Enrolment Form - SmartSkill

Participant Details

Current School: *

Family Name: *

First Name: *

Middle Name: *

Gender: *

Date of Birth: *

Mobile Number: *

Personal Email: *

School Email: *

House/Unit No.: *

Street Name: *

Street Number: *

Suburb: *

State: *

Postal Address: *

If same as Home address, type 'As Above'

Current LUI?: *

LUI Number: *

Current USI?: *

USI Number: *

ID Provided (1): *

Medicare Card required for VETiS programs

ID Expiry Date(1): *

ID Copy(1): *

Please upload a copy (photograph is fine) of the required ID for your file. Maximum size of 1MB

ID Provided (2): *

The ID number

ID Expiry Date (2): *

ID Copy(2): *

Please upload a copy (photograph is fine) of the required ID for your file. Maximum size of 1MB.

Next of Kin: *

Relationship:: *

Contact Number: *

Statistical Information

Highest completed school level: *

Year completed: *

Successfully completed qualifications: *

If selected yes above, choose a completed qualification level: *

Select the highest qualification level completed

Qualification name and year complete: *

If you are currently doing a qualification please note it as well

Current employment status: *

Australian citizen or perminate resident: *

Aboriginal or Torres Strait Islander: *

Have a disability, impairment or long term condition: *

Where did you find out about us:

Student's expression of interest for subsidised training (VETiS)

VETiS Funding Agreement: *

I Agree

I Disagree

I understand that I am accessing my VETiS Funding Subsidy to complete this employment stream qualification at a Certificate II level and I am interested in obtaining employment in the hospitality industry.

DETConnect permission:: *

I Agree

I Disagree

I authorise Smartskill Pty Ltd to extract information from DETconnect to check my previous history of Vocational Education and Training in Queensland.

Date: *

School Confirmation (To be confirmed by your teacher. Teacher's name to be provided).

Please select a response: *

True

False

This student IS NOT enrolled-in and has not completed another other qualification under VETiS funding and will be eligible to apply for subsidized VET in School funding.

Please select a response: *

True

False

The student named above IS enrolled or has completed another qualification under VETiS funding, will not be eligible for funding and therefore a fee-for-service payment of $495 will be charged by Smartskill Pty Ltd to the School within 30 days of enrolment.

Please Confirm: *

Confirmed

Not yet confirmed

A OneSchool Student Profile or Independent School Profile extract is supplied as mandatory evidence required for confirmation of students current Queensland address as listed above.

Teacher's Name: *

Insert the name of the teacher supporting this enrolment.

Teacher's Position: *

(e.g. 'HOD Hospitality')

Date: *

Useful Documents

I have accessed the Student Handbook: *

Yes

Acknowledge that you have access to the Student Handbook Via the link. https://smartskill.com.au/sites/default/files/student_trainee_handbook_v...

I have accessed the VETiS fact sheet: *

Yes

Acknowledge that you have access to the VETiS Fact Sheet Via the link. https://desbt.qld.gov.au/training/training-careers/incentives/vetis

I have accessed the USI fact sheet: *

Yes

Acknowledge that you have access to the USI Fact Sheet Via the link. https://www.myskills.gov.au/media/1779/back-to-basics-unique-student-ide...