STUDENT ELIGIBILITY & ENROLMENT FORM

FEE FOR SERVICE

This enrolment form is for prospective students who are enrolling into a training program for a qualification that will be provided by Traxion Training under a full fee for service (FFS) training arrangement.
All applications for enrolment must contain the following supporting evidence in COLOUR, CAN BE CLEARLY READ and CURRENT (within expiry dates). Please check all supplied with this enrolment form:
Proof of Identity and Residency*
- Proof of Identity – front of driver licence or birth certificate or passport (must be in the name on the enrolment form and must be current); If there's a change of name, supporting document should be provided
- Proof of Residency – If you reside in Australia, you can provide one of the following documents. Medicare card or passport (MUST be in colour and in the name on the enrolment form). Otherwise, a copy of your visa is required to confirm your study condition.
The following evidence may be required to support your enrolment:
- Copy of any certificates or degrees that you may have including their transcripts (all completed units need to be advised)
- Proof of employment (letter from your employer). Only applicable for Recognised of Prior Learning (RPL) for Qualifications
- Resume - Only applicable for Recognised of Prior Learning for Qualifications
- Blue Card – if dealing with clients below 18 years old
COURSE DETAILS*
- CHC30121 Certificate III in Early Childhood Education and Care
- CHC30221 Certificate III in School Based Education Support
- CHC33021 Certificate III in Individual Support
- CHC43015 Certificate IV in Ageing Support
- CHC40221 Certificate IV in School Based Education Support
- CHC50221 Diploma of School Age Education and Care
- CHC50121 Diploma of Early Childhood Education and Care
- CHC62015 Advanced Diploma of Community Sector Management
Are you seeking credit transfer from previous qualification(s)?*
- No
- Yes
If yes, please provide the qualification(s) and attach the certificate and transcript, or statement of attainment
Is RPL being sought as part of this qualification?*
- No
- Yes
PERSONAL DETAILS
Name*
Given Name Middle Name Last Name
Have you been known by another name (ie maiden name)? If so, please advise:
Address*
Address: Suburb: State Postcode
Date of Birth*
DD slash MM slash YYYY
City of Birth*
Gender*
- Male
- Female
- Indeterminate/Intersex/Unspecified
Email*
Mobile Phone*
Home Phone
Are you an international student visiting Australia on a Student Visa?*
- No
- Yes – we cannot proceed with your enrolment
Are you a permanent resident of Queensland?*
- Yes
- No
Were you born in Australia?*
- Yes
- No
If no, which country were you born?
Please advise your current citizenship status:*
- Australian citizen
- Australian permanent resident
- Australian temporary resident
- New Zealand citizen
If Australian temporary resident, please advise Visa details (copy of visa to be supplied):
EMPLOYMENT
Of the categories in the next row, which best describes your current employment status? Please select one option only (if a Casual employee, please select Part Time)*
- Full-Time employee
- Part-Time employee
- Employed – unpaid worker in a family business
- Employer
- Self-employed but not employing others
EMPLOYER DETAILS (Only Applicable for Recognised of Prior Learning (RPL))
Company Name:
Supervisor/Third Party Name:
Third Party Position/Role:
Supervisor/Third Party Email:
Supervisor/Third Party Phone:
Years in Current Employer?*
Total Years in the Sector*
LANGUAGE
Language, Literacy and Numeracy Proficiency:*
- High: I am very confident in my ability in LLN skills
- Medium: I am moderately confident in my ability in LLN skills.
- Low: I lack confidence in LLN skills.
DISABILITY
Do you have a disability, impairment or long-term health condition?*
- Yes
- No
If yes, please advise condition/s: If other, please provide details
- Brain injury
- Hearing
- Intellectual
- Learning
- Medical
- Mental illness
- Vision
- Other -
If other, please provide details
UNIQUE STUDENT IDENTIFIER (USI)
Effective 1 January 2015 you must have a USI before your qualification can be issued. You can obtain your USI from: www.usi.gov.au and you will need ID such as your driver’s licence or Medicare card to obtain your USI.
USI*
EMERGENCY CONTACT DETAILS
Name:*
Name
Relationship:*
Phone:*
ADDITIONAL EVIDENCE REQUIREMENTS
The following courses are specific qualifications that require proof of working in the industry. This proof can be evidenced in the form letter or email from your employer (template to be provided by the Course Adviser)*
- CHC30121 Certificate III in Early Childhood Education and Care
- CHC30221 Certificate III in School Based Education Support
- CHC33021 Certificate III in Individual Support
- CHC43015 Certificate IV in Ageing Support
- CHC40221 Certificate IV in School Based Education Support
- CHC50221 Diploma of School Age Education and Care
- CHC50121 Diploma of Early Childhood Education and Care
- CHC62015 Advanced Diploma of Community Sector Management

COURSE FEES AND PAYMENT DETAILS
The following outlines the fee for service (FFS) cost.

