North Queensland College of Ministries

North Queensland College of Ministries

F.AD.001.01 Enrolment Application

Enrolment Application

Complete the Application Form and return to:

Enrolment Officer

The Training Collaborative

4 Cadagi St

Meridan Plains, Qld, 4551

Or scan and email to

  1. Personal particulars

Mr/Mrs/Miss etc ………..Male: ☐ Female: ☐

Family Name: ......

Given Names: ......

What is the FULL address of your usual residence? Please provide the physical address (street address not post office box) where you usually reside rather than any temporary address at which you reside for training, work or other purposes before returning home. If you are from a rural area use the address from your state or territory’s ‘rural property addressing’ or ‘numbering’ system as your residential street address.

Building/property name
Flat/unit details
Street or lot number (e.g. 205 or Lot 118) / Street name
Suburb, locality or town / State/territory / Postcode

What is your postal address (if different from above – write “as above” if the same)?

Postal delivery information (e.g. PO Box 254)
Building/property name
Flat/unit details
Street or lot number
(e.g. 205 or Lot 118) / Street name
Suburb, locality or town / State/territory / Postcode

Phone Home ( )...... Work ( )......

Mobile:...... Email:......

Date of Birth: ......

Person to contact in case of emergency: …………………………………………Phone: …………....

USI (Unique Student Identifier please click to obtain one): ……………………………………………..

Were you born in Australia? ☐Yes ☐No

If no: In what country were you born?......

What year did you arrive in Australia? ......

Are you an Australian citizen? ☐Yes ☐No

What type of visa do you hold? ☐Permanent Humanitarian ☐Temporary

☐Other ......

Are you of Aboriginal or Torres Strait Islander origin?

☐No ☐Aboriginal ☐Torres Strait Islander ☐Both Aboriginal and Torres Strait Islander

If you intend to apply for a VET FEE-HELP student loan, please attach 1 item of certified (by a JP or Comm Dec) evidence of either:

☐Your Australian Citizenship (eg Passport, birth certificate) or ☐Your Visa status.

  1. Application for

Certificate III in Christian Ministry and Theology
Certificate IV in Christian Ministry and Theology / 10432NAT
10433NAT
Diploma of Christian Ministry and Theology
Advanced Diploma of Christian Ministry and Theology
Graduate Certificate in Christian Ministry and Theology
Graduate Diploma of Christian Ministry and Theology / 10434NAT
10435NAT
10436NAT
10437NAT
Certificate IV in Chaplaincy and Pastoral Care / CHC42315

Full Time ☐Part Time Semester:………. Year:………….

DISCLOSURE

Under certain circumstances The Training Collaborative is bound by law to disclose enrolment details for the purposes mentioned in the VETE Act 1991 and ESOS Act 2000. Agencies, such as Commonwealth and State Government departments, will be granted access to enrolment, attendance and study progress details.

  1. Educational background

* Note – if you are intending to apply for VET FEE-HELP and do not have an Australian Senior Secondary School Certificate you will be required to sit and pass an entry test before your enrolment can be be accepted.

Schooling

What is the 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(go to question 3b)

3.1In which year did you complete this school level? ……………

What suburb/town/locality were you living in if and when you completed Year 12? (ONLY if you completed Year 12 within the last 12 months) ……………………………..Postcode: …………….

3.2 Are you still attending secondary school?  Yes  No

3.3 Have you successfully completedany of the following qualifications?  Yes  No

If yes, tick and name the qualification. If you think this qualification might entitle you to claim an exemption (Credit) from Unit(s) in The Training Collaborative course for which you are enrolling, tick CREDIT.

DATE
COMPLETED / Name of Qualification / CREDIT 
Bachelor Degree or Higher Degree
Advanced Diploma (or Associate Degree)
Diploma (or Associate Diploma)
Certificate IV (or Adv Certificate/Technician)
Certificate III (or Trade Certificate)
Certificate II
Certificate I
Certificates other than the above

Recognition of Prior Learning (RPL): As part of the orientation process you will be given opportunity to apply for RPL. If you intend to apply for RPL or recognition of another qualification please attach copies relevant qualifications, awards and transcripts of results, signed by a JP (or Comm Dec).

