Participant Name
Course Start Date
Participant Number (Office Use Only)
Funding Contract? (Office Use Only)
NoYes (specify)
The following sections should be completed as indicated. Further assistance, or explanation of any parts of this document, are available by contacting us on 1300794683 (during business hours).
Section
Pg
Who should complete?
COURSE CONTENT AND STRUCTURE
2
Participant to select units to be included in the Training Plan and indicate if CT or RPL is sought for any units
ENROLMENT FORM
3/4
Participant to complete
COURSE FEE AGREEMENT / DURATION
5
SYDNEY HIGHER EDUCATION INSTITUTE to complete
PAYMENT DETAILS / REFUNDS
6
STUDENT ACCEPTANCE AGREEMENT
10
Participant to sign
EVIDENCE AND RTO DECLARATION
11
ENROLMENT CHECKLIST
12
To be awarded the qualification 10773NAT Certificate IV in TESOL, competency must be achieved in 12 units of competency consisting of 11 core units and 1 elective unit.
Area/Domain
Units
CT
RPL
T&A
TESOL
TAEDEL401A Plan, organise and deliver group-based learning
C
T & A
TESCUL401A Develop and apply knowledge of cultural factors affecting TESOL teachers
TESPRN402A Assist learners to improve pronunciation and speech
TESGRM403A Assist learners to learn or improve grammar
TESRES404A Source and develop resources to support learning
TESRED405A Assist learners develop reading and writing skills
TESSPK406A Assist learners develop speaking and listening skills
TESASS407A Assess language learning
TESMTH408A Apply a range of TESOL methodologies
E
TESTST409A Assist learners prepare for English language tests
TESCAL410A Use Computer Assisted Language Learning to assist learners
TESCHD412A Use creative strategies to assist children to learn English
Information regarding individual unit outcomes is available on request or by visiting http://training.gov.au/home/tga and searching for the appropriate Unit of Competency.
You are able to claim a Credit Transfer for a unit if you have already been granted competence by an RTO in that unit. When claiming a Credit Transfer you must present your original Certificate or Statement of Attainment showing the unit code and title. If the unit code and title do not match exactly, you may apply for RPL for that unit.
Do you wish to claim Credit Transfer for any of the units listed above?[checkbox* credit-transfer "Yes" ''No"]
RPL is available for individual units where you feel that you have gained the skills and knowledge required for that unit through work and life skills but have not had these formally recognised or where you hold a formal qualification that has been superseded and updated. Should you wish to apply for RPL for any of the above units you will be provided with an RPL kit explaining the process and outlining the evidence you will need to provide.
Do you wish to apply for RPL for any units in the Training Plan? ❑Yes ❑ No
The Training and Assessment option is selected by default unless you specify CT or RPL for each unit.
If you are enrolling in any accredited training you must provide a Unique Student Identifier (USI) prior to study. Apply for your USI at www usi.gov.au
Yes (enter the 10 alphanumeric characters)
Yes, but I don’t know my USI number (select how the USI will be obtained)
No ( select how the USI will be obtained)
SYDNEY HIGHER EDUCATION INSTITUTE to obtain USIParticipant to obtain USI*
*SYDNEY HIGHER EDUCATION INSTITUTE Training will not be able to issue any nationally recognised qualification or statement of attainment if a USI is not provided.
Gender (tick one box only)MaleFemaleOther
Enter your birth date:
Emergency Contact
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’s or territory’s ‘rural property addressing’ or ‘numbering’ system as your residential street address.
Are you of Aboriginal or Torres Strait Islander origin? (For persons of both Aboriginal and Torres Strait Islander origin, mark both ‘Yes’ boxes.)NoYes AboriginalYes Torres Strait Islander
In which country were you born? AustraliaOther - please specify
Are you still attending secondary school?YesNo
What is your highest COMPLETED school level? (Tick ONE box only.) Completed Year 12 or EquivalentCompleted Year 11 or EquivalentCompleted Year 10 or EquivalentCompleted Year 9 or EquivalentCompleted Year 8 or belowNever attended school Never attended school – go to next question
In which YEAR did you complete that school level?
