DETAILSCourse Name*Date* Title*TitleMrMrsMissMsGender*GenderMaleFemaleDate Of Birth* First Name*Middle NameLast Name*UNIQUE STUDENT IDENTIFIER (USI)Unique Student Identifier (USI)*If you don't have a number, go to usi.gov.au and create one. This is a requirement by the Australian Government prior to enrolment. RTO's are not allowed to issue a nationally recognised statement of attainment without an USI.CONTACT DETAILSMobile Number*Home NumberWork NumberEmail*Postal Address*Suburb*State*QLDNSWACTVICSAWATASNTPostcode*CULTURAL DIVERSITYCountry Of Birth*Place Of Birth*Native Language*Australian Citizen?*Australian Citizen?YesNoEnglish Speaking?*English Speaking?Very WellAverageNot WellAboriginal Or Torres Strait Islander*Aboriginal Or Torres Strait IslanderNeitherAboriginalTorres Strait IslanderBothWhat Year Did You Arrive In Australia?*EMPLOYMENT STATUSEmployment Status*Full Time EmployeePart Time EmplyoeeCasual EmployeeSelf EmployedUnemployedEDUCATION INFORMATIONHighest Completed School Level*12 Years10 YearsLess Than 10 YearsWhere Did You Complete It?*Year Completed School*LUI Number (Students Only)*DO YOU NEED ENGLISH ASSISTANCE?I Need English Assistance Language Reading Writing Maths HAVE YOU COMPLETED ANY OF THE FOLLOWING QUALIFICATIONS?Qualifications Cert I Cert II Cert III Or Trade Certificate Cert IV Diploma Advanced Diploma Associate Bachelor Or Higher Degree MEDICAL CONDITION/DISABILITYMedical Disability I Consider Myself To Have A Permanent And/Or Significant Disability That May Affect My Training PLEASE SELECTMedical Condition Physical Intellectual Hearing Visual/Sight Chronic Illness Other DescriptionLT Training is committed to ensuring we offer training opportunities to all people on an equal and fair basis. All participants who meet our entry requirements will be accepted into any of our training programsOTHER INFORMATIONOur student handbook will be in hardcopy format available during your short course or we can email it to you before your course starts on request Students enrolled for a full qualification will receive a copy beforehand. Please take the time to familiarise yourself with our Student Handbook which contains loads of information for our students including our policies and terms and conditions.PRIVACY STATEMENTI declare that the information I have provided is true and correct. I am aware of the consequences that may arise from providing false, misleading or incomplete information, including the cancellation of my enrolment or the withdrawal of any offer made by LT Training.Privacy 1 I understand that LT Training is required to submit data sourced from this enrolment form to the national VET administrative collection as a regulatory reporting requirement. The information contained on my enrolment form may be used for administrative, regulatory and/or research purposes. This may include School - if I am a school based apprentice or trainee or VET in Schools, Employer - if I am enrolled in training paid by my employer, Government departments and agencies and authorised VET related bodies, VET regulators. Privacy 2 I understand that I may receive a National Centre for Vocational Education Research (NC VER) student survey. Privacy 3 Your employer may ask LT Training for a copy of your Certificate, Statement of Attainment or record of your results. I give permission for this information to be provided to my employer. Fees are levied on all of LT Training's programs. These fees are inclusive of course development, course notes, handouts, and delivery. Fees are payable at the time of enrolment. LT Training operates a refund policy, which is fair and equitable and in accordance with policy and procedures as set out in LT Training's Student Handbook. Cancellations received less than S (Five) working days prior to the commencement of the course will not be accepted. Exceptional circumstances will be considered on a case by case basis.Privacy 4* I acknowledge that I am entering into an agreement with LT Training and that each has a role to ensure a positive outcome. LT Training hereby agrees to provide the training, assessment and resources necessary for me to achieve this qualification and I acknowledge my role and responsibility in this agreement.