Application Form

Course Application

Good news about eligibility!

DET Victoria has opened access and eligibility for government supported training places to help alleviate skills and workforce shortages including for working with clients with alcohol and other drug issues! From 1 January 2023 DET and the Victorian government are removing the upskilling rule for access to all government-subsidised training in Victoria meaning more Victorians will have access to government-funded courses. This means that you can access a funded place in Odyssey’s Certificate IV in Alcohol and Other Drugs regardless of any other qualifications you hold! And your course fees will be very low!

The Certificate IV in Alcohol and Other Drugs delivery includes the opportunity for students to participate in Zoom web-conferenced sessions scheduled regularly throughout the program delivery. Participation in these sessions is optional however strongly recommended. Sessions are recorded and may be accessed after the scheduled event. We hope you enjoy your studies with Odyssey!

1. This form collects information required to meet enrolment and data reporting requirements

2. Please ensure you enter your name as it is recorded for the Unique Student Identifier (USI) at the time of applying

3. lf you are seeking RPL or Credit Transfers please upload certified copies of all relevant qualifications including statements of results to assist with assigning Recognition of Prior Learning and Credit Transfers

4. You will be contacted promptly once you submit your application.

5. You are required to record your digital signature in some parts of this form (pages 11 and 12)

6. On page 8 we ask you about your Study Preferences and seek further information to assist us ensure this program meets your needs.

7. If you are seeking to have your enrolment funded under government subsidy then please complete the additional questions on page 11 - you will also be invited to participate in a pre-training interview with an Odyssey senior trainer.

8. All students will be invited to an orientation session prior to course commencement and when we will demonstrate how to navigate our online learning management system.

This form is expected to take approximately 20 minutes to complete. You may save the form and return to your progress at a later time.

PLEASE NOTE: All fields marked with an asterisk (*) collect information that is mandatorily required.

Your Personal Information

On this page we ask you to provide us with your personal information. Note that we give applicants the opportunity to provide us with their preferred pronoun, noting that this is optional.

1. Enter your full name

Single name only

Tick this box if you have one name only that cannot be written in the following format. Write your single name in the ‘Family name section).

Title

Family Name (Surname) *

First Given Name *

Second Given Name (Middle name)

2. Enter your Birth Date *

3. Gender - (tick ONE box only) *

Gender identity not stated

Female

Male

Indeterminate/Intersex/Unspecified

Preferred Pronouns (optional)

Your contact details

The following details are required for your application.

4. Enter your contact details

Home phone *

Mobile Phone *

Work Phone *

E-mail Address *

Alternative Email address

Your Residential Address *

Street Address 1 (house/unit/building number)

Street Address 2 (street name)

Your Postal Address (only complete this section if it is different from your residential address)

Street Address 1 (building/unit/house/PO Box)

Street Address 2

Please provide the physical address (street number and name not post office box) where you usually reside rather than any temporary address at which you reside for training, work or other purposes before returning to your home. If you are from a rural area use the address from your state or territory's 'rural property addressing' or 'numbering' system as your residential street address. Building/property name is the official place name or common usage name of an address site including the name of a building. Aboriginal community, homestead, building complex, agricultural property, park or unbounded address site. Please enter in the fields below;

Building/Property Name

Address - Home - Unit/Flat Number

Address - Home - Street/Lot Number *

Address - Home - Street Name *

Address - Home - Suburb/Town *

Address - Home - State *

Address - Home - Post Code *

Language and Cultural Diversity

Please tell us about your citizenship status. *

7. In which country were you born? *

If your country is not above, please tell us the country of your birth

In which city were you born?

Nationality

Country of Citizenship

Australian Citizenship Status

8. Do you speak a language other than English at home? *

If you indicated 'Yes' in the question above, please tell us the language spoken most often.

9. Do you identify as being of Aboriginal and or Torres Strait Islander origin? *

Disability/impairment/long-term condition

In this section we require you to tell us about disability, impairment or long-term condition that you may experience.

10. Do you consider yourself to have a disability, impairment or long-term condition? If No go to question 12. * (Please choose Yes or No only)

Not Stated

No

Yes

11. If you indicated the presence of a disability, impairment or long-term condition, please select the area(s) in the following list.

Schooling

On this page we are seeking information about your schooling and qualifications completed.

