Kevesther Pty Ltd t/a Associated Intelligence Analysts
25 Russell Street | Kallangur Qld 4503
+61 7 3285 5958 | +61 7 3285 2724 | www.aiatraining.com.au
Course Enrolment Form
Personal Details
Please use BLOCK letters and print details in full. All areas MUST be completed.
Title
Family name
Given
name/s
Gender
☐ Male
DOB
☐ Female
Address
Suburb
State
Home phone
Mobile
Work phone
Email
Are you of Aboriginal or Torres Strait Islander origin?
Postcode
☐ Yes, Aboriginal
☐ Yes, Torres Strait Islander
☐ No
☐ Australia
☐ Other: please specify below
Country of
birth
☐ Australia
☐ Other: please specify below
Country of
citizenship
Australian
citizenship
status
☐ Australian citizen
☐ Australian permanent resident
☐ Temporary resident visa
☐ Student visa
☐ Visitors visa
☐ Business visa
☐ Holiday visa
☐ Other: please specify
Emergency Contact
Emergency
contact name
Contact №
Relationship
Employer Details
Employer
Employer
contact
Employment
status
Phone
☐ Full time
☐ Part time
Fax
☐ Casual
Location of
employment
© Kevesther Pty Ltd T/a Associated Intelligence Analysts
Course Enrolment Form
Page 1
Version:
11.0
January 2014
Kevesther Pty Ltd t/a Associated Intelligence Analysts
25 Russell Street | Kallangur Qld 4503
+61 7 3285 5958 | +61 7 3285 2724 | www.aiatraining.com.au
Language, Literacy & Numeracy
☐ No If no, what is your first language?
How well do you speak English?
☐ Very well ☐ Well
☐ Not well
Do you need assistance to understand English?
☐ Yes ☐ No
Is English your first language?
☐ Yes
☐ Not at all
Disability Status
Are you a person with a permanent disability?
☐ Yes
☐ No
If yes, do you require any special assistance? Please specify below
Education History
What was the highest level you achieved at high school?
☐ Year 8 or below
☐ Year 9 or equivalent
☐ Year 10
☐ Year 11
☐ Year 12
☐ Did not attend school
What was the last year you attended school?
Do you have any other qualifications?
☐ Yes
☐ No
☐ Certificate III
☐ Certificate IV
☐ Certificate I
☐ Certificate II
☐ Diploma
☐ Advanced Diploma or Associate Degree ☐ Bachelor Degree or higher
☐ Miscellaneous
Enrolment Details
Course №
Course name:
Recognition of Prior Learning
Are you eligible for recognition of prior learning (RPL)? (please read our RPL brochure
or seek assistance from an instructor)
☐ Yes
☐ No
Do you want assistance in assessing your eligibility for RPL?
☐ Yes
☐ Yes
☐ No
☐ No
Have you made application for RPL?
© Kevesther Pty Ltd T/a Associated Intelligence Analysts
Course Enrolment Form
Page 2
Version:
11.0
January 2014
Kevesther Pty Ltd t/a Associated Intelligence Analysts
25 Russell Street | Kallangur Qld 4503
+61 7 3285 5958 | +61 7 3285 2724 | www.aiatraining.com.au
Enrolment Agreement
Associated Intelligence Analysts will provide training and assessment services outlined on our brochure, and as
negotiated with the participant/employer. Associated Intelligence Analysts reserves the right to negotiate with
participants/employers on a case by case basis and will formalise such negotiated arrangements in writing prior
to commencement.
Services
Associated Intelligence Analysts agrees to provide the training outlined in our brochure including any
arrangements pre-negotiated and documented with the participant/employer.
The services can only be successful with full participation of the participant and (where applicable) his/her
employer/supervisor. The participant acknowledges this and will make every effort reasonable and possible to
complete the training program. The participant and Associated Intelligence Analysts agree that no set time limits
apply to completing the training unless otherwise stated in alternative agreements between the participant and/or
employer and Associated Intelligence Analysts.
Should Associated Intelligence Analysts be unable to complete its responsibilities for the delivery of training,
Associated Intelligence Analysts will work with another provider to continue with the training.
Each party agrees that, where applicable, any training (other than distance or online) offered by Associated
Intelligence Analysts, notice of a minimum 48 hrs must be given by the participant/employer of postponement to
trainers/assessors of Associated Intelligence Analysts if postponement of the training/assessment is to occur.
This does not include online learning and assessment or distance based learning and assessment.
Participants agree that if they intend to seek RPL, this will be noted on the enrolment form (where indicated) and
an application made as soon as practicable after enrolment. Participants further agree that, unless negotiated
with Associated Intelligence Analysts, applications for RPL (not including evidence) will be submitted within two
weeks of confirmation of enrolment being received. Where RPL forms a component of the full qualification (e.g.
one or more units of competency) full qualification fees are due and payable unless prior arrangements have
been made in writing between the participant and Associated Intelligence Analysts.
Fees & Refunds
Information on fees and charges have been read and agreed to in accordance with the Fees and Charges Policy
of Associated Intelligence Analysts. Information on Fees and Charges can be requested by contacting the office
on 1300 852 242.
Cancellation
Information on cancellation is available at www.aiatraining.com.au via selecting the Student Handbook.
Agreement Acceptance
The information I have provided in this enrolment form is true and correct to the best of my knowledge. I confirm
that I have read and understand the Student Handbook on the Associated Intelligence Analysts website. In
signing this enrolment form, I confirm that I request enrolment and that Associated Intelligence Analysts has
provided me with sufficient information on the delivery and assessment arrangements for this qualification. My
decision to complete and submit this enrolment form has been completed without coercion.
Signature:
Date:
If you are under 18, you must have a parent or guardian sign below to confirm that they understand the terms of
this agreement.
Parent/Guardian Name:
Signature:
Date:
© Kevesther Pty Ltd T/a Associated Intelligence Analysts
Course Enrolment Form
Page 3
Version:
11.0
January 2014