Schoolbasedpre-Apprenticeenrolmentform

SCHOOLBASEDPRE-APPRENTICEENROLMENTFORM

(52700WACertificateII in Plumbing)

Surname:GivenNames(s): / Sex:
DateofBirth://PlaceofBirth / USINumber:
Mobile: / HomeNumber:
ResidentialAddress:
PostalAddress:
EmailAddress:
EmergencyContactName:PhoneNumber:Relationshiptoyou:

QUALIFICATIONDETAILS PaintingPre-Apprenticeship

52443WACertificateIIinBuildingandConstruction

(PaintingPathway)

□JohnForrestTradeTrainingCentre,Morley

□UrsulaFrayneCatholicCollege,MPASkillsJandakot

PlumbingPre-Apprenticeship

52700WACertificateIIin Plumbing

□ JohnForrestTradeTrainingCentre,Morley

□StNorbertTradeTrainingCentre,QueensPark

□BaldivissecondaryCollege,MPASkillsJandakot

□UrsulaFrayneCatholicCollege,MPASkillsMaylands

STUDENTFEES

PleasecontactyourselectedSchool/ TradeTrainingCampusforfeedetails

LANGUAGEANDCULTURALDIVERSITY

AreyouAboriginalorTorresStraitIslanderOrigin? / Yes□ No□ If Yes,pleasespecify:
DoyouholdacurrentWAdriverslicense? / Yes□ No□
Ifnotdoyouholda currentWAlearnerspermit? / Yes□ No□
Doyouhavea reliableformoftransport? / Yes□ No□
Inwhichcountrywhereyouborn? / Australia□Other□
IfOther,pleasespecify:
Areyoua permanentAustralianresident? / Yes□ No □
Doyouspeaka languageotherthanEnglishathome? / Yes□ No□
HowwelldoyouspeakEnglish? / VeryWell□Well□NotWell□Notatall□

HIGHSCHOOLEDUCATION

Areyoustillattendingsecondaryschool? / Yes□ No□
Tickcurrentyearlevel: / Year12□ Year11□ Year10□ Year9 □Year8 □
Nameofsecondaryschool? / Mindarie Senior College

FURTHEREDUCATION

Haveyouundertakenanyfurtherstudies?

□CertificateI / □CertificateII / □CertificateIII / □ADWPL

EMPLOYMENTSTATUS

Ofthefollowingwhichbestdescribesyourcurrentemploymentstatus?

□Part-Timeemployee□VoluntaryorOther

WHATISTHEMAINREASONFORUNDERTAKINGTHISCOURSE?

□ Togeta joborApprenticeship / □Other(pleasespecify):
□Forinterestorpersonaldevelopment / □ TogetintoanothercourseatTAFEorUniversity

HOWDIDYOUHEARABOUTMPASKILLS?

□FriendorRelative / □SchoolorSchoolRepresentative
□Try-A-TradeParticipant / □Newspaper
□CareerExpo / □MasterPlumber/PaintersJournal
□InternetSearch / □MPAAssociations/ IndustryEvent
□TradeRepresentativeorTradeStore / □ Co-workerintheTrade
□Employer/WorkExperience / □Other(pleasespecify)

MEDICALHISTORYBREIFING

Doyouneedspecialassistanceorequipmenttowork
orcompleteyourstudies? / Yes□ No□
If Yes,pleasespecify:
Doyouconsideryourselftohavea disability? / Yes□ No□
If Yes,pleasespecify:
Havea medicalconditionordisabilitythatmight
affectyourworkperformance? / □Hearing/Deaf / □Acquiredbrain
impairment
□Physical / □Vision
□Intellectual / □MedicalCondition
□MentalIllness / □Other
□Learning
I do/donot(pleasespecify)authoriseMPASkillstouseall mediaandphotographicimagestakenof me while
attendingMPASkills fortraining.I amawarethatmediaandphotographsmaybeusedforpromotional materialandonthewebsite.

Privacy Statement

Terms& Conditions

Informationcollected by MPASkillsduringa student’s enrolment andattendancewill beusedfor the purposesof generalstudentadministration,identification,communication,StateandCommonwealthagenciesandresearch organisations.Yourinformationwill besecurelystoredandonlymadeavailableto otheremployeesof MPASkills. In addition, inorderto assistyouwithyourapprenticeshipwemayprovideyourdetailstoprospectivehost employers. Shouldyou haveanyquestionsrelatingtoyourinformationplease askanyourMPASkillsrepresentative.

I alsoagreetothefollowingconditions:

1.ToabidebythetermsandconditionsdetailedintheStudentHandbookandrelatedPolicies,Proceduresand

Regulations,as madeknowntomeatthetimeof mytraining

2.Topermita medicalexamination bytheMPASkillsphysician if requested;

3.Thatanyfalseinformationprovidedinmyapplication or inmymedicalexaminationshallbeconsideredsufficient

causefor dismissal fromMPASkillstraining program.

I havereadandI agreetoabidetotheaboveconditionsand confirmthattheinformationprovidedinthisformistrueand correct.

If youare under18yearsofage,pleaseensure yourparent/guardiansignsthisform.

ParticipantSignature: / Date:
Parent/GuardianSignature: / Date:

NOTE:An offer of a placeinacourse issubject tothereceiptofrelevantdocumentationand asuccessfulinterview

ENROMLENTFORM,BIRTHCERTIFICATE, COVER LETTER,RESUME &SCHOOLRESULTSTO

MaylandsTrainingCampus/Office:108CaledonianAvenue,Maylands|POBOX126Maylands6051

The2017pre-apprenticeshipandapprenticeshiptrainingaresubjecttofundingbyFuture

SkillsWA. Allapplicantswillbenotifiedonceregistered

School BasedPlumbing PreApprenticeTool &StationeryRequirements2017

Stationery
4 wayBIC biro (red, green,blue and black) / Lead pencils
Scale rule
(1:1,1:5,1:10,1:20, 1:50,1:100,1:200,
1:500) / Calculator(basic)
High Lighter / Correctionpen
Protractor / A4 ruled padornotebook
Eraser / Compass

MPASkillswill provideSafety ClothingandFootwearto all School Based Plumbing Pre

Apprenticessubject tofunding.

