Application Form

CHCCSS00093 Alcohol and Other Drugs Skill Set

Course Application


CHCSS00093 Alcohol and Other Drugs Skill Set


1)  The AOD Skill Set is available only to full fee-paying students

2)  Please ensure you enter your Unique Student Identifier (USI) at the time of applying
3)  Please upload certified copies of all relevant qualifications including statements of results to assist with assigning credit transfers and or Recognition of Prior Learning

4) This form collects information required to meet enrolment and data reporting requirements 

5) You will be contacted promptly once you submit your application. 

6) This form enables you to record your signature online at the Privacy section 

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 (*) are required.  

 Your Personal Information

Please enter your personal details below. Ensure you enter your name details exactly the same as those registered for your Unique Student Identifier.
First Name *
Surname *
Middle Name
Birth Date *
Preferred title

Contact Details

The following details are required for your application.


Mobile Phone 
Work - Phone Number
Home Number
E-mail Address
Your Residential Address  *

Street Address 1 (house/unit/building number)
Street Address 2 (street name)
Suburb/Town/Locality
State
Post Code
Country
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
Suburb
State
Post Code
Country
Emergency Contact Details
Please tell us the name and contact details of a person to contact in an emergency

Gender and Citizenship 

Please tell us about your gender and citizenship status.  *
Please indicate your gender - select one only  *
In which country were you born?  *
In which city were you born?  *
Country of citizenship  *
Australian Citizenship Status  *
Do you identify as being of Aboriginal and or Torres Strait Islander origin?  *

Employment

In this section we require you to tell us about aspects of your employment status. 
Which of the following categories BEST describes your current employment status  * 
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  *

Language and Cultural Diversity

In this section we are seeking information about the languages you speak. *  
Do you speak a language other than English at home?
If you speak more than one language, which language is most often spoken at home?
How well do you speak English?
If English is not your first language, have you undertaken an accredited TOEFL or IELTS test in the last 18 months? If you choose YES then please upload a certificate later in this form.
Education History
What is your highest COMPLETED school level?  *
In which YEAR did you complete that school level?  * 
Are you still attending secondary school?  *

Disability Status  * Please not that Not Stated is not a valid response. Please answer YES or NO.

If you indicated the presence of a disability, impairment or long-term condition, please select the area(s) in the following list. You may indicate more than one area.

Previous qualifications achieved  *

In this section we require information related to previously achieved qualifications, including the level and the country they were achieved
Have you SUCCESSFULLY completed any of the following qualifications? Please note that in Victoria Not Stated is not a valid response - so please choose only Yes or No.
What level of qualification have you successfully completed?  *
In regards 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)
Upload notarised copies of your Qualifications. If uploading multiple files please add to one 'Zip' file to upload. 

Unique Student Identifier & Victorian Student Number

This information sought in this section relates to your Unique Student Identifier and the Victorian Student Identifier.  We also ask that you provide us with details of an emergency contact person.

Since 1 January, 2015, Odyssey Institute 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). 

If you have not yet obtained a USI you can apply for it directly via computer or mobile device by following this link http://www.USI.gov.au/create-your-USI/.

Please enter your Unique Student identifier 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 already have a VSN please enter it in the number field below. 

If you have one, enter your VSN here: 

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: 

Study Reason and Recognition of Prior Learning (RPL)  *

Please tell us about your reason for undertaking this training and whether you wish to apply for RPL
Of the following categories which best describes your main reason for undertaking this course *

Recognition of Prior Learning & Credit Transfers

If you wish to apply for Recognition of Prior Learning or have completed some of the study units before enrolling with us you may be eligible to have these units recognised as Credit Transfers. Credit Transfers apply when you provide evidence of having completed the same unit of competency at another RTO. To gain credits or commence the RPL process, your Academic transcripts (statement of results) MUST be attached below at the time of application. 

I have achieved the following competencies at another training provider and wish to have Credit Transfer/s recorded.
Upload notarised copies of your Academic Transcripts, statements or attainment or results.  If uploading multiple files please add to one 'Zip' file to upload. 

Study Assistance

Odyssey Institute's training programs are provided with an online component. We would also like to know if you are aware of any areas of support that you feel you may need to assist you to complete our programs successfully.

Other

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

How did you first hear about this course? * 
What was your reason for choosing Odyssey House for this training?
Do you have any literacy or numeracy issues that may affect your studies? 
Please outline any literacy or numeracy issues below. 

Payment Information

Please tell us how the course fees are to be paid?
Payment Details

Who will be paying for your study? * 

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

Company Address

Street Address 1
Street Address 1
Suburb
State
Email address

How do you intend to pay for your training? * 

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.

Under the Data Provision Requirements 2012, Odyssey House Victoria 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 and your training activity data) may be used or disclosed by Odyssey House Victoria for statistical, regulatory and research purposes. Odyssey House Victoria may disclose your personal information for these purposes to third parties, including:

·       Employer - if you are enrolled in training paid by your employer;

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

·       NCVER;

·       Organisations conducting student surveys; and

·       Researchers.

Personal information disclosed to NCVER may be used or disclosed for the following purposes:

·       Issuing a VET Statement of Attainment or VET Qualification, and populating Authenticated VET Transcripts;

·       Facilitating statistics and research relating to education, including surveys

·       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 an NCVER student survey which may be administered by a government department or NCVER employee, agent or third party contractor or other authorised agencies. Please note that 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 VET Data Policy and all NCVER policies and protocols (including those published on NCVER’s website at www.ncver.edu.au).

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 House Victoria 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).

Odyssey Institute provides data to the Department in accordance with the Victorian VET Student Statistical Collection Guidelines, available at http://www.eucation.vic.gov.au/providers/rto/Pages/datacollection.aspx

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.

NCVER will collect, hold use and disclose your personal information in accordance with the Privacy Act 1988 (Cth), the National VET Data Policy and NCVER policies and protocols (i8ncluding those published on NCVER’s website at www.ncer.edu.au).

Consequences of not providing your information – Failure to provide yoru 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 n the first instance by phone (03 8537 7111 or email cwilliams@odyssey.org.au.

Further information – For further information about the way the Department collects and handles personal information, including access, correction and complaints, go to http://www.education.vic.gov.au/Pages/privacy policy.aspx.

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:

o   Applying for, verifying and giving a USI;

o   Resolving problems with a USI; and

o   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:

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

o   Education and related policy and research purposes; and

o   To assist in determining eligibility for training subsidies.

·       VET regulators top 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 536international 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 practicable 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.

Student Declaration and Consent

I declare that the information I have provided is, to the best of my knowledge, true and correct.

I acknowledge that Odyssey Institute will collect, use and disclose my personal information in accordance with the Privacy Notice/s above.

Digital Signature
Date
Privacy Statement *
Digital Signature
Student Acknowledgement *
Digital Signature
Date
Parent/Guardian Statement
(consent is required for all students under the age of 18)  Contact studentadmin@odyssey.org.au for assistance if you are under 18 years of age at the time of applying to enrol in an Odyssey Institute training program.