Enrolment Form (Muresk Institute)

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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: _____________
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