Enrolment Form (Muresk Institute) Return completed form to: UQ-GVEC, The University of Queensland, Gatton Campus, Gatton, QLD, 4343. Email: enquiries_gvec@uq.edu.au Fax: 07 5460 1367 PLEASE ENSURE ALL SECTIONS OF THIS ENROLMENT FORM HAVE BEEN FILLED IN CORRECTLY, AND ARE TRUE AND CORRECT. FAILURE TO DO SO MAY RESULT IN YOUR ENROLMENT NOT BEING PROCESSED STUDENT DETAILS Title Surname Given Names USI Number (COMPULSORY) UQ Student ID LUI Number (if known): Date of Birth (A Certified copy of your Birth Certificate or Qld Drivers Licence is required) Gender Current Address Post Code Postal Address Post Code Phone (home) Phone (work) Email Mobile Fax (home) Fax (work) EMERGENCY CONTACT DETAILS Contact Name Relationship Email Mobile Phone Phone Work Phone (home) PARENT/GUARDIAN DETAILS (IF STUDENT IS UNDER 18 YEARS OF AGE) Contact Name (s) Contact Address (leave blank if same as Home Address) Post Code Phone Email Male Female OTHER DETAILS Employment Status Full Time Employee (more than 32hrs/week) Employed – Unpaid in a family business Part-time Employee (less than 32hrs/week) Unemployed – Seeking Full-Time /Part time Work Self Employed – Not employing other employees Education Achievements Are you still attending Secondary School? Yes No If Yes, which school? _____________________________________________________ What is your highest COMPLETED school level (please tick the appropriate) Did not go to school Completed Year 8 Completed Year 9 Completed Year 10 Completed Year 10 Completed Year 12 In what year did you complete this school level? ______________________________ Since Leaving School, have you COMPLETED any additional qualifications? Bachelor Degree or Higher Degree Diploma (or Associate Diploma) Certificate III (or Trade Certificate) Certificate II Advanced Diploma or Associate Degree Certificate IV (or Adv Technical Certificate) Certificate II Other Are you currently enrolled in any other educational program? Yes No If yes, please specify _____________________________________________________ Cultural Diversity Were you born in Australia Yes No If no, please indicate the city and country of birth (A certified copy of your Visa or Certificate is required) __________________________________________________________________________________________________________ When did you arrive in Australia? _____________________________________________________ Australian or New Zealand Citizen Are you: Permanent Resident of Australia Other Visa Holder ________________ Are you of Aboriginal or Torres Strait Islander Origin? No Aboriginal Torres Strait Islander Aboriginal & Torres Strait Islander Language Details Is ENGLISH your main home language? Yes No Do you use another language at home? Yes No If YES, what language? _____________________________________________ How well do you speak ENGLISH? (Not applicable if English is your first language) Very Well Well Not very well Not at all Medical Conditions/Disabilities Do you consider yourself to have a disability, medical condition, impairment or long-term condition? No Yes If Yes, please tick the appropriate box below: Hearing/Deaf Acquired Brain Impairment Physical Vision Intellectual Medical Condition Mental Illness Learning Disability Allergies Other: ________________ Do you require assistance? Please specify: _____________________________________________________ REASONS FOR ENROLLING IN STUDY Please tick the ONE box which best describes your reason? To get a job To develop my existing business To start my own business Change my Career Path To get a better job or promotion It was a requirement of my job I wanted extra skills for my job To get into another course of study For personal interest or self-development Other reasons Online (Please Specify) ________________ Brochure Word of Mouth School (Please Specify) ________________ Social Media (Please Specify) Other ________________________________ Open Day How did you find out about us? PROGRAM COST AND BILLING INFORMATION AHC50110 Diploma of Agriculture (Year 1 & 2) $3136.48 * Fees are indicative only and are based on the current Government of Western Australia Department of Training and Workforce Development course fee rates. Invoice to be delivered to: ☐Student ☐ Other (please provide details below) Contact name: Company name (if applicable): Billing address: Email: Phone: Please select your preferred payment options: Full deferment through VET FEE-HELP. (Please read the VET FEE-HELP information for 2015 booklet and then send a request to enquiries_gvec@uq.edu.au for the latest Request for Commonwealth Assistance form, please complete this form and return). To receive an invoice for your enrolment (Applicable only to students not deferring full fees through VET FEE-HELP). A partial upfront payment of $_________________ with the remainder deferred through VET FEE-HELP. An upfront payment for the full program cost. Progressive payments each semester (refer attached fee schedule for per semester costs). Note: Please refer to the 2015 Schedule of Fees before selecting your payment option. VET FEE-HELP applies only to the AHC50110 Diploma of Agriculture VET FEE-HELP is the Australian Government loan scheme and is available to eligible applicants to help pay part of or all of their full fees up to the FEE-HELP limit over their lifetime. This amount is indexed each year. Full details including eligibility criteria can be viewed on the Study Assist website http://studyassist.gov.au/sites/StudyAssist/ Applicants choosing to defer their semester payments through VET FEE-HELP are required to read the VET FEE-HELP Information for 2015 booklet before completing a Request for Commonwealth Assistance form. A Request for Commonwealth Assistance form can be requested through the GVEC Administration Office. The Western Australia Vocational Education and Training Fees and Charges policy applies. Fee caps and concession rates may apply for eligible students. For more information visit the fees section on the Future Skills WA website. PROGRAM