Student Enrolment Form
You are enrolling in a HSR Refresher
Course Start date: 25 Sep 2025
Please read carefully: -15 business days prior to the scheduled course date . NO CHARGE -10 business days prior to the scheduled course date . CHARGE 50% of course fee -9 days prior to the scheduled course date . NO REFUND, the full course fee is payable No refund will be made for non-attendance on the day. We welcome a substitute participant if you cannot attend. AILS reserve the right to cancel a course if necessary. If a course is cancelled, we will make every effort to contact you and no payment will be required. Privacy AILS is required to collect personal information about you, your personal information (including the personal information contained on this enrolment form and your training activity data) may be used or disclosed by AILS for statistical, regulatory. All information provided is used to manage your registration and course participation disclosed and stored in accordance with the Occupational Health and Safety Act 2004 and the Privacy and Data Protection Act 2014. Training Details: Dates:25/09/2025 Times:9.00am to 5.00pm Trainer: Mark Soar Entitlement Under section 67 of the OHS Act 2004 HSRs and deputy HSRs are entitled to attend a WorkSafe approved HSR course and choose the course in consultation with their employer. Confirmation We will confirm receipt of your enrolment and then 7 business days prior to the scheduled date of the course we will confirm your attendance and provide venue information. Complaints Refer to the information available on Student handbook page 36 https://www.ails.edu.au/student-handbook/ Trainer: Mark Soar
Please choose your enrolment type, then fill in the form. Fields with a red * are required.
As a registered training organisation (RTO), we collect your personal information so we can process and manage your enrolment in a vocational education and training (VET) course with us.
We use your personal information to enable us to deliver VET courses to you, and otherwise, as needed, to comply with our obligations as an RTO.
Australian Institute of Leadership and Safety are required by law (under the National Vocational Education and Training Regulator Act 2011 (Cth) (NVETR Act)) to disclose the personal information we collect about you to the National VET Data Collection kept by the National Centre for Vocational Education Research Ltd (NCVER). The NCVER is responsible for collecting, managing, analysing and communicating research and statistics about the Australian VET sector. We are also authorised by law (under the NVETR Act) to disclose your personal information to the relevant state or territory training authority.
NCVER will collect, hold, use and disclose your personal information in accordance with the law, including the Privacy Act 1988 (Cth) (Privacy Act) and the NVETR Act. Your personal information may be used and disclosed by NCVER for purposes that include populating authenticated VET transcripts; administration of VET; facilitation of statistics and research relating to education, including surveys and data linkage; and understanding the VET market. NCVER is authorised to disclose information to the Australian Government Department of Employment and Workplace Relations (DEWR), Commonwealth authorities, state and territory authorities (other than registered training organisations) that deal with matters relating to VET and VET regulators for the purposes of those bodies, including to enable:
NCVER may also disclose personal information to persons engaged by NCVER to conduct research on NCVER’s behalf. NCVER does not intend to disclose your personal information to any overseas recipients. For more information about how NCVER will handle your personal information please refer to the NCVER’s Privacy Policy at www.ncver.edu.au/privacy If you would like to seek access to or correct your information, in the first instance, please contact your RTO using the contact details listed below. DEWR is authorised by law, including the Privacy Act and the NVETR Act, to collect, use and disclose your personal information to fulfil specified functions and activities. For more information about how DEWR will handle your personal information, please refer to the DEWR VET Privacy Notice at www.dewr.gov.au/national-vet-data/vet-privacy-notice
You may receive a student survey which may be run by a government department or an NCVER employee, agent, third-party contractor or another authorised agency. Please note you may opt out of the survey at the time of being contacted.
At any time you may contact Australian Institute of Leadership and Safety to:
RTO# 45354 - Australian Institute of Leadership and Safety Pty Ltd041056934937 WENTWORTH DRIVE TAYLORS LAKES 3038 VIC
I have read and I agree to the Privacy Notice *
I have read and I agree to the terms and conditions. *
PowerQR Parchment Validation system consent: Please Select Yes, I allow the RTO to upload my Parchment data to PowerQR for document validation (if applicable) No, I do not consent to the upload of my Parchment data to PowerQR
Full Name
Date of Birth
As the student being enrolled is a minor, I the Parent/Guardian acknowledge the privacy policy the terms and conditions, of Australian Institute of Leadership and Safety written out on section one(1) of this enrolment form and consent to these policies & conditions. *
Gender, Identity, and Pronouns
Enter your contact details
This email address will be used as a CC email address on communications to you, please use this field to indicate if we need to CC another person / company in your communications.
Company / Organisation name
Please enter the details for your your next-of-kin / Emergency Contact
What is the address of your usual residence?
Please provide the physical address (street number and name 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 to your 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 is the official place name or common usage name for an address site, including the name of a building, Aboriginal community, homestead, building complex, agricultural property, park or unbounded address site.
What is your postal address (if different from above)?
I have a postal address that is different to the residential address provided
Language and cultural diversity
Disability
Schooling
Previous qualifications achieved
Employment
Study reason
RTO Specific Questions
Language, Literacy & Numeracy
How did you hear about us?
Upload an attachment
(To upload multiple files, please Zip the files together, and upload the Zip file)
Is there anything else we need to know, in regards to your enrolment?
Checking you are human