12. What is your highest COMPLETED school level? *

If you are currently enrolled in secondary education, the Highest school level completed refers to the highest school level you have actually completed and not the level you are currently undertaking. For example, if you are currently in Year 10 the Highest school level completed is Year 9.

What year did you complete your highest school level?

13. Are you still enrolled in secondary or senior secondary education? * (Please choose Yes or No only)

Not Stated

No

Yes

14. Have you SUCCESSFULLY completed any of the qualifications listed in question 15? *

Yes

No

15. If you selected YES at question 14, please select any of the following: *

In regard the qualifications you have indicated above, please choose one of the following Prior Education Achievement Recognition Identifiers from the list below (that is where you achieved the qualification)

Employment & Study Reason

On this page we seek information about your employment status and reason for undertaking this study.

16. Of the following categories, which BEST describes your current employment status? (please select only one)*

For casual, seasonal, contract and shift work, use the current number of hours worked per week to determine whether full time (35 hours or more per week) or part-time employed (less than 35 hours per week).

17. Of the following categories, select the one which BEST describes the main reason you are undertaking this course/traineeship/apprenticeship (Tick ONE box only) *

Which of the following CLASSIFICATIONS best describes your current or recent occupation? *

Which of the following classifications BEST describes the industry of your current or previous employer? *

Unique Student Identifier & Victorian Student Number

Unique Student Identifier (USI)

From 1 January 2015, Odyssey can be prevented from issuing you with a nationally recognised VET qualification or statement of attainment when you complete your course if you do not have a Unique Student Identifier (USI). In addition, we are required to include your USI in the data we submit to NCVER. If you have not yet obtained a USI you can apply for it directly at https://www.usi.gov.au/students/create-your-usi/ on computer or mobile device

You may already have a USI if you have done any nationally recognised training, which could include training at work, completing a first aid course or RSA (Responsible Service of Alcohol) course, getting a white card, or studying at a TAFE or training organisation. It is important that you try to find out whether you already have a USI before attempting to create a new one. You should not have more than one USI. To check if you already have a USI, use the ‘Forgotten USI’ link on the USI website at https://www.usi.gov.au/faqs/i-have-forgotten-my-usi/.

18. Unique Student Identifier (USI) * Please enter your USI in the space below

Victorian Student Number (VSN)

All students who are aged 24 or younger will require a Victorian Student Number (VSN).

If you have left school, you may obtain a copy of your VSN by emailing the Victorian Student Number operations team. You will need to attach a photo or a scanned copy of your legal photo identification, such as a passport, drivers license or learners permit. In the text of your email state your full name, date of birth and the name of the school you last attended.

Email address is: vsr@education.vic.gov.au

If you already have a VSN please enter it in the number field below:

If you don't yet have a VSN and are aged 24 or younger please tick the checkbox below and leave the number field above empty.

If you've been allocated a VSN but no longer recall the number please tick the final checkbox and leave the others blank. If you didn't enter a VSN please tick one of the following:

I am new to the Victorian Education System. I have never attended a Victorian school, TAFE or other training provider.

I have been allocated a VSN in the past but no longer recall the number and have no record of it.

Additional information to assist us to meet your study needs

Please tell us about any additional needs you may have and information about how you learnt about Odyssey Institute.

Are there ways in which you might need assistance with your study?

Basic computer skills

Internet research including uploading/downloading files

Skills in MS Word - copying/pasting/moving text, saving files

Skills in editing PDF files

Academic referencing

Language and literacy support

Other

I do not need any additional support

If you answered 'Other' above, please provide more information below

If you chose language or literacy support, please outline details below - our support team will contact you to discuss.

Please let us know of your study preferences

Please let us know about the times you prefer to participate in trainer lead web conferenced sessions

What was your reason for choosing Odyssey House for this training?

How did you first hear about this course? *

Recognition of Prior Learning (RPL) and Credit Transfer

On this page we are seeking information about your intentions for seeking RPL and or credit transfers.

Recognition of Prior Learning and Credit Transfer *

I wish to apply for RPL and or gain Credit Transfers

Yes I wish to apply for RPL

Yes I have a statement of attainment for one or more of the AOD Skill Set units

No I do not wish to apply for RPL or Credit Transfer

Are you currently employed in role or organisation that involves working with clients with alcohol and other drugs issues? *

Yes

No

Please provide a brief overview of your work history *

List any short courses or conferences attended

If you are a volunteer please specify how long you have been a volunteer in an organisation that supports people with AOD issues (eg how many hours per week for how long?)