Of the following categories, which BEST describes your current employment status? (Tick ONE box only.) Full-time EmployeeEmployed – Unpaid Worker in a Family BusinessPart-time EmployeeUnemployed – Seeking Full time WorkSelf Employed – Not Employing OthersUnemployed – Seeking Part-time WorkEmployerNot Employed – Not Seeking Employment
Do you speak a language other than English at home? (If more than one language, indicate the one that is spoken most often) No, English only (English only – go to next question)Yes, Other – Please Specify
How well do you speak English? Very wellWellNot WellNot at All
Do you consider yourself to have a disability, impairment or long-term condition? YesNo (No, go to next question)
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.) Hearing/DeafPhysicalVisionIntellectualLearningMedical ConditionMental IllnessAcquired Brain ImpairmentOther
Have you SUCCESSFULLY completed any of the following qualifications? YesNo (No, go to next question)
If Yes, tick ANY applicable boxes. Bachelor Degree or Higher DegreeCertificate III or Trade CertificateAdvanced Diploma or Associate DegreeCertificate IIDiploma or Associate DiplomaCertificate ICertificate IV or Advanced Certificate/TechnicianCertificates Other Than the Above
Was this qualification issued in Australia? YesNo
If No, has the qualification been formally recognised in Australia? YesNo
Are you an Australian Citizen or Permanent Resident of Australia? YesNo
Of the following categories, which BEST describes your main reason for undertaking this course/traineeship/apprenticeship? (Tick one box only.) To get a jobIt was a requirement of my jobTo develop my existing businessI wanted extra skills for my jobTo start my own businessTo get into another course of studyTo try for a different careerFor personal interest or self-developmentTo get a better job or promotionOther reasons
Instalment type
Amount
Becomes Payable (enter event or specific date)
These fees must be paid according to the terms of the Tax Invoice rendered.
Please refer to the Participant Handbook for further information regarding fees and charges. The Handbook is provided as part of this induction and enrolment.
Initial payment can’t be more than $1,500, and instalment plan must meet conditions in section 5.3 of the RTO Policies and Procedures.
Additional Copies of Certificates/Statements of Attainment
$25 per certificate
This course is delivered over a period of one year.
This course is due to commence on The expected completion date is
Extensions may be granted at the discretion of Sydney Higher Education Institute . Requests for extensions must be made in writing and received by Sydney Higher Education Institute no less than 10 working days prior to the expected completion date.
Where no request for extension is received by Sydney Higher Education Institutethis enrolment will be deemed finalised as of the expected completion date and a Statement of Attainment will be issued for any completed units. Reinstatement of the course after this time will constitute a new enrolment and relevant fees will apply.
Sydney Higher Education Institute may also choose to cancel this enrolment if the training schedule is not maintained and no agreement for alteration to the schedule has been reached. Sydney Higher Education Institute will make every effort to maintain contact with the participant but does not accept liability in instances where the participant does not respond to attempts to make contact.
Payment method: Credit CardDirect DebitCheque / Money orderCash
The payment details you provide on this form will be processed after all paperwork has been completed and your enrolment can be confirmed by Sydney Higher Education Institute.
For cash, cheque or money order – please present to Sydney Higher Education Institute Staff with this document.
For credit card payment, see below:
For funds transfer, see below:
Please make payments by direct debit to:
Sydney Higher Education Institute
BSB: 012332
Account: 409094276
Ref: Please quote name
I agree to my credit card being debited in accordance with the above Course Payment Schedule.
The total amount that will be debited against this enrolment will be $
Card type:VISAMASTERCARDAMERICAN EXPRESS
Card number:Expiry date:
Card holder’s name:
Prior to the course commencement date
For written cancellations received greater than five (5) business days prior to the course commencement date, we will refund all monies paid for that enrolment.
For written cancellations received less than five (5) business days prior to the course commencement date, no refund will be given.
Please refer to the Participant Handbook for further information regarding Sydney Higher Education Institute’s Fees, Charges and Refunds Policy. The Participant Handbook is available from the Sydney Higher Education Institute website.
Sydney Higher Education Institute collects participant information and training activity data which may include information provided in this enrolment form and provides this information to relevant Funding Bodies, State Training Authorities and the National Centre for Vocational Education Research (NCVER). Sydney Higher Education Institute is required to provide this information in accordance with the AVETMISS reporting guidelines and to collect and store this information in accordance with the Australian Privacy Principles.
The information provided is used for planning, administration, policy development, program evaluation, resource allocation, reporting and/or research activities. For these and other lawful purposes, the relevant State Training Authority or the NCVER may also disclose information to its consultants, advisers, other government agencies, professional bodies and/or other organisations. The NCVER may contact past and present students for the purpose of engaging them in surveys or endorsed projects, or for audit or review purposes.