SafetyClothing &Footwear

(Mandatory-please bring toall classesandtake with you toworkexperience- ensureyou label yourequipment)

Tradequality long sleeve shirt (100%cotton drill approx190gsm)(Hi-Vis)

Tradequality long pants(100%cotton drill approx310gsm)(Blue)

Steel capped workboots(AS/NZS 2210)-ingood condition

Observance ofProtective ClothingandWorkshop Housekeeping isalso your responsibility.

Protective Clothing

Widebrimmedhatforwarm weather(student to purchase)

HardHatforworkexperience (studentto purchase)

Forsafetyreasons, steel capped boots,safetyglasses &gloves shall bewornin the workshop areasandlonghairmustbe contained and/or tied backatall times.

Due totherequirement to undertake ‘hotworks’whilstworking inthe workshops, you will be requiredtoweartradequality100%cottondrilllong sleeve shirt & long

pantsasoutlined above..

Studentswho do not conform totheserequirementswill notbe allowed toenterthe workshop.

Board shortsandsingletswill notbepermitted.

T-shirtsdisplayingoffensive logos or languageare unacceptable.

Workshop Housekeeping

(Studentswho do notconform totheserequirementswill notbe allowed to enter the workshop)

Anytoolsand equipment thatyou usemustbe cleaned andreturned

Yourworking areamust be left tidyand safeatthe end ofeachday

Food anddrinks are not allowed in the classroom orworkshops

Yourtrainer will take you through theInductionand theStudentHandbookon your first day. TheStudentHandbookisavailable onourwebsite

Please listen carefully,takenotesifneeded andaskquestionsifyou areunsure ofanything.

Thursday / Friday / 52700WA-CertIIPlumbingSchoolBasedPreApp Timetable
Commencing2017
St Norbet& Baldivis / JohnForrest& Ursula Frayne
Trainer
Week1 / 2ndFebruary / 3rdFebruary / First dayofschool -no training
Week2 / 9thFebruary / 10thFebruary / CPCCOHS1001A / WorkSafelyintheconstructionindustry (whiteCard)
Week3 / 16th
February / 17thFebruary / CPCCOHS2001A / ApplyOHSrequirements, policies and procedures inthe constructionindustry
Week4 / 23rd
February / 24thFebruary / CPCCCM2008B / Erect anddismantle restrictedheightscaffolding
Week5 / 2ndMarch / 3rdMarch / CPCCCM2010B / Worksafely at heights
Week6 / 9thMarch / 10thMarch / CPCCCM2010B CPCPCM2055A / Worksafelyatheights
Worksafelyonroofs
Week7 / 16thMarch / 17thMarch / CPCPCM2043A / CarryoutWHS requirements
Week8 / 23rdMarch / 24thMarch / CPCPCM2043A / CarryoutWHS requirements
Week9 / 30thMarch / 31stApril / CPCPCM2046A / Useplumbinghandand powertools
Week10 / 6thApril / 7thApril / CPCPCM2046A / Useplumbinghandand powertools
SchoolHolidays-8/4/17to23/4/17
Week11 / 27thApril / 28thApril / CPCPCM2041A / Workeffectivelyintheplumbingandservices sector
Week12 / 4thMay / 5thMay / CPCPCM2041A / Workeffectivelyintheplumbingandservices sector
Week13 / 11thMay / 12thMay / CPCPCM2052A / Weldusing oxy-acetyleneequipment
Week14 / 18thMay / 19thMay / CPCPCM2052A / Weldusing oxy-acetyleneequipment
Week15 / 25thMay / 26thMay / CPCCM1015A / Carryout measurements andcalculations
Week16 / 1st June / 2ndJune / CPCPCM2040A / Readplans andcalculate plumbingquantities
Week17 / 8thJune / 9thJune / CPCPCM2040A / Readplans andcalculate plumbingquantities
Week18 / 15thJune / 16thJune / CPCPCM2040A / Readplans andcalculate plumbingquantities
Week19 / 22ndJune / 23rdJune / CPCPCM2047A / Carryoutlevelling
Week20 / 29thJune / 30thJuly / CPCPCM2047A / Carryoutlevelling
SchoolHolidays-1/7/17to16/7/17
Week21 / 20thJuly / 21stJuly / CPCPCM2050A / Mark outmaterials
Week22 / 27thJuly / 28thJuly / CPCPCM2050A / Mark outmaterials
Week23 / 3rdAugust / 4thAugust / CPCPCM2048A / Cutandjoin sheet metal
Week24 / 10thAugust / 11thAugust / CPCPCM2048A / Cutandjoin sheet metal
Week25 / 17thAugust / 18thAugust / CPCPCM2048A / Cutandjoin sheet metal
Week26 / 24thAugust / 25thAugust / CPCPCM2048A / Cutandjoin sheet metal
Week27 / 31stAugust / 1stSeptember / CPCPCM2053A / Weldusing manual metal arcwelding equipment
Week28 / 7th
September / 8thSeptember / CPCPCM2053A / Weldusing manual metal arcwelding equipment
Week29 / 14thSept / 15thSeptember / HLTAID002 / Provide basicemergencylife support
Week30 / 21stSept / 22ndSeptember / TradeTrainingCentre -FinalDay
SchoolHolidays-23/9/17to8/10/17