Enrolment Form

Before completing this form, please ensure that you have read, and understand the Student Handbook and the policies and procedures on this website.If you need assistance with this form, or further details regarding enrolling with us, please contact: (02) 8252 9963 or: info@pca.edu.au.

Course Enrolling In

Please select the course that you wish to enrol in*

Unique Student Identifier (USI)

Under legislation, we are not able to issue any Qualification or Statement of Attainment until we have received and verified your USI.

If you already have a USI, please record it below for verification. If not, please create your USI by going to https://www.usi.gov.au. (If you are unable to create a USI yourself, please email info@pca.edu.au and we will forward you our authorisation form, for you to complete).

Your USI (A combination of 10 digits & letters) *

Contact Details

Title (Mr, Mrs, Ms etc)*

Select Gender*

Name*

First Name

Last Name

Date of Birth*

day

month

year

Email*

Phone

Mobile*

Emergency Contact Name*

Emergency Contact Phone*

Please provide the physical address (street number and name, not post office box) where you usually reside*

Street Address Street Address Line 2 Suburb State Postcode

Postal Address

Check if different to usual address

Employment & Education Status

Of the following categories, which BEST describes your current employment status? *

Full Time Employee

Part time employee

Self-employed – not employing others

Employer

Employed – unpaid worker in a family business

Unemployed – seeking full time work

Unemployed – seeking part time work

Not employed – not seeking employment

Are you still attending school?*

Yes

Did you complete this qualification while at school, or after?*

At School

After School

Personal Details

In which country were you born? *

Australia

other

Do you speak a language other than English at home? *

No, English only

Yes, Please Specify

How well do you speak English?*

Very Well

Well

Not Wel

Not at All

Are you of Aboriginal or Torres Strait Islander origin? *

Yes, Aboriginal

Yes, Torres Strait Islander

Are you an Australian or New Zealand citizen?*

Australian

New Zealand

Permanent Resident

Neither, please specify

Do you consider yourself to have a disability, impairment or long term condition which will hinder your ability to undertake this course? *

Yes

Not Sure

Do you consider that you have adequate literacy and numeracy skills to undertake the course? *

Yes

Not Sure

What is your current employment status? *

Not employed

Employed part-time

Employed full-time

Are you seeking credit for previous training (Credit Transfer, Recognition of Prior Learning or Recognition of Current Competency)? *

Yes, please provide us with more information

Are there any individual needs you have that we should be aware of, so we can take these into account when planning your training? *

Yes, please provide us with more information

Student Identification

You are required to provide identification evidence for enrolment verification. For students attending out fulltime classroom based courses, you will be asked to bring photo id to your course interview.

For students studying online, please attach a current copy of either of the following and submit with your completed enrolment form:

Driver’s Licence

School Student Card

Identity Card

Passport

Other, please specify

Upload a photo of your ID in JPG, GIF, PDF or PNG format. Please ensure your photo is no larger than 5mb.*

Student Declaration

The information collected in this form is required to facilitate your enrolment and will be handled and stored in line with the Patrick Careers Academy’s Privacy and Personal Information Procedure. Patrick Careers Academy reserves the right to verify any of the details you have provided on this form in order to assess your application.

Multiple Choice*

I hereby apply for enrol.ment at Patrick Careers Academy, and I declare that the information contained in this application is complete and true. I understand that information about me and the study I undertake may be disclosed as described in the Privacy policy or otherwise as required by law

Multiple Choice(1)*

I have been given, or been advised of where I can locate the Student Handbook and /or the relevant policies and procedures, PRIOR to my enrolment.

If you are over 18 years of age:

Multiple Choice3*

I have been given specific information regarding my course, how it is structured/scheduled, and how I will be assessed for competency in all units.

Multiple Choice3(1)*

I understand that if I wish to apply for recognition (Credit, Recognition of Current Competency or Recognition of Prior Learning) that the policy, procedure and forms are available on the Patrick Careers Academy website

Multiple Choice3(1)(1)*

I understand my rights and responsibilities (as per the Student Handbook and Policies and Procedures) and agree to abide by these

Multiple Choice3(1)(1)(1)*

I have been issued with any relevant information regarding fees, charges, and information regarding SMART and SKILLED and agree to the terms and conditions.

If you are under 18 years of age, you will need a parent or guardian to endorse this declaration