Corporate Statistics Form Step 1 of 4 25% Personal DetailsTitle*MrMissMrsMsDrRevProfName* First Last Date of Birth* Day Month Year Mobile*Address* Street Address City State / Province / Region ZIP / Postal Code Statistical InformationAs a government requirement of being a Registered Training Organisation, it is essential that you complete the following information for statistical purposes. Your assistance in this matter is greatly appreciated.Language and Cultural DiversityCountry of Birth*AustraliaChinaOtherIf Other, please stateYear of Arrival if not born in AustraliaAre you Aboriginal or Torres Strait Islander origin?*NoYes, AboriginalYes, Torres Strait IslanderYes, Aboriginal and Torres Strait IslanderLanguage Spoken at Home*EnglishOtherIf Other, please stateSpoken English Level*Very WellWellNot WellNot at AllEmploymentOf the following categories, which BEST describes your current employment status?*Full-time employeePart-time employeeSelf employed - not employing othersEmployerEmployed - unpaid worker in a family businessUnemployed - seeking full-time workUnemployed - seeking part-time workNot employed - not seeking employmentSchoolingAre you still attending secondary school?*NoYesWhat is your highest COMPLETED school level?*Year 12 or equivalentYear 11 or equivalentYear 10 or equivalentYear 9 or equivalentYear 8 or belowNever attended schoolIn which YEAR did you complete that school level?DisabilityDo you consider yourself to have a disability, impairment or long-term condition?*NoYesIf you indicated the presence of a disability, impairment or long-term condition, please select the area(s) in the following list: Hearing/deaf Physical Intellectual Learning Mental Illness Acquired brain impairment Vision Medical condition Other You can choose more than one disability, impairment or long-term condition.Previous qualifications achievedHave you SUCCESSFULLY completed any other qualifications?*NoYesIf yes, then tick ANY applicable boxes. Bachelor degree or higher degree Advanced diploma or associate degree Diploma (or associate diploma) Certificate IV (or advanced certificate/technician) Certificate III (or trade certificate) Certificate II Certificate I Certificates other than the above Unique Student Identifier (USI)If you are a student studying nationally-recognised training at a Registered Training Organisation like the Australian College of Professionals (ACOP) you are required to have a Unique Student Identifier from 1st January 2015. The USI will give you ongoing access to your records and results, so they are always available if you choose to enrol in further training or need to show a future employer. To create a USI, please visit www.usi.gov.au. What is your USI number?* I declare that the information provided on this enrolment form is, to the best of my knowledge true, correct and complete. I agree to be bound by the Australian College of Professionals policies and procedures whilst I remain an enrolled student. I authorise Australian College of Professionals to release personal and/or medical information for educational purposes or to meet legal obligations or in the case of an emergency in accordance with the privacy policy and procedures. I agree to pay all fees and charges relating to my enrolment, unless payment is to be made by my employer or another contracted third party. I have read and understood the conditions relating to fees and refunds. (There are no refunds for cancellations less than 24 hours prior to commencement of the training. For cancellations less than fourteen (14) days prior to the training course, the College will transfer your enrolment to another date but no refund will apply. For cancellations more than fourteen (14) days prior to the training course, an administration fee of 20% of the course fee will apply. For course transfers less than 24 hours prior to the commencement of the training, an administration fee of 50% of the course fee will apply. Distance Education Courses - no refunds will apply after the course materials have been issued.) I acknowledge that ACOP reserves the right to cancel or condense courses due to unforseen circumstances and/or if minimum course numbers are not reached. Students will be offered a full refund for any course fees paid for the cancelled course or have their course fee credited towards another ACOP course. I have read and understood the Unique Student Identifier privacy policy on the College website. Declaration* Please tick this box to confirm that you have read and accepted the above declaration PhoneThis field is for validation purposes and should be left unchanged. Δ Call Now Button