SCILI Enrolment Form TAE50216 Dip. of Training Design and Development

Southern Cross International Learning Institute

Suite 9 Ground Floor SEABANK Bldg. 12-14 Marine Parade, Southport QLD 4215

Email: Phone:07 5665 8228 www.scili.edu.au

ENROLMENT FORM

TAE50216 Diploma of Training design and development

Personal Details / USI Number
Surname: / Phone: / (H) / (W)
Given Names: / Fax: / (H) / (W)
Date of Birth: / Mobile:
Country of Birth: / Email:
Gender: / Male Female / Address:
(Residential)
Postcode
Emergency Contact:
Contact Phone:
Aboriginal / Yes No / Postal Address;
(if different from above)
Torres Strait Islander: / Yes No
Australian Permanent Resident / Yes No

Southern Cross International Learning Institute Enrolment form TAE50216 Ver.4.1 July 2017

SCILI Enrolment Form TAE50216 Dip. of Training Design and Development

Employment Status
Employer
Self-Employed / Full-Time Employee
Part-Time Employee
Employed – Unpaid Family Worker / Unemployed – Seeking Full-Time Work
Unemployed – Seeking Part-Time Work
Unemployed – Not Seeking Employment

Southern Cross International Learning Institute Enrolment form TAE50216 Ver.4.1 July 2017

SCILI Enrolment Form TAE50216 Dip. of Training Design and Development

Employer’s Name: / Address:
Phone:
Fax:
Email: / Postcode:
Education History
Last Institute Attended: / Date: / / /
Highest Level Attained: / University TAFE High School Y10 Other ( )
Course Details
Course Code: / TAE50216 / Course Name: / Diploma of Training Design and Development

Southern Cross International Learning Institute Enrolment form TAE50216 Ver.4.1 July 2017

SCILI Enrolment Form TAE50216 Dip. of Training Design and Development

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Southern Cross International Learning Institute Enrolment form TAE50216 Ver.4.1 July 2017

SCILI Enrolment Form TAE50216 Dip. of Training Design and Development

Commencement Date: / / / / Expiry Date / / /

Do you have any physical or learning disabilities which could prevent you from completing this course?

Yes N o

Course: 10 Units (5 Core and 5 Elective)

Please tick✔ / Core/Elective / Unit No: / Unit Title:
Core / TAEASS502 / Design and develop assessment tools
Core / TAEDES501 / Design and develop learning strategies
Core / TAEDES502 / Design and develop learning resources
Core / TAEDES505 / Evaluate a training program
Core / TAETAS501 / Undertake organisational training needs analysis
Elective Units Select 5 units
Elective / TAEASS501 / Provide advanced assessment Practice
Elective / TAEASS503 / Lead assessment validation processes
Elective / TAEDEL502 / Provide advanced facilitation practice
Elective / TAEPDD501 / Maintain and enhance professional practice
Elective / TAELLN411 / Address adult language, literacy and numeracy skills
Elective / TAELLN501 / Support the development of adult language, literacy and numeracy skills

Price

RPL No gap / RPL with Gap
FULL / TAE50216 RPL Full / $1350 / $1900 ~ $2300
Upgrade from TAE50211 to TAE50216 / $250
UNIT/S / TAELLN411 / $200 / $250 Distance
$250 Face to Face
TAEASS502 / $250 / $250 Distance
$350 Face to Face
TAELLN411 and TAEASS502 / $400 / $550 Distance
$630 Face to Face
Other Unit / $200 ~ $250 / $250 ~ $350

Payment Method : A tax invoice and receipt will be sent on receipt of payment.

I am paying $...... as Deposit Full Fee
Cheque/money order payable to:
Southern Cross International Learning Institute
Direct Deposit / Bank:
BSB No:
Account Name: / DIRECT DEPOSIT DETAILS:
Westpac Banking Corp.
034 292 Account No. 358148
Shincrest P/L
T/A Southern Cross International Learning Institute (SCILI)
I would like to pay by credit card (please complete your credit card details):
Credit Card Type: MasterCard Bankcard Visa

Southern Cross International Learning Institute Enrolment form TAE50216 Ver.4.1 July 2017

SCILI Enrolment Form TAE50216 Dip. of Training Design and Development

Card Number: / - / - / - / Expiry Date: / __ / __
Card holder Name / Cardholder Signature:

AGREEMENT

I have read the Student Handbook in www.scili.edu.au and agree with the Terms and Conditions.

I agree to abide by the rules of Southern Cross International Learning Institute in as far as they may apply to me including the Fees ,Refund Policies and Expiry Date. .

I fully understand Recognition of Prior Learning (RPL) procedure and conditions.

I declare that the submission of incorrect or incomplete information may result in a cancelation of the enrolment.

I recognise that it is my responsibility to provide all necessary documentary evidence in order to show competency has been achieved.

I hereby give permission to Southern Cross International Learning Institute to verify the authenticity of my qualifications and/or any other documentation as required.

Full Name

Signature: / Date: / / /

Southern Cross International Learning Institute Enrolment form TAE50216 Ver.4.1 July 2017