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Enrolment Form

Enrolment FormWim Linstrom2020-11-26T10:49:40+10:00

COURSE APPLICATION FORM API

This form is connected with Axcelerate

Step 1 of 5 - Personal Details

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  • PERSONAL DETAILS

    Please write the name that you used when you applied for your Unique Student Identifier (USI), including middle names.
  • Your contact ID is issued to you when you enquire about a course or if you have previously been a student with QCWT, please add that number in the field provided
  • Please select the course you are interested in
  • DD slash MM slash YYYY
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  • Contact Details

  • If the same as Residential address leave blank
  • Emergency Contact Details

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  • Language and Cultural Diversity

  • Do you speak a language other than English at home
  • Main language other than English spoken at home
  • Disability

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  • Employment

  • Schooling and Education

  • Please enter a number from 1900 to 3000.
  • As an example if you are currently in Year 12 your highest completed level of schooling is Year 11.
  • The Queensland Studies Authority Learner Unique Identifier (LUI). A 10-digit, numeric code.
  • University/TAFE etc
  • Have you SUCCESSFULLY completed any of the following qualifications
  • Reason For Study

  • Unique Student Identifier (USI)

    From 1 January 2015, University of Southern Queensland can be prevented from issuing you with a nationally recognised VET qualification or statement of attainment when you complete your course if you do not have a Unique Student Identifier (USI). If you have not yet obtained a USI you can apply for it directly at http://www.usi.gov.au/creat-your-USI/ on computer or mobile device. Please note that if you would like to specify your gender as ‘other’ you will need to contact the USI Office for assistance.
  • Unique Student Identifier (USI). A 10-digit code. If passed, this code must conform to the minimum validation: It must be 10 digits in length and consist of only capital letters and numbers, excluding I, 1, 0 and O.
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  • Declaration

  • Student Indemnity Agreement
    IN CONSIDERATION of the Organiser permitting me to participate in the training course I agree with it as follows:
    1. I UNDERSTAND that participating in any type of training or course or activity may be present varying forms of RISK and possible hazards and I voluntarily ACCEPT the risk of damage consequent upon or arising from my entry as a student, and the use of the Organiser's facilities.
    2. I WILL NOT SUE the Organisers for any negligence, tort, breach of contractual or any other legal or equitable rights howsoever caused, and this indemnity will extend to and include any damage arising from my participation in a training course and from my use of the Organiser's facilities and I INDEMNIFY the Organisers in respect of the same.
    3. I WILL abide by the Rules and Regulations of the Organisers as to the training and to the use of the Organiser's facilities and the directions of the Organiser's officials including the right to terminate or cancel my training and the use of the Organiser's facilities at any time and for any reason.
    4. THE PERSONAL INFORMATION I have supplied to the Organiser regarding my qualifications, experience and any other matter associated with the training is true and correct and I have READ AND UNDERSTOOD all of the clauses of this agreement before accepting the same and before my use of the Organiser's facilities or before any participation in training.
    5. IN THIS AGREEMENT the following words shall respectively mean:
    • "The Student" - the person named as such on this application form on this paper over the page.
    • "The Organiser" – University of Southern Queensland (any campus or organisation associated with a University of Southern Queensland school, Registered Training Organisation or company), University of Southern Queensland and any teachers, lecturers, instructors, directors, officers, managers, advisors, employees, agents, licensees, subcontractors, subsidiaries, holding companies, associates and assignees, or any person associated with the company in any way; the course participation venue, company in control of the venue or any company or person authorising the use of the training venue, its directors, officers, managers, advisors, employees, agents, licensees, subcontractors, subsidiaries, holding companies, associates and assignees or any person or company associated with the company or person in any way.
    • "The Organiser's facilities" - the land and buildings associated with any training or any part of the training, training resources, accommodation or training venue. "use of the Organiser's facilities" - the use by the student or his / her attempted use of the Organiser's facilities whether such use or access is in breach of this agreement or the Organiser's Rules and Regulations or authorised or otherwise and whether intended to be so used or not. "damage" - all loss or damage, costs or expenses, whether direct or indirect flowing from any legal liability, claim, demand, right of action, proceedings or judgment of whatever nature and whether arising at law or in equity and whether suffered to the person or property of the Organiser, the Student, or any other person or corporation and whether arising out of or consequent upon the negligence of the Organiser, the Student or otherwise.
    • "Rules and Regulations" - the Rules and Regulations are the Rules and Regulations relating to any Training which is available from the Organiser, and includes all amendments or alterations to the Rules and Regulations made from time to time.
  • Privacy Notice

    Why we collect your personal information
    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.

