AVISS00053 Application form

RTO Number 41195
Application form for admission to Aerodrome Reporting Officer Skill Set AVISS00053
This is the formal application form for entry to a qualification program at ASSET Aviation Institute. These questions assist with collecting student data in a Australian Government Department of Education AVETMISS-compliant format. AVETMISS stands for the Australian Vocational Education and Training Management Information Statistical Standard. It is a national data standard that ensures consistent and accurate capture and reporting of Vocational Education and Training (VET) information about students. Please answer all mandatory questions which are marked with a red*.
Course start date

DayMonthYear
Course location*
Please write below your company name and training location
PERSONAL DETAILS
Family name *
Given names*
Enter your birth date*

DayMonthYear
Sex*
What is the address of your usual residence?

Please provide the physical address (street number and name not post office box) where you usually reside rather than any temporary address at wich you reside for training, work or other purposes before returning to your home.
Flat/unit number
Street or lot number (e.g. 205 or Lot 113)*
Street name*
Suburb, locality or town*
State/territory*
Post code:*
Country:*
Postal Address
Same as above

YesNo
Please complete below section if your residential address is different to your postal address
Address

Street Address

Street Address Line 2

CityState / Territory

Postal CodeCountry
Telephone Home (incl.STD code):*
Mobile:
Email Address
Re-enter your email address
UNIQUE STUDENT IDENTIFIER

All students undertaking nationally recognised training need to have a Unique Student Identifier (USI). A USI is a reference number made up of numbers and letters. Creating a USI is free. It creates a secure online record of your nationally recognised training that you can access anytime and anywhere, and its yours for life. The USI is linked to the National Vocational Education and Training (VET) Data Collection, and this means an individual's nationally recognised training and qualifications gained anywhere in Australia, from different training organisations, will be kept all together.

If you do not have a Unique Student Identifier (USI), we can be prevented from issuing you with a nationally recognised VET qualification or statement of attainment when you complete your course.

If you have not obtained a USI you can apply for it directly at http://www.usi.gov.au/create-your-USI/.
Do you have a Unique Student Identifier?

YesNo
Enter your Unique Student identifier (if you have already have one)
You can submit this form without your USI and provide it to us later, or we can obtain your USI on your behalf
Would you like to submit your USI later?

YesNo
Would you like ASSET Aviation Institute obtain your USI on your behalf?

YesNo
If you would like ASSET Aviation Institute 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.asx.

Please complete this section only if you would like us to apply for USI on your behalf.
I [Type your name]
authorise ASSET Aviation Institute to apply pursuant to sub-section 9(2) of the Student Identifiers Act 2014, for a USI on my behalf. I have read and I consent to the collection, use and disclosure of my personal information pursuant to the information detailed at http://www.usi.gov.au/Training-Organisations/Pages/Privacy-Notice.aspx
Date

DayMonthYear
LANGUAGE AND CULTURAL DIVERSITY
In which country were you born?*
Do you speak a language other than English at home?*

No, English onlyYes, other
(if more than one language, indicate the one that is spoken most often)
Please specify other language
How well do you speak English?*
Are you Aboriginal or Torres Strait Islander Origin?*
DISABILITY
Do you consider yourself to have a disability, impairment or long term condition?*

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

Hearing/DefPhysicalIntellectualMental IllnessAcquired Brain ImpairmentVisionMedical ConditionLearningOther
SCHOOLING
What is your HIGHEST COMPLETED school level? (tick one only)*

Never attended schoolYear 8 or belowYear 9 or equivalentYear 10 or equivalentYear 11 or equivalentYear 12 or equivalent
In whIch YEAR did you complete that school level?*
Are you still attending secondary school?*

YesNo
PREVIOUS QUALIFICATIONS ACHIEVED
Have you SUCCESSFULLY completed any of the following qualifications?*

YesNo
If YES, then tick ANY applicable boxes.

Certificate ICertificate IICertificate III or Trade CertificateCertificate IV or Advanced Certificate/TechnicianDiploma or Associate DiplomaAdvanced Diploma or Associate DegreeBachelor Degree or Higher DegreeCertificates or Degree other than above
EMPLOYMENT
Of the following categories, which best describes your current employment status? (Tick one box only)*

Full TimePart TimeSelf-EmployedEmployerEmployed - unpaid worker in a family businessUnemployed - Seeking full-time workUnemployed - Seeking part-time workNot emplyoed - not seeking employment
STUDY REASON
Of the following categories, which BEST describes your main reason for undertaking this course? (Tick one box only)*

To get a jobTo develop my existing businessTo start my own businessTo try for a different careerTo get a better job or promotionIt was a requirement of my jobI wanted extra skills for my jobTo get into another course or studyFor personal interest or self developmentOther reasons
ENROLMENT FEE

Applicants are required to pay $150.00 for each enrolment to a qualification. The enrolment fee is only paid once per qualification and this fee is non-refundable.
I would like to pay enrolment fee with*

Date:*

DayMonthYear
NOTE:

Some firewalls block this form. If after submitting this form, you do not see this message "Thank you, your submission has been received" please contact us on (07) 3103 6870 to verify that we have received your form.
Should be Empty:

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Application form for admission to Aerodrome Reporting Officer Skill Set AVISS00053

NOTE: