ENROLMENT FORM Ready Health Nursing College - Nerang
/ National Code: 91697 / Ph: 075596 1735
Fax: 02 9687 8802 / Govt Funded: Concession:
Fee for Service: Non Concession
Workplace RPL: User Choice
PLEASE PROVIDE ALL THE INFORAMTION REQUIRED IN THIS FORM. (PLEASE SIGN WHERE REQUIRED)
CHC33015 Certificate III in Individual Support Ageing Disability Home and Community / Course Fee: $
CHC43015 Certificate IV in Ageing Support / Course Fee: $
Concession: Number of Units x / Concession: $
Non Concession: $ Number of Unitsx / Non Concession: $
Text Book: $130 / Text Book: $
Police Check: $55 / Police Check: $
Total: $
Title: First Name: Middle Name: Surname:
Address: Suburb: State: Postcode:
Phone (H): / (W): / (M): / Remote: Regional:
Email: / M F / Date of Birth: _ _/_ _/_ ___
CONCESSION INFORMATION (PLEASE TICK APPROPRIATE BOX AND ATTACH DOCUMENTATION)
ATSI: Yes No
Pension: Yes No Type:
Traineeship: Yes No
Disabilities: Yes No Specify:
Special needs: Yes No
Job Find: Yes No
TFN: Yes No: ______
CRN. No: Yes No: ______
Unemployed >52 weeks N/A Yes No
Living or registered for a Housing Yes No / Documents sighted:
Drivers Licence:
Medicare:
Australian Passport:
Visa:
Birth certificate:
Citizenship Certificate:
Birth Certificate (15yrs)
National Police Check: / Govt. FundedProof of Eligibility:
ATSI Documentation:
Centrelink CRN Number:
Centrelink income statement:
Employment services letter:
School Leaver over 15 yrs:
Disability Support Pension:
Other: / Start Date: _ _/_ _/_ _ _
End Date: _ _/_ _/_ _ _
1stExtension: _ _/_ _/_ _ _
2nd Extension: _ _/_ _/_ _ _
First Aid Date: _ _/_ _/_ _ _
Re enrolment date: _ _/_ _/_ _
Graduation Date: _ _/_ _/_ _ _
Contract Expiry: _ _/_ _/_ _ _
Withdrawal date: _ _/_ _/_ _ _
QUESTIONNAIRE:
Your information may be required by Ready Health College or the Department of Industry for research, statistical analysis, program evaluation, post-completion surveys and quality improvement. Privacy and confidentiality will be maintained. Thank you for answering the following questions.
Country of Birth: ______State or Town of Birth: ______
Are you of Aboriginal or Torres Strait Islander origin? Yes No
What Language do you normally speak at home? ______
What is your residency status? ______
Is there a Visa Expiry? Yes No If yes record the date: _ _ _ /_ _ /_ _ _ _ _
Your main reason for undertaking this course is: ______
What is your highest completed school level? (e.g. Yr. 10) When (yr.) ______
Which of the following would best describe your current employment status?Self employed
Full time Part Time Casual Employer Employed, unpaid worker
Unemployed seeking: Full Time Employment Part Time Employment
Is this course related to your work currently? Yes No N/A
Who are you assisted by? Aged Care Disability HACC Job Find
Organisation Name: ______
Manager: ______Ph: ______Email: ______/ Have you successfully completed any of the following qualifications?
Bachelor or Higher Degree
Advanced Diploma or Associated Degree
Diploma (or Associate Diploma)
Certificate 1V
Certificate III
Certificate II
Certificate I
Miscellaneous Education
Are you seeking Recognition of Prior Learning (RPL)? Yes No
1st Qualification: 2nd Qualification:
How did you find out about us?
Flyers Street sign Friend Newspaper Previous student Web Site
Self Other ______
PLEASE MAKE CHEQUES & MONEY ORDERS PAYABLE TO READY HEALTH NURSING COLLEGE
5/19 Cotton Place. Nerang. QLD. 4211.
Method of payment: Cheque Cash EFT Internet or Bank Deposit
Bank: ANZ Bank Account Name: READY HEALTH NURSING COLLEGE Account Type: Cheque Ac
(For internet banking use your name as a reference. Send an e-mail to the College with your payment/ transaction details.)
BSB: / 014 679 / Account No: / 4 / 6 / 3 / 1 / 9 / 9 / 1 / 3 / 2
Further Assistance Provided:
Fee Structure Terms and Conditions:
Text Book: Student Handbook:
Orientation: ID Photos x 2:
Students Guide to Assessment: Personal Documentation:
Police Clearance: CT/RPL Application:
Immunisation Status: Uniforms:
USI: Qld DET Info:
Clinical Placement Qld DET Student Consent: / CT
1 2
3 4
5 6
7 8
9 10 / RPL
1 2
3 4
5 6
7 8
9 10 / Certificate No:
Certificate No:
LLN:
Date: ______
Score: ______/____
PRINT NAME: / Signature: / Date: _ _/_ _/_ _ _
FOR OFFICE USE ONLY:
Date Enrolment Form received: _ _ _/_ _/_ _ _ _
AISS Checked Expiry Date: _ _ _/_ _/_ _ __
Commencement ID: ______
Commitment Expiry Date: _ _ _/_ _/_ _ _ _ / Student Number allocated:
RHN: 00000 _ _ / USI Created: _ _ _/_ _/_ _ _ _
USI Activated: _ _ _/_ _/_ _ _ _
USI No: ______/ Pending: _ _/_ _/_ _ _
Confirmed: _ _/_ _/_ _ _
READY HEALTH NURSING COLLEGE
STUDENT ENROLMENT CHECKLIST National Code: 91697
Student Name:Student No: RHN00000
I have completed the Enrolment Form and submitted and discussed it and signed for it.
I agree with the Fee Structure and the Terms and Conditions (Information provided) and I have signed the Fee Structure Form with
agreed dates for payment
I have been provided with the information booklet and web site on funded programs. I have been assessed for the funded program
eligibility. I have received the Notification of Enrolment (Student Copy) and I understand the Fee Structure and will comply with the
funding requirements. Sign:
I understand the Terms and Conditions
I have received the Student Handbook
I have submitted the 2 x passport size photographs for the Student Identification badge and for Student Record purposes
I understand the requirements for immunisation and will comply
I understand the uniform requirements for clinical placements
I understand that, as a Fee-paying student, if I don’t pay my fees as per the Fee Structure and the Terms and Conditions for which I
enrolled, then a late fee of 10% of the amount owing, will apply. This does not apply for the QLD Government Funded enrolments.
I understand that if I fail to attend classes or clinical placements without a medical certificate, I may not achieve the competency.
Extension must be in writing and approved by the course Co-ordinator.
I understand that if I do not complete the course by the end date for which I signed, without extension, then I will receive only a
Statement of Attainment for the Units completed at that date, and not a full qualification.
I understand the College code of ethics and will maintain a high standard of professional behaviour while registered as a student.
I understand the Complaints procedure for QLD VET Investment, ASQA and the College. This is in the Student Handbook shown to
me. Complaints, feedback, assistance and advice can be directed to: the QLD VET Investmentcustomer support centre, by email,
phone (1300 369 935), in person at aLocal Training office, or email , or visit QLD Training Ombudsman at:
I have been shown where the Policies and Procedures files can be located while at the College.
Ready Health Nursing College insurance covers the student while in the College and at the Clinical Facility. I would take every
precaution to avoid taking risks. This is highlighted in the enrolment and orientation processes and in the student handbook.
I have an understanding of the Photo Consent and my obligations if I use my pictures on Face book.
I give permission for Ready Health Nursing College to use my Photos taken during training for CV, the Graduation Ceremony,
Advertisement purposes and the web page
I have applied for and understand the requirement for the National Police Certificate. I give permission for Ready Health Nursing
College to forward a copy of my National Police Clearance Certificate to the Clinical Placement Facility. I understand that the clinical
facility has the right to decide if they will accept my work placement.
My Training Plan has been individualised and the assessment dates and the requirements explained to me. sign:
I authorise Ready Health Nursing College to create the Unique Student Identifier (USI) on my behalf. I therefore consent to the use of
my personal information for this procedure. I understand that I will be provided with the USI number directly to my email address to
activate it and set up the password. I have been provided with information on how to apply for USI if I wish to do so myself at
Phone: 1300 857 536.Signature:
I have received the QLD FundedStudent Notification of Enrolment and Consent to the use of my information for/byQld DET,
including contacting me about the training, and declare that the evidence I provided is true and correct. Sign:
PRINT NAME: Signature: Date: //
STUDENT
PRINT NAME: Signature: Date: //
COLLEGE
This section may be photocopied for consent purposes. (This is a copy from the Enrolment Form) Copy this section only:
Ready Health Nursing College. RTO National Code: 91697
I have completed theRecognition of Prior Learning(RPL) or Credit Transfer (CT) Application process where required and
give permission for Ready Health Nursing College to obtain verification of my qualifications for RPL/CT purposes from the
previous RTO (including TAFE), where the qualification was obtained:
I declare that I consent & before signing this, I have had opportunity to clarify and understand the above:
PRINT NAME: Signature: Date: //
STUDENT
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COLLEGE
Ready Health Nursing College
Terms and Conditions of Enrolment
National RTO Code: 91697
The Following Qualifications and course is offered by Ready Health Nursing College:
CHC33015 Certificate III in Individual Support (Ageing) Fee for Service QLD VET Investment User Choice
CHC33015 Certificate III in Individual Support (Disability) Fee for Service QLD VET Investment User Choice
CHC33015 Certificate III in Individual Support (Home and Community) Fee for Service QLD VET Investment User Choice
CHC43015 Certificate IV in Ageing Support Fee for Service QLD VET Investment User Choice
Ready Health Nursing College will make all reasonable efforts to ensure all scheduled classes run as advertised. However, Ready Health Nursing College reserves the right to:
Run or withdraw any course Alter the dates or times for the whole or any part of the course
If any of these course changes becomes necessary, you will be advised in advance where possible, of the changes and the alternative arrangements which will be made available for you to complete your course. Support to choose the appropriate course is provided. You may attend a class or visit a nursing home before signing into a course.
Enrolment in courses is contingent on the payment of the prescribed course fee and places are allocated on receipt of payment.
REFUNDS:
Conditions and Refunds
A refund is considered only when a student is unable to complete a course due to medical reasons and produces a Medical Certificate, which covers the remaining period of enrolment, not just for one day. If the College cancels a course or unit, the student will be notified as soon as possible. A full refund of fees paid will be forwarded to the student within two weeks. For a refund to be processed please ensure that you notify the Ready Health Nursing College of any changes to your personal details.
When withdrawing from a course/unit inform the Trainer/Assessor immediately. The following applies:
If a student fails to attend 2 or more scheduled training Units of Competencies in a row, without notifying the College or Trainer, then the student will be considered to have withdrawn fromthe course. The student will be notified in writing and no refund will be awarded. Any balance of fees still outstanding at the time of withdrawal must be paid in full. (please sign below)
If a student withdraws PRIOR to commencement of the course, a full refund is awarded. If the student withdraws from the course AFTER they have commenced the Theory and/or Practical course, for medical reasons, an administration fee of $240 shall apply for course materials and no refund is applicable from the moneys already paid and any outstanding fee at that time is cancelled.
Once the course has commenced, where the student has attended the Theory and/or Practicals, and then withdraws, any balance of fees still outstanding at the time of withdrawal must be paid in full. (please sign below that you have understood). Where a fee has been paid in full at the time of withdrawal, no further refund is awarded. As attendance at the courses must be 100%. Any Units of Competency missed, will require completion at a rescheduled date, by arrangement with the College. Opportunities to “make up” will be arranged with the Trainer/Assessor and documented and signed by both the Trainer/Assessor and the Student. The student management database will record the process. Keep a copy of your fee structure for your reference.
