Admissions Form

Domestic Student Form

Domestic Student Form

Courses Details (Tick Applicable Course)
Do you want to apply for Recognition of Prior Learning (RPL)
Do you want to apply for Credit Transfer (CT)

PARTICPANT DETAILS (As shown on Identification supplied)

Title:
Name
Name
First
Middle
Last
Gender:
Onshore Address:

RESIDENCY OR VISA DETAILS

Citizenship Type:

CULTURAL BACKGROUND

Do you identify as:

INDIVIDUAL NEEDS

Do you speak a language OTHER THAN English at home:
How well do you speak English?
Do you require assistance with Reading, Writing or Math?
Do you consider yourself to have a disability, impairment or a long term health condition:
If Yes, please indicate the areas of disability, impairment or long-term health conditions:
Do you require any special learning support:
Do you require any additional support in order to successfully complete your chosen course?

EMPLOYMENT

-

EDUCATION

Highest completed school level:
Are you currently enrolled in any studies:
Have you every successfully completed any following qualifications in Australia?

STUDY REASONS

which BEST describes your main reason for undertaking this course? (Tick ONE box only.)
How did you hear about the College:
Would you like Pinnacle Institute to contact you to further discuss your enrolment?

UNIQUE STUDENT IDENTIFIER (USI)

From 1 January 2015, Pinnacle Institute is 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.
UNI Consent

PRIVACY NOTICE

Why we collect your personal information
As a registered training organisation (RTO), we collect your personal information so we can process and manage your enrolment in a vocational education and training (VET) course with us. We will be unable to enrol you into your selected course should you not provide the requested information.
How we use your personal information
We use your personal information to enable us to deliver VET courses to you, and otherwise, asneeded, to comply with our obligations as an RTO.
How we disclose your personal information
We are required by law (under the National Vocational Education and Training Regulator Act 2011 (Cth) (NVETR Act)) to disclose the personal information we collect about you to the National VET DataCollection kept by the National Centre for Vocational Education Research Ltd (NCVER). The NCVER is responsible for collecting, managing, analysing and communicating research and statistics about the Australian VET sector.
We are also authorised by law (under the NVETR Act) to disclose your personal information to therelevant state or territory training authority.
How the NCVER and other bodies handle your personal information
The NCVER will collect, hold, use and disclose your personal information in accordance with the law, including the Privacy Act 1988 (Cth) (Privacy Act) and the NVETR Act. Your personal information may be
used and disclosed by NCVER for purposes that include populating authenticated VET transcripts; administration of VET; facilitation of statistics and research relating to education, including surveys and data linkage; and understanding the VET market.
The NCVER is authorised to disclose information to the Australian Government Department of Education, Skills and Employment (DESE), Commonwealth authorities, State and Territory authorities (other than registered training organisations) that deal with matters relating to VET and VET regulators for the purposes of those bodies, including to enable:
• administration of VET, including program administration, regulation, monitoring and evaluation
• facilitation of statistics and research relating to education, including surveys and data linkage
• understanding how the VET market operates, for policy, workforce planning and consumer information.
The NCVER may also disclose personal information to persons engaged by NCVER to conduct research on NCVER’s behalf.
The NCVER does not intend to disclose your personal information to any overseas recipients.
For more information about how the NCVER will handle your personal information please refer to the
NCVER’s Privacy Policy at www.ncver.edu.au/privacy.
If you would like to seek access to or correct your information, in the first instance, please contact your RTO using the contact details listed below. DESE is authorised by law, including the Privacy Act and the NVETR Act, to collect, use and disclose your personal information to fulfil specified functions and activities. For more information about how the DESE will handle your personal information, please refer to the DESE VET Privacy Notice at https://www.dese.gov.au/national-vet-data/vet-privacy-notice.
Surveys
You may receive a student survey which may be run by a government department or an NCVER employee, agent, third-party contractor, or another authorised agency. Please note you may opt out of the survey at the time of being contacted.
Contact information
At any time, you may contact Pinnacle Institute to:
• request access to your personal information
• correct your personal information
• make a complaint about how your personal information has been handled
• ask a question about this Privacy Notice
I give permission for Pinnacle Institute to record evidence of my participation and assessment, in written, verbal, photographic (including video) formats. I also give permission for Pinnacle Institute to use any recorded evidence for future promotional, commercial, and educational purposes. agree that Pinnacle Institute may use the email address supplied by the student as a point of contact for any information it deems necessary. I understand Pinnacle Institute is prevented from issuing a nationally recognised VET qualification or statement of attainment upon successful completion, if I have not provided a valid Unique Student Identifier (USI).

STUDENT DECLARATION AND CONSENT

I agree to undertake training with: During this program, I understand and acknowledge that:
• My rights and obligations, as defined in the Student Handbook.
• I will adhere to Pinnacle Institute code of conduct as outlined in the Student handbook.
• My obligation at all the times to conduct myself safely and in adherence to all relevant legislation.
• I will actively attempt all training and assessment tasks with serious effort.
• That I will comply with all safe and lawful requests, I will arrive on time and will return on time fromall breaks.
• That I will not bully, abuse, vilify or fail to treat all people participating, associated with, or in thevicinity of training venues with the utmost respect and courtesy.
Pinnacle Institute rights and obligations include:
• Provision of quality assessment services in a competent manner through the provision of qualityresources and staff.
• Assessment be performed by qualified assessors with the required knowledge and currency in theneeds of industry.
• Guaranteeing to provide assessment services to customers who have met their obligations aboutcompletion of enrolment details, and financial payments.
• Guaranteeing that if Pinnacle Institute cannot deliver a course, a full refund of all monies paid toPinnacle Institute will be refunded to the purchaser.
• Committing that training will not be offered to participants who fail to wear PPE or fail to pay for thecourse.
• Choosing to terminate a customer’s training if they fail to uphold these standards.
I acknowledge that I have read the above and declare that the information I have provided to the best ofmy knowledge is true and correct and that I have read and accepted the terms and conditions of the feesand refund policy as described in the Student Handbook. I am aware that Pinnacle Institute may use the email address I