Domestic Application Please fill out the application form below and we’ll get in touch with the next steps. PERSONAL DETAILS SURNAME: GIVEN NAME/S: DATE OF BIRTH: GENDER: MaleFemale COUNTRY: CITY/TOWN: PHONE NUMBER: MOBILE NUMBER: CURRENT ADDRESS: SUBURB: STATE: POST CODE: POSTAL ADDRESS(IF DIFFERENT FROM ABOVE): SUBURB: STATE: POST CODE: EMERGENCY CONTACT (IN AUSTRALIA) SURNAME FIRST NAME/S RELATIONSHIP TO STUDENT CONTACT NUMBER COURSE COURSE ---FNS30315 Certificate III Accounts AdministrationFNS40215 Certificate IV BookkeepingBSB50215 Diploma of BusinessBSB60215 Advanced Diploma of BusinessBSB51915 Diploma of Leadership & Management10362NAT Certificate I in Spoken and Written English10363NAT Certificate II in Spoken and Written English10364NAT Certificate III in Spoken and Written English10365NAT Certificate IV in Spoken and Written English – Further StudiesPSP50916 Diploma of Interpreting (LOTE- English) Do you wish to apply for Credit Transfer (CT)? Have you previously undertaken formal learning that you think might be used to provide credit towards this course? Formal learning means a recognised course for which yo u have received a qualification and/or a statement of attainment or statement of results? Please refer to GBCA’s Credit Transfer Policy and Procedure. ---Yes (Evidence is required)NO Do you wish to apply for Recognition of Prior Learning? Have you previously gained work skills/experience, or other life skills/experience that might be used to provide recognition of prior learning (RPL) towards this course? Please refer to GBCA’s Recognition of Prior Learning Policy and Procedure. ---Yes (A separate process is required)NO Proof of Residency Status Type of proof: ---Medicare Card (plus 1 other)Citizenship CertificatePassport UPLOAD FILE: Proof of Address Type of proof: ---Driver’s LicenceBank StatementUtility Bill UPLOAD FILE: Origin / Language Background / Support Country of brith: City of brith: Main language spoken at home: How well do you speak English? Very wellWellNot wellNot at all Are you Aboriginal or Torres Strait Islander? NoYes, AboriginaYes, Torres Strait Islander Do you require additional learning support from the college? YESNO If you require additional learning suport please specify: Educational History What is your highest completed school level? Year 12 or equivalentYear 11 or equivalentYear 10 or equivalentYear 9 or equivalentYear 8 or equivalentNever attended school What year did you complete this school level? Are you still attending school? YESNO Disability Do you suffer from any disabilities? YESNO Please indicate the areas of disability, impairment or long-term condition: Hearing/DeafMental IllnessPhysicalAcquired Brain ImpairmentIntellectualVisionLearningMedical ConditionOther Previous qualification achieved Please indicate if you have completed any of the following qualifications: Note: If you have multiple Prior Education Achievement Recognition Identifiers for any one qualification, use the priority order to determine which identifier to use. A – AustralianE– Australian equivalentI – International AIE AIE Bachelor Degree or Higher Degree AIE Advanced Diploma or Associate Degree AIE Diploma (or Associate Diploma) AIE Certificate IV (or Advanced Certificate/Technician) AIE Certificate III (or Trade Certificate) AIE Certificate II AIE Certificate I AIE Certificates other than the above Employment Of the following categories, which BEST describes your current employment status? Full-time employeePart-time employeeSelf-employed - not employing othersEmployerEmployed - unpaid worker in family businesUnemployed - seeking full-time workUnemployed - seeking part-time workNot employed - not seeking employment Which of the following classifications BEST describes your current or recent occupation? 1 - Managers2 - Professionals3 – Technicians and Trade Workers4 – Community and Personal Service Workers5 – Clerical and Administrative Workers6 – Sales Workers7 – Machine Operators and Drivers8 – Labourers9 – Other Which of the following classifications BEST describes the Industry of your current or previous Employer? A – Agriculture, Forestry and FishingB – MiningC – ManufacturingD – Electricity, Gas, Water and Waste ServicesE – ConstructionF – Wholesale TradeG – Retails TradeH – Accommodation and Food ServicesI – Transport, Postal and WarehousingJ – Information Media and telecommunicationsK – Financial and Insurance ServicesL – Rental, Hiring and real Estate ServicesM – Professional, Scientific and Technical ServicesN – Administrative and Support ServicesO – Public Administration and SafetyP – Education and TrainingQ – Health Care and Social AssistanceR – Arts and Recreation ServicesS – Other Services Which best describes your main reason for undertaking this course? To get a jobTo develop my existing businessTo start my own businessTo try for a different careerTo get a better job or promotionIt was a requirement of my jobI wanted extra skills for my jobTo get into another course of studyFor personal interest or self-development Other reasons Are you currently enrolled in other education institutes in Australia? Yes (Please specify your provider)NO If yes, please specify: Victorian Student Number To be completed by all students aged up to 24 years: Since 2009 in schools and since 2011 for vocational education and training (VET) organisations and Adult Community Education providers, a Victorian Student Number (VSN) has been allocated upon enrolment to each individual student aged up to 24 years. Students should report their VSN on all subsequent enrolments at a Victorian school or training organisation. In particular, all students who are currently enrolled in either a VET provider or a Victorian school (including those already participating in a VET in schools program) should obtain their VSN from their current education or training organisation and report their VSN on this enrolment form. Students who are enrolling for the first time since the VSN was introduced will get a new VSN. Enter your Victorian Student Number (VSN) No more questions if you provided your VSN. Have you attended any Victorian school since 2009 or done any training with a vocational education and training (VET) registered training organisation or an Adult and Community Education provider in Victoria since 2011? No – I have not attended a Victorian school since 2009 or a TAFE or other VET Training provider since the beginning of 2011.Yes – I have attended a Victorian school since 2009.Yes – I have participated in training at a TAFE or other training organisation since the beginning of 2011. No more questions if you answered No above If yes, please enter your most recent Victorian school attended: and / or ist the most recent training organisations with which you have participated in training in Victoria since 2011 (List up to 3 training organisations): Unique Student Identifier From 1 January 2015, GBCA can be prevented from issuing you with a nationally recognised VET qualification or statement of attainment when you complete your program if you do not have a Unique Student Identifier (USI). If you have not yet obtained a USI you can apply for it directly at http://www.usi.gov.au/create-your-USI/ on computer or mobile device. Enter your Unique Student identifier (if you already have one) Acknowledgement and Consent I acknowledge and provide unconditional consent to my testimonial and/or photograph and/or video to be used in the GBCA website, and any marketing materials whilst I am a current or graduate student of GBCA. I have read and agree to the Terms & Conditions Self-Declaration I acknowledge that I have read the Victorian Government’s VET Student Enrolment Privacy Notice I declare that the information on this application form is to the best of my knowledge, accurate and complete at the time of this application I acknowledge that any false information and not disclosing relevant information for application of this qualification will result in the refusal of my application at GBCA I understand that it is my full responsibility to provide all relevant and required documentation and answer all questions truthfully. I fully understand and agree with the terms and conditions of enrolment. (If applicable) I authorize GBCA to verify my Unique student identification/ apply USI on my behalf. I understand that the enrolment fee is NON- REFUNDABLE and NON-TRANSFERABLE.