Student Enrolment Form
You are enrolling in a BSB41419 Certificate IV in Work Health and Safety- Funded - ENROL NOW Start with next intake Block 1
Course Start date: 28 Jul 2025
You are submitting an enrolment application for a funded place. Funding is only available for participants to attend classes face to face or join virtually via zoom. Self-paced study is not an option for funding, please apply for the non funded option should you wish to study self-paced. Please ensure you have read and met the funding eligibility criteria prior to applying. Refer to: Funded Course Fees You can select to attend each block of classes either face to face in Osborne Park or dial in virtually from your student learning portal. Course start dates for each block of training will be confirmed with you prior to your enrolment confirmation. Confirming you have read our Client Handbook Enrolment is not confirmed until we have verified the information you provide including answering the entry questions. Please allow our team time to process your application, you will be emailed in response to your application once reviewed. Funded places are limited If you are not offered a funded place, you may be offered a non-funded place which will be at our Fee for Service rate of $3500.00. Payment plans are available. Entry Requirements: To enrol in this qualification, participants should be working in, or aspiring to work in WHS as a supervisor or provide support for WHS in an organisation. Participants will require language, literacy and numeracy skills, access to computer and internet as well as computer literacy. ENTRY QUESTIONS TO PLEASE COMPLETE: We need to ensure you are going to be able to complete the course assessments and have access to relevant resources and documentation. Can you please email your answers to hello@minetrainingaustralia.edu.au 1. What is your current employment - Job Title, Company & Industry? 2. Are you going to be able to access company WHS documentation and processes? 3. Are you in a position you can gather evidence in demonstrating and completing Job Safety Analysis (JSA),Safe Operating Procedures (SOP's) and Risk Assessment documents along with incident reports etc? Language, Literacy and Numeracy skills (LLN) requirements. If you do not already hold an Australian Qualification of a Certificate IV or higher, you will need to complete our LLN quiz. This will be emailed to you to complete during your application processing and must be completed prior to your enrolment being confirmed This is to assist our trainers for your learning needs. Course Structure This Qualification is presented as a series of blocks for both facilitated face to face and option to join class virtually via Zoom. You can start the course any time by selecting the most suitable course dates to you. For course dates please see the course dates tab, or refer to our course calendar on our website. Please ensure you advise your course start date and study mode when asked when completing this enrolment application.
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.
Pivot Solutions Pty Ltd trading as Mine Training Australia and Pivot Institute 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 Pivot Solutions Pty Ltd trading as Mine Training Australia and Pivot Institute to:
RTO# 51586 - THE PIVOT INSTITUTE(08) 9221-1803elisa@pivot.edu.auLevel 1, 46 Edward Street Osborne Park 6017 WA
I have read and I agree to the Privacy Statement
I have read and I agree to the terms and conditions. *
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 Pivot Solutions Pty Ltd trading as Mine Training Australia and Pivot Institute 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
Unique Student Identifier (USI)
Locating your USI through your RTO
USI application through your RTO (if you do not already have one)
I agree to the above
RTO Specific Questions
Language, Literacy & Numeracy
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