STUDENT ENROLMENT FORM

Thank you for your interest in enrolling in Realtor Institute. Please ensure that you answer ALL of the following questions to ensure correct processing of your enrolment.

Once you have completed this form submit it to the Administration Manager either in person or via email to info@realtorinstitute.edu.au

Contact and campus details are provided in the footer of this document.

Please tick where appropriate

Personal Details

Surname

Given name

Date of birth

Sex

Male

Female

Other

Residential Address

Suburb

State

Postcode

Postal Address

Suburb

State

Postcode

Phone number

Mobile number

Email address

Unique Student Identifier

USI: USI LINK, WHAT IS USI?

Proof of Identification

Emergency Contact

Surname

Given name

Relationship to Student

Contact Number

Course

Realtor Institute

ASSISTANCE AGENT & AGENT REPRESENTATIVE

BSB50420 DIPLOMA OF LEADERSHIP AND MANAGEMENT

CPP41419 CERTIFICATE IV IN REAL ESTATE PRACTICE

CPPREP4171, CPPREP4172 and CPPREP4173 BUYER AGENT

CPP51122 DIPLOMA OF PROPERTY (AGENCY MANAGEMENT)

DELIVERY TYPE

Blended*

* Blended includes face-to-face training delivered at 2 Australia Ave, Sydney Olympic Park, NSW 2127 and access to online learning material,
phone support, e-mails, assessment material provided and submitted electronically.

Nominate Trainer

Disclaimer:
We will do our best to provide the trainer you requested but there are no guarantees for your request.

Do you wish to apply for Credit Transfer (CT)?

Yes (Evidence is required)

Do you wish to apply for Recognition of Prior Learning (RPL)?

Yes (A separate process is required)

Realtor Institute will aim to give students their preference for class times, however this cannot be guaranteed.

Origin / Disabilities

Country of birth

Australia

Other

If other, please specify:

Main language spoken at home

English only

Other

If other, please specify

How well do you speak English?

Very well

Well

Not well

Not at all

Are you Aboriginal or Torres Strait Islander?

Yes, Aboriginal

Yes, Torres Strait Islander

Do you suffer from any disabilities?

Yes

Please Indicate the areas of disability, impairment or long-term condition

Hearing/Deaf

Physical

Intellectual

Learning

Mental Illness

Acquired Brain Impairment

Vision

Medical Condition

Other

Do you require additional support from the college as a result of this disability, impairment or long term condition?

Yes

If yes, please specify

Educational / Employment History

What is your highest completed school level?

Year 12 or equivalent

Year 11 or equivalent

Year 10 or equivalent

Year 9 or equivalent

Year 8 or below

Never attended school

What year did you complete the above school level?

Are you still attending secondary school?

Yes

What is the highest qualification you have completed?

Bachelor Degree or Higher Degree

Advanced Diploma or Associate Degree

Certificate IV (or Advanced Certificate/Technician

Certificate III (or Trade Certificate)

Certificate II

Certificate I

Certificate other than the above

Which best describes your current employment status?

Full-time employee

Part-time employee

Self-employed - not employing others

Employer

Employed - unpaid worker in family business

Unemployed - seeking full-time work

Unemployed - seeking part-time work

Not employed - not seeking employment

Which best describes your main reason for undertaking this course?

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

Other reasons

Please ensure that you have read the Self Declaration very carefully before you sign this form. Please contact the Administration Manager at REALTOR INSTITUTE if you have any questions.

Self Declaration

I declare that the information on this enrolment form is to the best of my knowledge, true, accurate and absolute at the time of this enrolment.

I further acknowledge that any false information and not disclosing relevant information for enrolment of this qualification will result in the cancellation of my enrolment at Realtor Institute Pty Ltd

I understand that it is my full responsibility to provide all relevant and required documentation and answer all questions truthfully

I further understand that the enrolment fee is NON-REFUNDABLE if I withdraw from the course within 7 days prior to commencement and I have read and understood all fee and refund information

I have read and understood all fee and refund information and acknowledge that sending this form back for processing will commence the enrolment process by the administration staff at Realtor Institute Pty Ltd

I also acknowledge that I have read the Privacy Notice below and acknowledge the contents herein and note the National Privacy Principles as set out by the Office of the Australian Information Commissioner

Privacy Notice

Under the Data Provision Requirements 2012, Realtor Institute Pty Ltd is required to collect personal information about you and to disclose that personal information to the National Centre for Vocational Education Research Ltd

(NCVER).

Your personal information (including the personal information contained on this enrolment form), may be used or disclosed by Realtor Institute Ltd for statistical, administrative, regulatory and research purposes. Realtor Institute Pty Ltd may disclose your personal information for these purposes to:

• Commonwealth and State or Territory government departments and authorised agencies; and

• NCVER.

Personal information that has been disclosed to NCVER may be used or disclosed by NCVER for the following purposes:

• populating authenticated VET transcripts;

• facilitating statistics and research relating to education, including surveys and data linkage;

• pre-populating RTO student enrolment forms;

• understanding how the VET market operates, for policy, workforce planning and consumer information; and

• administering VET, including program administration, regulation, monitoring and evaluation.

You may receive a student survey which may be administered by a government department or NCVER employee, agent or third-party contractor or other authorised agencies. Please note you may opt out of the survey at the time of being contacted.

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).

Student Name

Student Signature

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STUDENT ENROLMENT FORM

Personal Details

Emergency Contact

Course

Origin / Disabilities

Educational / Employment History

Self Declaration

Privacy Notice