USI:I understand the process for application of the Unique Student Number (USI). I accept Ready Health Nursing College assisting with my applicationwhile maintaining Privacy and Confidentiality, when using my information for this purpose.
QLD VET Investment:I understand the QLD VET Investment Fee Structure. Ready Health will advise me based on the Eligibility Criteria and using the Provider Calculation of Fees Table from QLD VET Investment, and after enrolment, I will be provided with the QLD VET Investment Notification of Enrolment - student copy.
FEE STRUCTURE:I understand the Fee Structure. I understand that late fee penalties of 10% apply if any of the agreed fee is not paid on the due dates. I have signed consent for the above applications that apply to my registration. I understand that I will not pay more than $1000 at any fee instalment within the Fee Structure, should my total fee exceed this amount. I have been provided a copy of the Fee Structure and a Student handbook and am able to ask questions at any time.
RECOGNITION OF PRIOR LEARNING (RPL)
Recognition of Prior Learning, is based on workplace assessments by the College including an interview and formal access to the workplace. For Fee for Service students, there is a cost of $350 regardless of the number of Units for RPL. Ready Health Nursing College will recognise the Qualification or Statement of Attainment issued to a student, by another RTO, in mutual recognition, on provision of a certified copy for verification purposes, at enrolment.
STUDENT PRIVACY
Personal information will only be collected to the extent necessary by lawful and fair means, for one or more specified purposes which are relevant to the operations of Ready Health Nursing College, with the person's consent.
POLICE CLEARANCE REQUIREMENTS
Ready Health Nursing College may assist the student to apply for the National Police Certificate through a contract with Fit2Work, which will be at the same cost if the student were to apply for it online at $55. A 100-point ID Check is required, and a consent form must be signed.
PRINT NAME: Signature: Date:
STUDENT
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COLLEGE
FEE STRUCTURE – 2018
Fees are payable by Cheque, Cash, EFT or Internet. Fees include the TEXT BOOK $130. (Individual Support in Australia – Ageing/Disability/ Home and Community Care: 2016. TAFE. NSW)
Fees include the Police Check $55. (Fit2Work student volunteer Police Check)
Fees include the Workplace clinical assessment and Insurance
- Feesfor all CHC33015 Certificate III in Individual Supportis:
$2470 $185 $650 $1.60 per Nominal Hr /$0.64
(Ageing) Fee for Service Concession Non-concession User Choice Non-concession/ Concessional
(Disability) Fee for Service Concession Non-concession User Choice Non-concession/ Concessional
(Home and Community) Fee for Service Concession Non-concession User Choice Non-concession/ Concessional
Cost per Unit of Competency $175.77 $14.23 $35.77
Payment Plan(for Fee for Service)Date Due
- at Registration$ / /
- at week 2 $ / /
- at week 4 $ / /
- at week 6$ / /
- Fee for CHC43015 Certificate IV in Ageing Support is $4000 $185 $800
(Ageing Support) Fee for Service Concession Non-concession
Cost per Unit of Competency $211.94 $10.28 $34.17
All Fees include the workplace clinical assessment and Insurance
Payment Plan (for Fee for Service)Date Due
- at Registration$ / /
- at week 2 $ / /
- at week 4 $ / /
- at week 6$ / /
- at week 8$ / /
- at week 10$ / /
- Recognition of Prior Learning (RPL): $350.
This must be paid for with evidence. An assessment will be completed bythe assessor within two weeks. / /
- The Replacement Fee for anylost documentation is $20:$20 payable at time of re-issue / /
- The Replacement Fee for the Certificate is $50:$50 payable at time of re-issue / /
- Certification Issuance is Free and must be collected personally within 30 days of completion of the course: (expected) / /
- Graduation Ceremony (Cap/Gown) Fees or Postage of Certificate is $30: (Optional) / /
PRINT NAME: Student Signature:Date: / /
STUDENT
PRINT NAME: College Signature:Date: / /
COLLEGE
Enrolment FormV3.4.18 / Ready Health Nursing College. Nerang. QLD. 4211 (07) 5596 1735