If you are seeking RPL or Credit Transfer please upload relevant documents below. Note for Credit Transfer we require a verified copy of a statement of attainment.

Payment Information

Please tell us how the course fees are to be paid

Payment Details

Who will be paying for your study? *

I am paying myself

My employer is paying (please provide employer details in the next section

I am an Odyssey House employee

Employer/Company Name

Contact details of your employer's relevant officer eg Finance Manager's/Officer (whichever is relevant)

Email address

Company Address

Address - Billing - Unit/Flat Number

Address - Billing - Street/Lot Number

Address - Billing - Street Name

Address - Billing - Suburb

Address - Billing - Post Code

Address - Billing - State

How do you intend to pay for your training? *

One off upfront payment

Direct Deposit (Bank Transfer)

EFTPOS payment over the phone

By Payment Plan for full fee paying students only. Our Student Coordinator will contact you to negotiate a payment plan. Your initial payment must be made on completion of your enrolment.

In relation to fees, I understand that I will be required to pay a $75 non-refundable course administration fee. For further information about fees, charges and refunds please go to our website at this address: https://education.odyssey.org.au/

I understand

Eligibility for government supported training

On this page you are to provide us with information to assist us to determine if you are eligible for government supported funding under the Skills First program for the Certificate IV in Alcohol and Other Drugs. A senior Odyssey Institute officer will also assess your eligibility for Skills First Funding before granting approval based upon the information you provide us. This form and the evidence you provide will be checked by a senior Odyssey Officer to confirm your eligibility and will be retained on our student records system.

PLEASE DO NOT LEAVE ANY SECTION BLANK - Contact studentadmin@odyssey.org.au if you do not understand any question or section of this form

Are you applying for a government supported training place? *

If you answer 'No' then please sign and date the declaration at the bottom of this page and go to the next page.

If you answer 'Yes' then please answer all questions and sign and date the declaration at the bottom of this page.

Yes - I believe I am eligible for government supported training because I have not completed any other courses at the Certificate IV level or higher.

Yes - I believe I am eligible for a government supported training because I am a jobseeker and eligible for the JobTrainer initiative

No - I am not seeking government supported training (Skip the rest of these questions and go to the next page)

Q 1. What is the highest qualification, not including secondary or high school) that you have COMPLETED or EXPECT TO COMPLETE at the time the training you are applying for is scheduled to start? (Please include the code and full title of qualification if possible, eg. Certificate III in Aged Care. If you have not completed any qualifications, write not applicable)

Evidence of Citizenship/Residency and Age

In order to be approved for government-subsidised training you must provide us with evidence of citizenship, residency and age. Please attach a CERTIFIED copy of ONE the following

Please attach a certified copy of the evidence item above to this application.

Q 2. How many other government funded courses have you enrolled in that will start in the same calendar year as the course/s you are applying for now? (DON'T include the courses you are applying for now. DO include other course/s at this and other training providers you've enrolled in, but haven't started yet).*

Q 3. In your lifetime, how many government subsidised courses have you started (commenced) that are at the same course level (e.g. Certificate IV, Diploma) as the one you are applying for now? * If you are applying for a course on the Foundation Skills list, tick not applicable - Note that Odyssey Institute does not provide Foundation Skills courses.

Q 4. Not including the course/s you are seeking to enrol in now, how many other government subsidised courses are you undertaking training in at the moment? *

Q 5. Are you seeking to enrol in a qualification under the JobTrainer initiative? (Note: You can only enrol in one qualification under the JobTrainer initiative, if you check 'No' then please upload your evidence of identification, sign this form and go to the next page.

Yes

No

Q 6. If you answered YES to question 5, have you previously started a qualification under the JobTrainer Initiative?

Yes

No

Q 7. If you answered YES to question 6 above, are you applying to recommence in the same qualification that you already commenced under the JobTrainer Initiative?

Yes

No

Q 8. Are you 17 - 24 years of age?

Yes

No

Q 9. Are you a JobSeeker?

Yes

No

Q 10. If you answered 'YES' to question 9, tick any of the following boxes if they apply to you. Please upload or email a verified copy of this documentation to studentadmin@odyssey.org.au

I have a current and valid Health Care Card, Pensioner Concession Card or Veteran’s Gold Card

I have a separation certificate from my employer

I have a letter from my employer or a company receiver (on a company letterhead) that says I have been, or will be, made redundant or retrenched

Q 11. If you did not check any boxes at Question 10 above, you can make a declaration here that you are unemployed by ticking the box beside the statement

I declare that I am currently unemployed.

Concession Card

Please attach a scanned copy or photo of your Eligible Concession Card. (Valid Healthcare Card, Pensioner Concession Card or Seniors Health Card) - if relevant

STUDENT DECLARATION & SIGNATURE

I, (print your full name in the space below)

In this following section you are to declare and state that the information you are providing is true and accurate and then sign and date this form.

Please select only one of the following options from this list

I AM enrolled in a school, including government, non-government, independent, Catholic or home school

I AM NOT enrolled in a school, including government, non government, independent, Catholic or home school

Please select both boxes in this section and then sign and date the form.

I understand that my enrolment in the above qualification/s may be subsidised by the Victorian and Commonwealth Government under the Skills First Program. I understand how enrolling in the above qualification/s will affect my future training options and eligibility for further government subsidised training under the Skills First program.

I acknowledge and understand that I may be contacted by the Department of Education and Training or an agent to participate in a survey, interview or other questionnaire.

.... in seeking to enrol in the CHC43215 Certificate IV in Alcohol and Other Drugs, I declare and confirm that the information I have provided is true, accurate and current, and am entering my name here as a signature. (Odyssey Institute considers entering your name as a signature and will not process your application unless you sign this section)

Date

Privacy Notice & Student Declaration

Privacy Notice

Please read this section carefully – you will be required to acknowledge your understanding of this information at the end of the document. Signatures are required.

Under the Data Provision Requirements 2012, [insert RTO name] is required to collect personal information about you and to disclose that personal information to the National Centre for Vocational Education Research Ltd (NCVER).

Your personal information (including the personal information contained on this enrolment form), may be used or disclosed by [insert RTO name] for statistical, administrative, regulatory and research purposes. [insert RTO name] may disclose your personal information for these purposes to:

· Commonwealth and State or Territory government departments and authorised agencies; and

· NCVER.

Personal information that has been disclosed to NCVER may be used or disclosed by NCVER for the following purposes:

· populating authenticated VET transcripts;

· facilitating statistics and research relating to education, including surveys and data linkage;

· pre-populating RTO student enrolment forms;

· understanding how the VET market operates, for policy, workforce planning and consumer information; and

· administering VET, including program administration, regulation, monitoring and evaluation.

You may receive a student survey which may be administered by a government department or NCVER employee, agent or third party contractor or other authorised agencies. Please note you may opt out of the survey at the time of being contacted.

NCVER will collect, hold, use and disclose your personal information in accordance with the Privacy Act 1988 (Cth), the National VET Data Policy and all NCVER policies and protocols (including those published on NCVER’s website at www.ncver.edu.au).

For more information about NCVER's Privacy Policy go to https://www.ncver.edu.au/privacy.

Additional privacy statements related to the Victorian Government Department of Education and Training (the department)

The Victorian Government through the Department of Education and Training (the department), develops, monitors and funds vocational education and training (VET) in Victoria. The Victorian Government is committed to ensuring that Victorians have access to appropriate and relevant VET services. Any personal information collected by the Department for VET purposes is protected in accordance with the Privacy and Data Protection Act 2014 (Vic) and the Health Records Act 2001 (Vic).

Collection of your data – Odyssey Institute is required to provide the department with student and training activity data. This includes personal information collected in the Odyssey Institute enrolment form and unique identifiers such as the Victorian Student Number (VSN) and the Commonwealth’s Unique Student Identifier (USI).

Use of your data – The department uses student and training data, including personal information, for a range of VET purposes including administration, monitoring and planning, including interaction between the department and student where appropriate.

The data may be subjected to data analytics, which seek to determine the likelihood of certain events occurring (such as program or subject completion), which may be relevant to the services provided to the student.

Disclosure of your data – As necessary and where lawful, the department may disclose VET data, including personal information, to its contractors, other government agencies, professional bodies and or other organisations for VET-related purposes. In particular, this includes disclosure of VET student and training data to the Commonwealth and the National Centre for Vocational Education Research (NCVER).

