Enrolment Form

Online Application for Course Enrolment

Application process summary

This form allows you to apply for enrolment into a course by:

- providing your personal details
- selecting your course
- selecting a payment option

You will be required to upload your proof of identification (photo id) later in the enrolment. Therefore please make sure you have scanned this prior to completing this form.

Having the following information available will ensure your application is processed promptly:

- A valid email address
- Copy of Driver’s license and Medicare card

* Once submitted, you will receive an email confirmation that your Application for Enrolment Form has been successfully received

Our admissions team will process your application and send instructions on what to do next to your nominated email address. These instructions may require further actions to confirm enrolment.

Privacy

The information provided in your application is protected under Australian privacy law and the Australian privacy principles. Details of these principles are available from the Office of the Australian Information Commissioner at www.oaic.gov.au

1. Course of Enrolment

You will need
1. A Driver’s Licence and
2. A Medicare Card and/or a Copy of Passport or Immigration Visa extract
and a valid email address to proceed with this enrolment form.
 
Do you have 2 forms of Identification and valid email?
YesNo

Select a course—Please choose an option—Sales Licence (short course – 5 units)Dealer Licence (short course – 9 units)Dealer Licence Upgrade (short course – 4 unitsAUR31020 Certificate III in Automotive SalesAUR31020 Certificate III in Automotive Sales (Parts Interpreting)AUR40116 Certificate IV in Automotive ManagementBSB40520 Certificate IV in Leadership and ManagementFNS41820 Certificate IV in Financial ServicesFNS40821 Certificate IV in Finance and Mortgage BrokingAUR50116 Diploma of Automotive ManagementBSB50420 Diploma of Leadership and ManagementAUR31020 QLD Motor Sales LicenceAUR31020 QLD Motor Dealer Licence

Referred by (*Please specify - Manager, One of our Trainers, Self, or Other)

Referral code (optional)

Please select the method in which you would like to complete your course
Face to Face with a TrainerOnlineTraineeship

Reason for study
—Please choose an option—For personal interest or self developmentI wanted extra skills for my jobIt was a requirement of my jobNo information providedNot a commencing studentOther reasonsTo develop my existing businessTo get a better job or promotionTo get a jobTo into another course of studyTo start my own businessTo try for a different career

Method of learning
OnlineFace to face with an Assessor / TrainerCombination

2. Personal Details

Title

Full Name

Preferred Name (# Optional) – eg: only use if you have a preferred nickname

Security ID (This section is a password for the purpose of verifying your identity over the phone)

Date of Birth

3. Organisation / Workplace Details

Organisation Name

Manager's Name

Manager's Phone

Manager's Email Address

Organisation Address

Your Position

Department

Area

Employment Start Date

4. Contact Details

Work Phone (optional)

Mobile Phone (work number)

Work Email

Alternative E-mail Address (personal/home)

Website (if applicable)

5. Postal - Home

Postal Address

Is your residential address the same as your postal address?
YesNo

Address if not the same as above

6. Vet Related Details

Gender
MaleFemaleIndeterminate/Intersex/Unspecified

Country of Birth

City of Birth

Country of Citizenship

Citizenship Status
Australian CitizenOverseas ResidentPermanent Resident of AustraliaNew Zealand CitizenVisa Holder (Humanitarian)

Are you of Aboriginal or Torres Strait Islander origin?
—Please choose an option—Not statedNon indigenous - neither Aboriginal nor Torres Strait Islander originOf Aboriginal origin but not Torres Strait Islander originOf Torres Strait Islander origin but not AboriginalBoth Aboriginal and Torres Strait Islander origin

Employment Status
—Please choose an option—Full TimePart TimeSelf-Employed Not employing othersSelf-Employed employing othersEmployed unpaid worker in a family businessUnemployed seeking full time workUnemployed seeking part-time workUnemployed not seeking employment

What language do you mainly speak at home?

Proficiency in Spoken English
—Please choose an option—Very WellWellNot WellNot at all

Do you require English Assistance?
YesNo

Are you attending other school/s?
YesNo

If yes, please provide school name

What is the highest level of Secondary schooling you have completed?
—Please choose an option—Did not go to schoolYear 8 or belowYear 9 or equivalentCompleted year 10Completed year 11Completed year 12

In what year did you complete Secondary School (eg.1965)?

Do you consider yourself to have a disability, impairment or long-term medical condition which may effect your studies?
NoYes

If you answered yes, please provide more details

Do you have any previous qualifications?
YesNo

If Yes, Please list the qualification names. If No, please write No

Survey Contact Status
A - Available for Survey UseE-Excluded from Survey Use

7. Unique student identifier (USI)

The USI is a reference number issued by the Australian Government made up of numbers and letters. It creates a secure online record of your nationally recognised training that you can access anytime and anywhere, and it’s yours for life.

Please visit www.usi.gov.au and create your USI Number.

If you already have a USI please write it in the box below.

If you have forgotten your USI number, or unsure if you have one. Please visit www.usi.gov.au and click on "Not sure if I have a USI / Find my USI" and follow the prompts.

Please enter your ten (10) character USI

8. Emergency contact details

Contact name

Relationship

Contact Number

9. Additional Information

If you wish to apply for Recognition of Prior Learning (RPL) please contact the office directly on admin@successresourses.com.au
The RPL option is only available on some of our courses.

10. Work History (if no resume)

Please complete requirements in the boxes provided below:

Company Name

Time with company

Position

Brief details of duties

11. Proof of identification

Select two types of identification below to upload and complete the requested information.
Please note we do require at least one (1) form of identification to have a photo.

You can use a Driver Licence and Medicare Card or copy of Passport or Visa Extract.

Upload identification document one (1)

Upload identification document two (2)

If you experience any issues uploading your documents please email your documents to admin@successresources.com.au
Please use your name in the subject line

12. Method of payment

Our Accounts Team will send an invoice only once your Enrolment Form has been processed. On receipt of invoice the payment can be made directly via a link option if paying by credit card or debit card or see details to complete by bank transfer.

a) Name of Organisation to be Invoiced
(example: The Company or Dealership or Business Name or Please note id you are Self Employed)

b) Name of Person the Invoice to be addressed to (eg: Accounts Team Member, Manager)

c) Email address for Invoice to be sent

d) Payment amount (if known)

e) Payment Type
Credit cardDirect DebitCash

13. Declaration

I accept the terms & conditions of enrolment into the selected course

Signature