  1. Employment history:

Of the following categories, which BEST describes your current employment status?(Tick 1)

☐Full-time employee ☐Employer

☐Part-time employee ☐Employed - unpaid worker in a family business

☐Self-employed - not employing others☐ Unemployed - seeking full-time work

☐Unemployed - seeking part-time work☐Not employed - not seeking employment

Please show details of the last five (5) years. Use extra pages if needed:

Dates / Nature of Employment /

Position

/ Motivation for Change
  1. Reasons for undertaking this qualification

☐To get a job ☐It was a requirement of my job

☐To develop my existing business☐I wanted extra skills for my job

☐To start my own business ☐To get into another course of study

☐To try for a different career☐For personal interest or self-development

☐To get a better job or promotion☐Other reasons

  1. Personal
  2. How and when did you become a Christian? ......

......

......

......

6.2.Previous (last 5 years) & present church affiliations (Please list most recent first)......

......

......

6.3.Christian service, including positions held & duration......

......

......

6.4 Do you agree withThe Training Collaborative’s statement of Faith?

Yes

No

Partial (Attach Explanation)

  1. Ministry vocational goals (please tick)

Pastor  Missionary  Evangelist  Youth Worker

 Member of a Ministry Team  RE Teacher Chaplain

Community Worker Voluntary worker

  1. Language

Which language do you mainly speak at home?

 English (go to question 9) Other please specify......

8.1How well do you speak and read English:  Very well  Well  Not well  Not at all

8.2Will you require English language assistance as part of your study? Yes No

8.3 Do you have an IELTS score? (for international students) Yes: Grade ………. No

  1. Disabilities

Answering these questions will not affect your enrolment. Do you have a disability, impairment or long term medical condition that may affect your studies? Yes  No (go to question 10)

If yes, please indicate your disability, impairment or long term medical condition by placing a tick in the box. You may tick more than one box.

 Hearing/Deaf Acquired Brain Impairment

 Physical Vision

 Intellectual Medical Condition

 Learning Other

 Mental Illness

Would you like to receive advice on support services, equipment and facilities that may assist? Yes  No 

  1. Your study will involve Field Training(not required if studying 2School Chaplaincy Units only or completing a full qualification through Recognition of Prior Learning). Please indicate where you would like to undertake your field placement. If not know at this point write “to be determined”

…………………………………………………………………………………………………………………….

11.Working with Children Card.
Are you the holder of a Working with Children Card(required as part of your Vocational Placement if you undertake work with Minors in Qld) or equivalent? Yes No
Please attach a photocopy or digital image of this card if you do.

Number. …………..…...... Expiry date…………..…...
Address:......

...... P/Code...... Ph ( )......

  1. Referees

Names & addresses of persons who know you well and who may be approached to give information about you:

Pastor/Minister of the church you attend

Name of Church: ......

Full name of Pastor: ......

Address: ......

...... P/Code...... Ph ( )......

Two other Christians who have known you well in recent years
(other than relatives)

Full Name: ......

Address:......

...... P/Code...... Ph ( )......

Full Name: ......

Address:......

...... P/Code...... Ph ( )......

  1. Student Cards

 I require a Student ID card - email or post a photo of yourself (similar to a passport photo)

CHECKLIST

I have completed the following:

 Included a certified copy of citizenship or visa and a copy of your Australian Senior Secondary School Certificate(only if intending to apply for VET FEE-HELP)

 Enclosed a digital photograph (similar to a passport photo)

 Included names and information for 3 referees

DECLARATION:

I have readThe Training Collaborative Student Handbookand I understand and agree with the conditions of enrolment (see and go to Enrolment Information)

I declare that the information provided in the application is to the best of my knowledge accurate in all respect.

I hereby authoriseThe Training Collaborative to use personal information to process and effect my application.

Signature...... Date: ___/___/_____

Sign or alternatively, return application from your own email address.

The Training Collaborative welcomes application for training from any Christian who is an active participant in a congregation of the Christian Church. However, we retain the right to decline an application from a person whose doctrinal beliefs or values are in conflict with those supported by our parent body, the Baptist Union of Queensland.

The Training Collaborative

Administrative Office: 4 Cadagi St, Meridan Plains, Qld, 4551

Ph: 1300 774 531

Email:

Web:

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