Work Education Communication & Negotiation Training Program Enrolment Form Privacy NoticeUnder the ACT Adult Community Education Grants (ACE) Program 2019, Conflict Resolution Service is required to collect personal information about you and to disclose that personal information to Skills Canberra in the ACT Government. Your personal information (including the personal information contained on this enrolment form), may be used or disclosed by Conflict Resolution Service for statistical, administrative, regulatory and research purposes. Conflict Resolution Service may disclose your personal information for these purposes to Skills Canberra. Personal information that has been disclosed to Skills Canberra may be used or disclosed by Skills Canberra for the purposes of: • facilitating statistics and research relating to ACE, including surveys and data linkage; • understanding how the ACE market operates, for policy, workforce planning and consumer information; and, • administering ACE, including program administration, regulation, monitoring and evaluation. You may also receive a student survey administered by Skills Canberra. Please note you may opt out of the survey at the time of being contacted. Skills Canberra will collect, hold, use and disclose your personal information in accordance with the Privacy Act 1988 (Cth). Skills Canberra may disclose your personal information to the National Centre for Vocational Education Research Ltd (NCVER). 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).Note: You must enrol by 30 June 2024 and complete the course by midnight 30 September 2024. If any support or assistance is required, please contact CRS on 6189 0590 or training@crs.org.au. Eligibility CriteriaAre you 17 years of age or older?(Required)Are you 17 years of age or older? Yes No Are you enrolled in or attending a school, college or another program leading to the completion of year 12?(Required)Are you enrolled in or attending a school, college or another program leading to the completion of year 12? Yes No Are you an Australian or New Zealand citizen; or a holder of a Australian permanent residence visa; or a migrant, refugee or asylum seeker holding a temporary or bridging Australian visa providing work and/or study rights?(Required)Are you an Australian or New Zealand citizen; or a holder of a Australian permanent residence visa; or a migrant, refugee or asylum seeker holding a temporary or bridging Australian visa providing work and/or study rights? Yes No YOU ARE NOT ELIGIBLE TO SIGN UP FOR THE PROGRAM.You need to be atleast 17 years of age to be eligible for this program.YOU ARE NOT ELIGIBLE TO SIGN UP FOR THE PROGRAM.You are not eligible for the program if you are enrolled in or attending a school, college or another program leading to the completion of year 12.YOU ARE NOT ELIGIBLE TO SIGN UP FOR THE PROGRAM.You are not eligible for the program if you are not an Australian or New Zealand citizen; or a holder of a Australian permanent residence visa; or a migrant, refugee or asylum seeker holding a temporary or bridging Australian visa providing work and/or study rights.Unique Student Identifier (USI)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/.Unique Student Identifier (USI)Enter your Unique Student Identifier (USI) (if you have one)Personal DetailsName(Required) Given Names Family Name (surname) If you have a Unique Student Identifier (USI), please write the name that you used when you applied for your USI, including any middle names.Enter your birth date(Required)Enter your birth date MM slash DD slash YYYY Gender (Tick ONE box only)(Required)Gender (Tick ONE box only) Male Female Other Phone(Required)Enter your mobile contact detailsPhoneEnter your home contact detailsEmail(Required)Email address Enter Email Confirm Email Address(Required)What is the address of your usual residence? Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Language and cultural diversityIn which country were you born?(Required)In which country were you born?Select an optionAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsDo you speak a language other than English at home?Do you speak a language other than English at home? (If more than one language, indicate the one that is spoken most often)Are you of Aboriginal or Torres Strait Islander origin?Are you of Aboriginal or Torres Strait Islander origin? (For persons of both Aboriginal and Torres Strait Islander origin, mark both ‘Yes’ boxes) Yes, Aboriginal Yes, Torres Strait Islander Neither DisabilityDo you consider yourself to have a disability, impairment or long-term condition?(Required)Do you consider yourself to have a disability, impairment or long-term condition? Yes No If you indicated the presence of a disability, impairment or long-term condition, please select the area(s) in the following list: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/deaf Physical Intellectual Learning Mental illness Acquired brain impairment Vision Medical condition Other SchoolingWhat is your highest COMPLETED school level? (Tick ONE box only)What is your highest COMPLETED school level? (TICK ONE BOX ONLY IF APPLICABLE or GO TO NEXT QUESTION) 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. Year 12 or equivalent Year 11 or equivalent Year 10 or equivalent Year 9 or equivalent Year 8 or below Never attended school Have you SUCCESSFULLY completed any of the following qualifications?Have you SUCCESSFULLY completed any of the following qualifications? Bachelor degree or higher degree Advanced diploma or associate degree Diploma (or associate diploma) Certificate IV (or advanced certificate/technician) Certificate III (or trade certificate) Certificate II Certificate I Other education (including certificates or overseas qualifications not listed above) None of the above EmploymentOf the following categories, which BEST describes your current employment status?(Required)Of the following categories, which BEST describes your current employment status? (Tick ONE box only) 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). Full-time employee Part-time employee Self employed – not employing others Self employed – employing others Employed – unpaid worker in a family business Unemployed – seeking full-time work Unemployed – seeking part-time work Not employed – not seeking employment Study reasonOf the following categories, select the one which BEST describes the main reason you are undertaking this ACE course (Tick ONE box only)(Required)Of the following categories, select the one which BEST describes the main reason you are undertaking this ACE course (Tick ONE box only) To get a job To develop my existing business To start my own business To try for a different career To get a better job or promotion It was a requirement of my job I wanted extra skills for my job To get into another course of study For personal interest or self-development To get skills for community/voluntary work Other reasons Feedback ConsentFeedback ConsentDo you consent to the use your program related progress and achievements as a case study for the purpose of creating promotional and marketing content to promote the ACE JobTrainer grant programs? Yes No Program End Date: 30 September 2024The online training program will end at mid-night on Monday 30th September 2024. Participants must complete the training program modules by this date.