Course	UNITS	Course Fee
CHC30121 Certificate III in Early Childhood Education and Care	17	$3,000.00
CHC30221 Certificate III in School Based Education Support	15	$3,000.00
CHC33021 Certificate III in Individual Support	15	$3,000.00
CHC43015 Certificate IV in Ageing Support	18	$3,500.00
CHC40221 Certificate IV in School Based Education Support	17	$3,500.00
CHC50221 Diploma of School Age Education and Care	23	$4,500.00
CHC50121 Diploma of Early Childhood Education and Care	15	$4,500.00
CHC62015 Advanced Diploma of Community Sector Management	13	$3,500.00

PAYMENT OPTIONS AVAILABLE
- Credit Card - Payment link will be available on your Invoice
- Payment Plan thru DebitSuccess - Application form will be emailed to you
- To be Paid by Employer or Community Based Organisation
- Internet Banking for Direct Deposit
Details:
Account: Training Management Pty Ltd
National Australia Bank BSB: 084-402
Account No: 898348758

Please ensure that you wait to receive an invoice from Traxion Training before making an internet transfer. Please use your invoice number (eg: aX12456) as your reference to ensure correct and timely allocation of your payment. You will receive a receipt to your nominated email address. If you do not receive a paid receipt within 2 weeks of your payment, please contact our office, as your payment may not have been able to be receipted and this will cause delays in the commencement of your enrolment.
- Other:
Please specify who will be paying and provide invoicing details. If no invoicing details are received for a third party, the student will be invoiced as default.
Please Note:
Your enrolment will not proceed until payment has cleared or payment arrangement has been approved.
TERMS AND CONDITIONS OF ENROLMENT
CLICK HERE for the terms and conditions
STUDENT DECLARATION
*
- I declare that the information I have provided to the best of my knowledge is true and correct.
- I consent to the collection, use and disclosure of my personal information in accordance with the Privacy Policy above
- I accept responsibility for the payment of the course listed above
- I agree to the terms and conditions listed in this enrolment form
- I consent to the disclosure of my details by the Registered Training Organisation to government agencies as required
Student Signature:*
Date*
DD slash MM slash YYYY
Comments
This field is for validation purposes and should be left unchanged.

More Traxion Training Courses

Early Childhood
Education

CHC30121 Certificate III in Early Childhood Education and Care

This qualification reflects the role of educators in early childhood education and care who work in regulated children’s education and care services in Australia. They support children’s wellbeing, and development in the context of an approved learning framework.

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CHC50121 Diploma of Early Childhood Education and Care

This qualification reflects the role of educators in early childhood education and care who work in regulated children’s education and care services in Australia.

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CHC30221 Certificate III in School Based Education Support

This qualification reflects the role of workers who assist teachers and support student learning in a range of classroom settings.

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CHC40221 Certificate IV in School Based Education Support

This qualification reflects the role of workers who assist teachers and support student learning in a range of classroom settings under the guidance of a teacher or other educational professional.

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CHC50221 Diploma of School Age Education and Care

This qualification reflects the role of educators who are responsible for the day-to-day running of a regulated school age education and care service in Australia.

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STUDENT ELIGIBILITY & ENROLMENT FORM

FEE FOR SERVICE

More Traxion Training Courses

Early Childhood
Education

CHC30121 Certificate III in Early Childhood Education and Care

CHC50121 Diploma of Early Childhood Education and Care

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CHC30221 Certificate III in School Based Education Support

CHC40221 Certificate IV in School Based Education Support

CHC50221 Diploma of School Age Education and Care

Aged, Community
and Disability Care

CHC33021 Certificate III in Individual Support (Disability Stream)

CHC43015 Certificate IV in Ageing Support

CHC52015 Diploma of Community Services

CHC62015 Advanced Diploma of Community Sector Management

STUDENT ELIGIBILITY & ENROLMENT FORM

FEE FOR SERVICE

Early Childhood Education

Education Courses

Aged, Community and Disability Care

Early Childhood
Education

Education
Courses

Aged, Community
and Disability Care