Training and Assessment Course Change Form V 1-7 24 March 2014
Training and Assessment Course Change Form v 1-7 24 March 2014
COURSE CHANGE FORM v1-7
Changes in Student’s Details
If you are changing your course enrolment then you need to complete all three pages.
Please write the name as you want it to appear on the qualification.
Student’s Surname: / Student’s Gender:FemaleMale
Student’s First Name(s): / Student’s Date of Birth:
Student’s Postal Address (Line 1): / Student’s Home Phone:
Student’s Postal Address (Line 2): / Student’s Work Phone:
Suburb: / State: / Student’s Mobile Phone:
Postcode: / Country: / Student’s Email:
Also, if applicable, please notify any changes in your Accounts Department’s billing details.
Please tick below which course you are changing:
Certificate IV TAE40110 (Go to Page 2)
Language, Literacy and Numeracy (Go to Page 2)
Diploma of Vocational Education and Development TAE50111 (Go to Page 3)
Diploma of Training Design and Development TAE50211 (Go to Page 3)
Double Diploma (Go to Page 3)
Certificate IV in Training and Assessment (TAE40110)
New Course Selection Details
New Full Course Enrolment Selection: ClassroomCorrespondence Online RPL
______
New CourseDate Selections/Location
Certificate IV TAEStart Date Brisbane Sydney Melbourne Adelaide Newcastle Perth Other
Learning Design (DES) / /
Assessment (ASS) / /
On the Job Trainer (OTJ) / /
Facilitation (FAC) / /
______
New Partial or Blended Course Selections – Certificate IV TAE40110
Correspondence OnlineRPL
DES
ASS
OTJ
FAC
Language, Literacy and Numeracy
New Course Date ______
Selections/Location
Brisbane Sydney Melbourne Adelaide Newcastle
Delivery Mode
CorrespondenceOnline RPL
Diploma of Vocational Education and Training (TAE50111)/
Diploma of Training Design and Development (TAE50211)
New Course Selection Details
New Full Course Enrolment Selection: ClassroomCorrespondence Online RPL
______
New Course Date Selections/Location
Diploma Brisbane Sydney Melbourne
Green Week / /
Orange Week / /
______
New Partial or Blended Course Selections – Diploma
ClassroomOnlineRPL Correspondence
Date
TAEASS502B ______
TAEDES501A ______
TAEASS501A ______
TAEDEL502A ______
TAELLN401A ______
TAEPDD501A ______
TAEDES502A ______
TAEDES505A ______
TAETAS501B ______
TAEASS504A ______
TAEDES503B ______
TAERES501A ______
Payment Details:
There is no course change fee for changing an enrolment from Recognition (RPL) to a new enrolment choice. Otherwise, there is a $50 fee if your Online or Correspondence materials have been supplied to you or if you are requesting a course change within 10 business days of commencement of training. Additionally, if you have chosen training and assessment that is a higher price than your previous enrolment then the price difference will also be payable. Course prices are all shown in the MRWED TAA40110 Enrolment Form, which can be accessed from
Invoicing Details
Only complete this section if someone other than the student is responsible for this invoice.
Accounts Department Contact’s Surname: / Employer/Company Legal Name:Accounts Department Contact’s First Name: / Employer/Company Trading Name:
Accounts Department Post Address (Line 1): / Accounts Department Phone:
Accounts Department Post Address (Line 2): / Accounts Department Email:
Suburb: / State: / Purchase Order Number:
Postcode: / Country:
Payment Details
Credit Card (Visa, MasterCard and American Express only)
Cheque (made payable to MRWED) to be sent to:
Money Order BPAY
EFT (Ring FREECALL 1800 2 TRAIN for bank detailsmust quote invoice no or student name)
Credit Card Details
Card Holder’s Name:
Card Number: - - -
Expiry Date: / Authorised Amount: $
Card Holder’s Signature:
You can submit this form to Freefax 1800 333 082 or email to
or Post to MRWED, P.O. Box 325, Caboolture, QLD 4510.
MRWED Training and AssessmentPage 1