Trainwest

Student Enrolment Form

You are enrolling in a Queensland Health and Safety Representatives Course.

Thank you for choosing to enrol with KINNECT Training, delivered in partnership with Trainwest (RTO Provider #51807).

As the Registered Training Organisation (RTO), Trainwest is responsible for delivering your nationally recognised course. We encourage you to understand your rights and responsibilities as a student enrolling in a course through a third-party arrangement.

Before completing your enrolment, please ensure you have read the Trainwest Third-Party Student Handbook which provides essential information about your course, including training details, assessment requirements, student support services, your rights and responsibilities, and our complaints and appeals processes.

Trainwest ensures that students enrolling through third-party arrangements have the same rights and protections as those who enrol directly with us.

If you have any questions or need assistance, our Partnership Team is available to help. You can contact us at 1300 938 411 or email partnerships@trainwest.com.au. We are here to support you throughout your course.

By submitting this enrolment, you acknowledge that you have read and understood the terms outlined in the Trainwest Third-Party Student Handbook and related policies.

Please fill in the Registration form below. Fields with a red * are required.

Terms & Policies

I have read and I agree to the Trainwest Privacy Notice *

I have read and I agree to the terms and conditions. *

Student details

Enter your full name

Title *

Legal surname*

Legal given name/s*

Second given name (middle)

Preferred Name/s

Enter your birth date

Date of Birth *

Please select your Gender

Gender *

Enter your contact details

Email *

Confirm Email *

Alternative email address (optional)

Additional Email

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.

Mobile *

Home Phone *

Work Phone

Preferred Contact *

Your Company of employment

Company

Please enter the details for your your next-of-kin / Emergency Contact

Full Name *

Phone/Mobile *

Relationship *

Address(es)

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.

Building/property name

Flat/unit details

Street or lot number (e.g. 205 or Lot 118) *

Street Name *

Suburb, locality or town *

Postcode *

State/Territory *

What is your postal address (if different from above)?

I have a postal address that is different to the residential address provided

Building/property name

PO Box

Flat/unit details

Street or lot number (e.g. 205 or Lot 118)

Street Name

Suburb, locality or town

Postcode

State/Territory

Course Questions

Course Specific Questions

I have read and agree to the Third-Party Student Handbook.*

I understand I am enrolling with KINNECT Training, delivered in partnership with Trainwest (RTO Provider #51807).*

I give Trainwest consent to release a copy of my certificate to KINNECT Training.*

Misc.

Language, Literacy & Numeracy

LLN Assistance
I require Language, Literacy and Numeracy assistance.

How did you hear about us?

Referral Type

Upload an attachment

(To upload multiple files, please Zip the files together, and upload the Zip file)

Attachment (if applicable) (pdf, doc, docx, zip, png, jpeg - 3MB maximum)

Is there anything else we need to know, in regards to your enrolment?

Additional Notes

Finalise

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