of unknown origin. The condition may not be obvious or readily identifiable, yet may be mildly or severely debilitating and result in fluctuating levels of wellness and sickness, and/or periods of hospitalisation; for example, HIV/AIDS, cancer, chronic fatigue syndrome, Crohn’s disease, cystic fibrosis, asthma or diabetes.

    ‘Other’

    A disability, impairment or long-term condition which is not suitably described by one or several disability types in combination. Autism spectrum disorders are reported under this category.

  • Do you have any additional learning needs?*
  • Please select from the following:
  • 5. Education

  • Are you still attending school?*
  • Type a question*
  • Have you successfully completed any tertiary education?*
  • Which of the following tertiary education have you completed:
  • Record the title/s of your qualification/s & the year you completed them in the spaces below.

  • 6. Program Reason

  • Of the following categories, which best describes your main reason for undertaking this course/traineeship?*
  • 7. Employment Details

  • What is your current employment status?*
  • Which of the following classifications BEST describes the industry of your current Employer?*
  • Which of the following classifications BEST describes your current occupation?*
  • Employment Start Date*
     / /
  • Format: 0000000000.
  • Declaration / Signatures

  • *
  • I consent to receive marketing communication from TTA and Work & Training.*
  • I give permission for TTA and Work & Training to take my photo for marketing purposes.*
  • I have sufficient computer literacy skills to access emails and online learning if required.*
  • 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 the 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 Work & Training 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

     

    info@workandtraining.com.au

    https://www.workandtraining.com.au/about/policies-and-procedures/

  • Trainee Driver

  • 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 above.

    *Parental/guardian consent is required for all students under the age of 18.

  • Date*
     / /
  • Qualification Details (office use only)

  •  
  • OLD FIELDS

  • What is your highest COMPLETED school level?
  • I acknowledge that we have discussed, and I have received the following:
  • I acknowledge that the following has been discussed and that copies will be forwarded to me
  • Should be Empty: