91397 Barrington Training Services Pty Ltd - Future Club Leader Enrolment Form

Future Club Leaders Enrolment Form

. Please complete all sections of this form and return to Barrington Training Services
Please tick the course in which you are enrolling*

BSB50420 Diploma of Leadership and Management
Venue you currently work at:
What is your role at the venue:

Participant Details
Full Name*

PrefixFirst NameMiddle NameLast Name
Gender*
Address*

Street Address

Street Address Line 2

SuburbState

Post CodeCountry
Phone Number*
E-mail*
Date of Birth*

DayMonthYear
Town/City of Birth*
Country of Birth*
USI #
Unique Student Identifier
https://www.usi.gov.au/students/create-your-usi
Identification

Upload a File
Positive identification must be obtained and should contain a photo issued by a government or commercial organisation for the purpose of proof of identity or age. Documentary evidence will be recorded and retained by Barrington Training Services for the purpose of auditing processes as well as legislative reporting requirements. Please upload a photo of your ID. Cancelof

Disability
Do you consider yourself to have a permanent and significant disability? *

YesNo
If yes, please specify:
Do you require special assistance because of your disability?

YesNo
Please upload documentary evidence

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Are you the dependent of a Disability Support Pensioner? *

YesNo

Employment
Are you currently employed Part Time or Full Time?*

Full-TimePart-TimeNo
If no, go to the next page
What date did you commence employment with this employer?

DayMonthYear
What is your employment status?

Full-TimePart-Time
Employer/Company Name
Employer Contact Name

First NameLast Name
Employer Address

Street Address

Street Address Line 2

CityState

Post Code
Employer Contact Phone Number
Employer Email Address

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I understand that the training course has an assessment component.
These assessments are part of the training course and I must complete them.
I will not have completed my training program until Barrington Training Services has received my completed assessments.
I agree to hand in all assessments by the date agreed with my Trainer/Assessor.
The BTS Trainer/Assessor will decide the assessment outcome.
The BTS Trainer/Assessor will discuss the assessment outcomes with me.
If I need to do further work to be credited with a completed unit or course of study, I agree to complete the work in the time agreed with my Assessor.
If I do not agree with an assessment decision, I may use the Assessment Appeals Policy to have the assessment decision reconsidered. If I appeal an assessment decision, I agree to stand by the assessment decision as a final assessment of my competence in the unit or course of study.
I also understand training places are limited in some courses and I may not be able to participate in the class at the time I have nominated.
I authorise BTS to apply for a USI on my behalf and have read the privacy information at http://www.usi.gov.au/Training-Organisations/Documents/privacy-Notice.pdf and consent to the collection, use and disclosure of my personal information.
I authorise BTS to access my Unique Student Identifier (USI) Information.
I authorise BTS to use the Student Provider Calculator on my behalf to calculate my student fee.
I grant permission for Barringtons to use group photos or videos of me participating in training and or attending a graduation.

Schedule 2:

CONSENT TO USE AND DISCLOSURE OF PERSONAL INFORMATION
I,
full name
of
current residential address
with birth date*

DayMonthYear
Date
understand and agree that, under the Data Provision Requirements 2012, Barrington Training Services (RTO ID# 91397) is required to collect personal information (information or an opinion about me), collected from me, my parent or guardian, such as my name, Unique Student Identifier, date of birth, contact details, training outcomes and performance , sensitive personal information (including my ethnicity or health information) and other enrolment and training activity-related information (together Personal Information) and disclose that Personal Information to the National Centre for Vocational Education Research Ltd (NCVER).

My Personal Information (including the personal information contained on my enrolment form and my training activity data) may be used or disclosed by Barrington Training Services (RTO ID# 91397) for statistical, regulatory and research purposes. Barrington Training Services (RTO ID# 91397) may disclose my personal information for these purposes to third parties, including:
- School – if I am a secondary student undertaking VET, including a school-based apprenticeship or traineeship;
- Employer – if I am enrolled in training paid by my employer;
- Commonwealth and State or Territory government departments and authorised agencies, including the NSW Department of Industry (Department);
- NCVER;
- Organisations conducting student surveys; and
- Researchers.
Personal Information disclosed to NCVER may be used or disclosed for the following purposes:
- issuing a VET Statement of Attainment or VET Qualification, and populating Authenticated VET Transcripts;
- facilitating statistics and research relating to education, including surveys;
- understanding how the VET market operates, for policy, workforce planning and consumer information; and
- administering VET, including program administration, regulation, monitoring and evaluation.
I may receive an NCVER student survey which may be administered by an NCVER employee, agent or third party contractor. I may opt out of the survey at the time of being contacted.

NCVER will collect, hold, use and disclose my Personal Information in accordance with the Privacy Act 1988 (Cth), the VET Data Policy and all NCVER policies and protocols (including those published on NCVER’s website at www.ncver.edu.au).

The Department may disclose my Personal Information to other Australian government agencies, including those located in States and Territories outside New South Wales.

The above government agencies may use my Personal Information for any purpose relating to the exercise of their government functions, including but not limited to the evaluation and assessment of my training, the determination of my eligibility to receive subsidised training or for any Fee Exemptions or Concessions. My Personal Information may also be disclosed to other third parties if required by law.

I also acknowledge and agree that the Department may contact me by telephone email or post during or after I have ceased subsidised training with Barrington Training Services (RTO ID# 91397) for the purposes of evaluating and assessing my subsidised training.

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 the manner outlined above.
Name

First NameLast Name
Signature*
Date*

DayMonthYear

If Under 18 Years of Age Only
Note: If under 18 years of age at the time of giving consent, then the consent of the guardian is required. If over the age of 18, please move to the next page.
Name of Guardian

First NameLast Name
Signature of Guardian
Date

DayMonthYear

LANGUAGE LITERACY NUMERACY

Assessment Form
Stay safe in the workplace

Part A - Read the case study information below and answer the questions about the information provided.
Riviera Club is a large organisation that employed approximately 700 workers and has total revenue of $8.5 million in 2017. In recent years the company had become increasing concerned about workplace safety as there had been a growing number of incidents, including one death in 2014. Riviera Club was extremely concerned about this and the company’s management was committed to improving the safety of their workers. In 2017 they undertook a large scale training program to educate their workforce about work safety. According to the CEO, Martha Henderson, the focus of the program was the slogan ‘workplace safety is everybody’s businesses. Ms Henderson stated that the company specifically worked at including every individual in the work safety program. Some successful aspects of the program included:

·         all workers were given the opportunity to offer their point of view on what would make a difference to their safety in the workplace

·         all workers were retrained in aspects of safety

·         a system of rewards was offered to work teams that demonstrated a decrease in the number of workplace incidents

·         new workers were provided with extensive training in the correct use of equipment.

Although considered to be successful, the workplace safety program is very expensive (approximately 3% of revenue in 2017). However, the costs involved in not having a safe workplace are also very high.
1. Approximately how many workers are employed at Riviera Club?*
2. In what year did the death of a worker occur?*
3. What was Riviera Club’s management committed to?*
4. Who is the CEO of Riviera Club?*
5. Note two successful aspects of the workplace safety program.*
6. The main purpose of this text is:*

To persuadeTo informTo complain
7. Approximately how much was spent on work safety in 2017? Show how you work out your answer.*

LANGUAGE LITERACY NUMERACY

Assessment Form
Part B:
The following graph shows the number of workplace injury incidents during 2017. This covers all incidents ranging from very minor incidents (eg. cuts and bruises) to more serious ones requiring hospitalisation. Look at the graphs and answer the following questions.
8. Which month had the highest number of workplace injuries?*
9. Which month had the lowest number of workplace injuries?*
10. What was the total number of injuries in September andOctober combined? Show your working out.*
11. What is the difference in the number of incidents between July and October 2017? Show your working. *
12. What is the general trend in the number of incidents?*
13. Between which two months did the injuries reduce by 50%? *
14. In September 2017, 15 workers reported with backinjuries. What fraction and percentage was this of the total for that month?Show your working*
15. Do you think that the safety program was effective? Explain your answer.*

LANGUAGE LITERACY NUMERACY

Assessment Form
Part C
Prepare a short report for Riviera Club management recommending that the workplace safety program continue for the next 12 months. Include in your report a general paragraph about the importance of the program and a list of at least four recommendations. Use the information in the graph in your report.

Use capital letters, full stops, dot points and any other appropriate punctuation. You may like to use the space below to draft your report.
Participant Name*

First NameLast Name
Participant Signature*
Date*

DayMonthYear
Click below to submit your enrolment. You will receive an automated confirmation email.
Should be Empty:

Future Club Leaders Enrolment Form

Participant Details

Nationality/Language

Disability

Education

Employment

Employment Cont.

Declaration of Understanding

If Under 18 Years of Age Only

LANGUAGE LITERACY NUMERACY

Stay safe in the workplace

LANGUAGE LITERACY NUMERACY

Part B:

LANGUAGE LITERACY NUMERACY

Part C