Application Form- Domestic Student

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Personal Details

Title
Basic - Radio buttons
First Name
Entity Data - Profile - First Name
Middle Name
Basic - Text
Family Name
Basic - Text
Preferred Name
Basic - Text
Date of Birth
Basic - Date
Gender
Basic - Radio buttons
Address
Entity Data - Address - Postal - Street Name
Suburb
Entity Data - Address - Home - Suburb
State
Entity Data - Address - Postal - State
Country
Entity Data - Address - Postal - Country
Post Code
Entity Data - Address - Postal - Post Code
E-mail Address
Entity Data - Contact - Home - E-mail Address
Mobile Number
Entity Data - Contact - Home - Mobile Number
I give permission for Invicta Technical College Pty Ltd to access my Unique Student Identifier (USI) for the purpose of recording my results.
If I do not have a USI in place, I am willing for Invicta Technical College Pty Ltd to set up my USI on my behalf.
Basic - Radio buttons
Unique Student Identifier (USI)
Entity Data - AVETMISS - Unique Student Identifier (USI)

Emergency Contact Details

First Name
Entity Data - Contacts - First Name
Surname
Entity Data - Contacts - Surname
Relationship
Entity Data - Contacts - Relationship
Phone Number
Entity Data - Phone - Home - Phone Number

AVETMISS Data Collection

Indigenous Status
Entity Data - AVETMISS - Indigenous Status
Country of Birth
Entity Data - Profile - Country of Birth
Main Language (Native Language)
Entity Data - AVETMISS - Main Language
Other Language (If Applicable)
Reference Data - Language
Proficiency in spoken English
Entity Data - AVETMISS - Proficiency in spoken English
Of the following categories, which BEST describes your current employment status?
Basic - Checkboxes
Do you consider yourself to have a disability, impairment or long-term condition?
Entity Data - AVETMISS - Disability Flag
If Yes, What is your Disability Type?
Entity Data - AVETMISS - Disability Type
What is your highest COMPLETED school level?
Entity Data - AVETMISS - Highest School Level
In which YEAR did you complete that School level?
Basic - Text
Have you successfully completed any of the following qualifications?
Entity Data - AVETMISS - Prior Education Flag
If YES, enter the applicable code(s)
Entity Data - AVETMISS - Prior Education Type
Do you wish to apply for Recognition of Prior Learning or Credit Transfer?
Basic - Radio buttons
Study Reason
Entity Data - AVETMISS - Study Reason
Do you consider that you have the literacy and numeracy skills to undertake the course?
Basic - Radio buttons

Core Skill Assessment

Reading
Read the paragraph below and answer the questions that follow- In warehouses and freight terminals across NSW, forklifts are used to lift, stack and transfer loads. WorkSafe NSW has a zero‐tolerance approach to the unsafe use of forklifts, considered one of the most dangerous pieces of equipment found at NSW workplaces. To be effective, a forklift must be manoeuvrable. To achieve manoeuvrability, forklifts are designed to be compact, making them less stable than other vehicles and mobile plant. Forklifts have a range of limitations, from maximum load weight to speed. These factors affect the operator and the forklift itself.

Writing

Why does WorkSafe NSW have a zero‐tolerance approach to the unsafe use of forklifts?
Basic - Text
To be manoeuvrable a forklift has certain characteristics compared with other vehicles and plan. What are these?
Basic - Text

Core Skill Assessment

Numeracy

The table below shows the minimum braking distance for common forklifts. Use the information in the table to provide estimated answers to the following questions.

Reaction distance and total stopping distance

Speed (km/h)

6

12

16

18

20

Distance travelled while driver reacts and applies brakes (m)

2.5

5

6.7

7.5

8.3

Maximum stopping distance (m)

2.9‐3.2

7‐8

9.5‐12

11‐14

13‐16.5

What is the maximum stopping distance if the forklift is travelling at 20 km/h?
Basic - Text
Even at 6km/h, a forklift driver will take _______________ metres to react and apply the
brakes. He will need at least _________________ metres to stop.
Basic - Text

STUDENT DECLARATION

By signing this form, I certify that the information provided is true and correct. I further certify that:

1. I have reviewed the Learner Handbook supplied to me and have been informed about and accept
my rights and obligations.

2. I have reviewed and accept the Schedule of Fees and Payments and have been informed of the
refund policy.

3. I have reviewed the Course Brochure and have been informed of and accept the training and
assessment services to be provided and the units of competency to be completed.

4. I have reviewed the National VET Data Privacy Policy Notice provided in the Learner Handbook and
acknowledge that Commonwealth and State or Territory government departments and authorised
agencies will use my personal information in accordance with this notice.
APPLICANTS SIGNATURE:
Basic - Digital Signature
Date
Basic - Date

Document Submission

100 Point Identification Check

1. Identification must be current and should include at least one type of photographic ID and identification that contains a signature and date of birth from the primary documents section (at least one document).

2. The point score of the documents produced must total at least 100 points.

DOCUMENTS

POINTS

Primary documents

·         Birth Certificate

·         Birth card issued by the NSW Registry of Births Deaths and Marriages

·         Citizenship Certificate

·         Current Australia Passport

·         Expired Australian Passport which has not been cancelled and was current within the preceding two years

·         Current passport from another country or diplomatic documents

70

Secondary documents – must have a photograph and a name. The first item from this list is worth 40 points. Any additional items used are worth only 25 points each

·         Current driver photo licence issued by an Australia state of territory

·         Identification card issued to a public employee

·         Identification card issued by the Australian or any state government as evidence

of a person’s entitlement to a financial benefit

·         Identification card issued to a student at a tertiary education institution

40

Document – must have name and address

·         Document held by a cash dealer giving security over property

·         A mortgage or other instrument of security held by a financial body

·         Council rates notice

·         Document from current employer or previous employer within the last two years

·         Land Titles Office record

·         Document form the Credit Reference Association of Australia

35

Document – must have name

·         Current credit card of account card from a bank, building society or credit union

·         Current telephone, water, gas or electricity bill

·         Foreign driver’s licence

·         Medicare card

·         Electoral roll compiled by the Australian electoral Commission

·         Lease / rent agreement

·         Current rent receipt from a licensed real estate agent

·         Records of a primary, secondary or tertiary education institution attended by the applicant within the last 10 years

·         Records of a professional or trade association of which the applicant is a member

25

Identity document 1
Basic - File
Identity document 2
Basic - File
Identity document 3
Basic - File