Legal and Regulatory – The Department’s collection and handling of enrolment data and VSNs is authorised under the Education and Training Reform Act 2006 (Vic). The Department is also authorised to collect and handle USIs in accordance with the Student Identifiers Act 2014 (Cth) and the Student Identifiers Regulation 2014 (Cth).

Survey participation – You may be contacted to participate in a survey conducted by NCVER or a Department-endorsed project, audit or review relating to your training. This provides valuable feedback on the delivery of VET programs in Victoria. You may receive a student survey which may be administered by a government department or NCVER employee, agent, third party contractor or other authorised agencies. Please note you may opt out of the NCVER survey at the time of being contacted.

Consequences of not providing your information – Failure to provide your personal information may mean that it is not possible for you to enrol in VET and / or to obtain a Victorian Government VET subsidy.

Access, correction and complaints – You have a right to seek access to or correction of your own personal information. You may also complain if you believe your privacy has been breached.

For further information please contact Odyssey Institute’s Compliance Manager in the first instance by phone (03) 8537 7111 or email cwilliams@odyssey.org.au.

For further information about Unique Student Identifiers, including access, correction and complaints, go to http://www.usi.gov.au/Students/Pages/student-privacy.aspx

USI Privacy Notice

Consent for collection, use or disclosure of personal information

You are advised and agree that you understand and consent that the personal information you provide in connection with your application for a Unique Student Identifier (USI):

- Is collected by the Registrar as authorised by the Student Identifiers Act 2014

- Is collected by the Registrar for the purposes of:

- Applying for, verifying and giving a USI;

- Resolving problems with a USI; and

- Creating authenticated vocational education and training (VET) transcripts.

May be disclosed to:

Commonwealth and State/Territory government departments and agencies and statutory bodies performing functions relating to VET for:

- The purposes of administering and auditing VET, VET providers and VET programs.

- Education and related policy and research purposes; and

To assist in determining eligibility for training subsidies.

- VET regulators to enable them to perform their VET regulatory functions;

- VET Admission Bodies for the purposes of administering VET and VET programs

- Current and former Registered Training Organisations to enable them to delivery VET courses to the individual, meet their reporting obligations under the VET standards and government contracts and assist in determining eligibility for training subsidies;

- Schools for the purposes of delivering VET courses to the individual and reporting on these courses;

- The National Centre for Vocational Education Research for the purpose of creating authenticated VET transcripts, resolving problems with USIs and for the collection, preparation and auditing of national VET statistics;

- Researchers for education and training related research purposes;

- Any other person or agency that may be authorised or required by law to aces the information;

· Any entity contractually engaged by the Student Identifiers Registrar to assist in the performance of his or her functions in the administration of the USI system; and

Will not otherwise be disclosed without your consent unless authorised or required by or under law.

The consequences of not providing the Registrar with some or all of your personal information are that the Registrar will not be able to issue you with a USI.

Privacy Policies and Complaints

You can find further information on how the Registrar collects, uses and discloses personal information about you in the Registrar’s Privacy Policy or by contacting the Registrar on usi@education.gov.au or telephone 1300 857 536 international enquiries +61 2 6240 8740. The Registrar’s privacy Policy contains information about how you may access and seek correction of the personal information held about you and how you may make a complaint about a breach of privacy by the Registrar in connection with the USI and how such complaints will be dealt with.

You may also make a complaint to the Information Commissioner about any interference with privacy pursuant to the Privacy Act 1988., including in relation to the misuse or interference of our unauthorised collection, use, access, modification or disclosure of USIs.

In accordance with Section 11 of the Student Identifiers Act 2014, Odyssey Institute will securely destroy personal information which we collect from individuals solely for the purpose of applying for a USI on their behalf as soon as practicably after we have made the application or the information is no longer needed for that purpose, unless we are required by or under any other law to retain it.

Privacy Statement, Student Declaration and Consent *

I acknowledge that I have read and understood the National VET Data Policy Privacy Notice above

I acknowledge and agree to the terms described in the Privacy Statement & Student Declaration and Consent

I declare that the information I have provided in this form is true and correct at the time of completing.

Please type your name in this field as a form of digital signature agreeing to and acknowledging your understanding of the information outlined in the privacy notice and student declaration above.