STRUCTURE AND SCHEDULE OF FEES * OGRAM ST PROGRAM STRUCTURE AND SCHEDULE OF FEES * UCTURE AND SCHEDULE OF FEES M S* Courses/units are indicative and subject to change under review arrangements. Semester: 1, 2016 – Vet Unit of Study – Cost $784.12 29 February – 25 June 2016 Census date: 31 March 2016 Streams Animal Production Crop Production IDP academic courses AGRC1120D Agriculture and Biology MGTS1965D Learning and Communication LAND1120D Soil and Water Resources AGRC1125D Agricultural Mechanisation I AHC50110 Diploma of Agriculture (2 competencies) Foundations of Agriculture FA115MUR BSBCMM401A Make a Presentation AHCSOL401A Sample Soils and Interpret Results Plant Protection Semester: 2, 2016 – VET Unit of Study – Cost $784.12 25 July – 19 November 2016 Census date: 31 August 2016 Crop Production IDP academic courses Streams Animal Production ANIM1110D Animal Husbandry AGRC1130D Crop Agronomy MGTS1966D Rural Business I LAND1125D Land Management MGTS1968D Enterprise Compliance Systems AHC50110 Diploma of Agriculture competencies Agricultural Production AP215MUR AHCBUS508A Prepare and Monitor Budgets And Financial Reports AHCOHS501A Manage Occupational Health and Safety (OHS) Processes Plant Protection Semester: 1, 2017 (third semester of program) – VET Unit of Study - $784.12 1 March – 26 June 2017 (subject to change) Census date: 31 March 2017 Streams Crop Animal Production Production IDP academic courses ANIM1115D Animal Production Technology AGRC1140D Plant Production Technology AGRC1170D Plant Protection Technology MGTS1967D Rural Business Management and Human Resources II AGRC1135D Agricultural Mechanisation II AGRC1145D Experimental Techniques and Application AHC50110 Diploma of Agriculture (3 competencies) Agricultural Technologies AT116MUR AHCLSK505A Develop Production Plans for Livestock AHCBAC507A Develop Production Plans for Crops AHCBAC505A Plan and Manage Long-Term Weed, Pest and/or Disease Control in Crops AHCAGB503A Plan and Monitor Production Processes AHCWRK502A Collect and Manage Data Plant Protection Semester: 2, 2017 (fourth and final semester of program) – VET Unit of Study - $784.12 26 July – 20 November 2017 (subject to change) Census date: 31 August 2017 Streams Crop Production Animal Production Plant Protection IDP academic courses AGRC1175D Plant Protection Systems AGRC1150D Management of Agricultural Production Systems AGRC1155D Rural Business Management Systems AGRC1160D Case Study and Work Placement AGRC1165D Contemporary Issues in Agriculture AHC50110 Diploma of Agriculture (3 competencies) Agricultural Systems AS216MUR AHCAGB505A Develop a Whole Farm Plan AHCBUS506A Develop and Review a Business Plan AHCBUS507A Monitor and Review Business Performance Fee Schedule Notes: * Courses/units are indicative and subject to change under review arrangements. IMPORTANT INFORMATION BEFORE SIGNING YOUR ENROLMENT FORM Academic courses or units of competency are subject to change under review arrangements. Students are not required to choose their stream until the second Semester. Streams are conditional upon minimum numbers of enrolments. Part-time enrolments are considered on a case-by-case basis and are only permissible upon approval by the Training Manager. VET FEE-HELP is applicable to the Diploma of Agriculture only. Costs contained in the above Schedule of Fees also apply to students who may be seeking Recognition of Prior Learning (RPL) where applicable. This Schedule of Fees and program structure is correct at 07/10/2015 and is applicable to students commencing in Semester One, 2016. Fees are indicative only and are charged on a nominal hour basis as per the current Government of Western Australia Department of Training and Workforce Development (DTWD) course fee rates. Nominal hours will vary for students approved for RPL or Credit Transfer. Diploma of Agriculture charges apply to concessional and non-concessional students. PRIVACY / PERMISSION STATEMENT / DECLARATION Information on this form will be used for your enrolment and other official University purposes. I certify that: The information on this application form is correct and complete. I have read the UQ-GVEC Code of Practice. I have read, signed and returned the USI Privacy Notice with my enrolment form. I understand that: UQ-GVEC reserves the right not to offer a program and cancel enrolments in a program based on consideration of student numbers and resource allocation. UQ-GVEC may vary or cancel any decision it makes if the information I have given is incorrect or incomplete; UQ-GVEC is not responsible for documents submitted, and the documents become the property of the University; UQ-GVEC will store your personal information securely; UQ-GVEC will not disclose my information without my consent unless required or authorised by law; UQ-GVEC is collecting the information in this form for the purpose of assessing my eligibility for the Higher Education Loan Program under the Higher Education Support Act 2003 and allocation of a Commonwealth Higher Education Student Support Number to me; UQ-GVEC will disclose this information to the Australian Government for those purposes; The Australian Government will store the information securely; and UQ-GVEC and the Australian Government will not otherwise disclose the information without my consent unless required or authorised by law. I agree to: Notify UQ-GVEC if there is any change to the information I have given in this application; Permit UQ-GVEC to access my results from other institutions directly or through Qualsearch when assessing this application; Comply with the rules on admission and enrolment at The University of Queensland/UQ-GVEC; Comply with the Statutes and Rules and with the decisions of the constituted authorities of the University so far as they may apply to me. Student Signature:________________________________________ Date: _____________________ If under 18, Parent/Guardian Signature: _______________________________ TRUCTURE AND SCHEDULE OF FEES * Date: _____________