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| SECTION 1: Applicant Information |
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| * Gender
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Unique student identifier (USI)
From 2015 all students who choose to be assessed under the National Competency System are required to have a USI. If you wish to be assessed and don't have your USI, visit the USI website website to create one
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Contact Details
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Address Details
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Residential Address
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| * Is this address different to your postal address?
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Postal Address
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| Section 2: Employment |
| * Of the following categories, which BEST describes your current employment status?
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| * Are you an employee of either NSW Department of Primary Industries (NSW DPI) or Local Land Services (LLS)?
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| Section 3: Your Education |
| Have you successfully completed any of the following qualifications? (Check any boxes applicable)
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| * What is your highest COMPLETED school level?
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| Section 4: Language and Cultural Diversity |
| * Were you born in Australia?
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| * What language do you speak most at home?
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| How well do you speak English?
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| * Are you of Aboriginal or Torres Strait origin?
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| Section 5: Disability |
| * Do you consider yourself to have a disability impairment or long-term condition?
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| Please check any boxes applicable
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| Section 6: Reason for study |
| Please check any boxes applicable
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| Applicant Declaration |
I certify that the information given above is correct. I consent to Tocal College obtaining personal information where necessary from third parties to verify this information.
TOCAL COLLEGE COMPLIES WITH THE PRIVACY AND PERSONAL INFORMATION ACT 1998.
Information on this form will be used by NSW DPI for student administration, program monitoring, evaluation and providing course details.
I understand that the information may be used for statistical purposes, disclosed to the National Centre for Vocational Education Research (NCVER), USI Registrar, STS, DEC or
an authorised agency to meet legislative reporting requirements. It is necessary for you to provide this information for enrolment. Information provided will be held securely
and disposed of securely when no longer needed. You can correct any personal details provided by contacting Tocal College. An extended version of this statement is available on
the NSW Department of Industry website at www.industry.nsw.gov.au/privacy
If my application is successful, I agree to abide by the Rules, Regulations and Conditions prescribed by the College.
I understand that it is my responsibility to provide proof of identity before receiving my qualification.
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Declaration*
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| * Payment Method
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Pay by other method
You can pay your enrolment fee using:
Credit card (Visa and MasterCard) - Phone 4939 8881
Cheque or Money order
You should make cheques and money orders payable to 'NSW Department of Primary Industries' and send to:
The Course Secretary, Tocal College, Tocal Road, Paterson NSW 2421
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