For more information in relation to how participant information may be used or disclosed please contact the Sydney Higher Education Institute office on 1300794683 (during business hours).
Please read the following statements and then sign at the bottom of the page:
I acknowledge and accept the terms described in the Privacy Statement.
I acknowledge and accept that from time to time, Sydney Higher Education Institute may contact me with information about other services they provide which may be of benefit to me and my business.
The selection of units and schedule for delivery are suitable for my needs and I am able to meet the entry requirements of this course.
I have made Sydney Higher Education Institute aware of any special needs I may have in relation to the delivery and assessment of this course and that suitable support options have been discussed.
I understand and accept the fees and charges as detailed in the Course Fees Agreement.
I declare that the information provided to Sydney Higher Education Institute in application for study is to the best of my knowledge true, correct and complete at the time of my enrolment/application.
I acknowledge that providing any false information and/or failing to disclose any information relevant to my application for enrolment and/or failure to complete an application/enrolment from may result in the withdrawal of any offer, particularly as it relates to my eligibility to obtain an offer for government subsidised training, and/or cancellation of enrolment at the discretion of my Registered Training Organisation.
I understand that it is my responsibility to provide all relevant and required documentation as specified above.
I authorise Sydney Higher Education Institute to obtain any information regarding my enrolment and participation in any training and assessment program provided by any educational institution. This information may include: details of qualifications obtained, Statements of Attainment, Statements of Results and dates on which these were achieved and awarded.
I authorise Sydney Higher Education Institute to release information regarding details of qualifications obtained, Statements of Attainment, Statements of Results and dates on which these were achieved and awarded, to Government departments and licencing and regulatory bodies.
I understand and agree that Sydney Higher Education Institute may withhold the issuance of relevant Certificate documentation until all agreed fees have been paid.
By signing below, I acknowledge and agree to the above statements.
Participant name
Date
For participants under 18, this enrolment must be approved by a parent or guardian. Please have them sign below:
Guardian name
Please ensure a copy of the evidence sighted is retained on the participant’s file
Identity (ALL participants MUST provide proof of identity)
Age
Australian Citizen
Permanent Resident
New Zealand Citizen
Australian Temporary Resident
Concession Eligibility
State Residency
Australian Birth Certificate Number:
Current Australian Passport Number:
Current New Zealand Passport Number:
Current International Passport Number:
Australian naturalisation certificate Number:
Current green Medicare Card Number:
Current drivers licence Number:
Current learner permit Number:
Letter of confirmation from employer Number:
Current Pensioner Concession Card Number:
Current Health Care Card Number:
Current Veterans Concession/Pensioner Card Number:
I declare that I have sighted the original, or certified copies of the original, documents indicated above.
RTO delegate name
Position
Based on discussion with the participant, the above evidence, and the information provided to me by the participant I believe that the above individual satisfies eligibility criteria for relevant training subsidies.
Participant Name:
Induction Date:
Region:
Enrollment conducted by:
Funding Type:
Fee Charged:
Activity
Confirm
Notes/Comments/Action
Course Content and Structure discussed and confirmed as meeting participant’s needs? (As per relevant Circle Chart)
Yes
Course requirements discussed and participant’s suitability for enrolment confirmed? (Use the Pre-Course Evaluation to assist in assessing participant’s suitability)
Course schedule discussed and provided to participant?
RPL or CT applied for?
YesNo
If “Yes” appropriate forms provided?
Enrolment Form section is complete and compliant?
Funding opportunities and eligibility criteria discussed?
If “Yes”, appropriate documentation completed and attached?
Tuition and Course Fees discussed and agreed
Student Acceptance Agreement complete and compliant
RTO Declaration signed?
Compliant Enrolment?
Signed:
Date:
Comments / Recommendations
Review Outcome
Participant is a native English speaker and meet entry requirement (minimum year 12) Participant is a non-native English speaker and meet entry requirements (minimum ELST test 6.5) Comments
Suitable levels for this program Require additional support Unsuitable for program
Are alterations required to the delivery and/or assessment strategy? YesNo
If Yes, please detail under Special Needs.
If Yes, have these alterations been communicated to the participant? YesNo
If Yes, have these alterations been approved by the Training/Product/Compliance Manager? YesNo
RTO Representative Name