    Please note: there are consequences for the individual if the personal information is not collected. If you do not provide your personal information to us, we will not be able to enrol you.

    How we use your personal information
    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.

    How we disclose your personal information
    We 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.

    How the NCVER and other bodies handle your personal information
    The 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.

    The NCVER is authorised to disclose information to the Australian Government Department of Education, Skills and Employment (DESE), 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:
    • administration of VET, including program administration, regulation, monitoring and evaluation
    • facilitation of statistics and research relating to education, including surveys and data linkage
    • understanding how the VET market operates, for policy, workforce planning and consumer information.

    The NCVER may also disclose personal information to persons engaged by NCVER to conduct research on NCVER’s behalf.

    The NCVER does not intend to disclose your personal information to any overseas recipients.
    For more information about how the 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 us using the contact details listed below.

    DESE 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 the DESE will handle your personal information, please refer to the DESE VET Privacy Notice at https://www.dese.gov.au/national-vet-data/vet-privacy-notice.

    The QCWT is required to report all vocational education and training activity, and funding requirements to the Queensland Government’s Department of Employment, Small Business and Training (DESBT). Therefore, your personal information, including the personal information obtained at the time of enrolment and your training activity data will be disclosed to the DESBT. The data submitted to DESBT is electronically assessed for compliance and is validated against a series of Queensland Government databases that include:
    • AVETMISS, STAC and GENERAL
    • Learner Unique Identifier (LUI)
    • Direct Entry Level Training Administration (DELTA)
    • QVET Accreditation and Registration System (VARS)
    • Queensland Curriculum and Assessment Authority (QCAA)

    Please refer to DESBT privacy notice at https://www.qld.gov.au/legal/privacy .

    Surveys
    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.

    Contact information
    If you:
    • Would like to request access to your personal information
    • would like to correct your personal information
    • would like to make a complaint about how your personal information has been handled
    • have any questions about this Privacy Notice

    You can write the Queensland College of Wine Tourism’s VET Administration Officer:
    • At PO Box 318, STANTHORPE QLD 4380
    • Email: qcwt@usq.edu.au

    Privacy Policy link
    https://policy.usq.edu.au/documents/13404PL

  • By ticking this box, I declare and consent to:
    • I declare that the information I have provided to the best of my knowledge is true and correct.
    • I understand that the submission of incorrect or incomplete information may result in a cancellation of enrolment at any stage.
    • I consent to the collection, use and disclosure of my personal information in accordance with the Privacy Notice.
    • I recognise that it is my responsibility to provide all necessary documentary evidence of my qualifications, studies and experience.
    • I have read and understood the Student Indemnity Agreement.
    • I have sought information and understand my eligibility for any fee subsidy (if applicable). I also understand that I must provide evidence of subsidy and/or concession at the time of enrolment, and that subsequent evidence will not be accepted.
    • I give permission to the University of Southern Queensland (USQ) t/a Queensland College of Wine Tourism, to validate and search for my USI (if required).
    • I declare that I have been provided with the Course Information Booklet prior to this enrolment.
    As a VETiS Student (if applicable), I declare and consent to:
    • As a student of QCWT, I agree to abide by the rules of QCWT, as an extension of the current rules with my High School.
    • I understand that all misbehaviours or misconduct will be reported back to my High School for follow-up.
    • I agree to advise my QCWT trainers of any absences.
    • I understand that all absences will be reported to my High School for follow-up.
    • I have supplied my LUI - Learner Unique Identifier
    • I declare that I have read the VETiS program information in the VETiS Course Guide

    Parent/Guardian Declaration and Consent:
    By ticking this box, I declare that I am the legal PARENTAL/GUARDIAN of the student applying to enrol.
    I declare (where applicable):
    • I agree to my child/dependant’s involvement in the qualification.
    • I declare that I have read the VETiS program information in the VETiS Course Guide.
    • I understand that the nominated school contact will receive ongoing communication in relation to my child/dependant enrolled in the VETiS program.
    • I understand that if my child/dependant is an enrolled student at a Queensland high school, they are entitled to one (1) VETiS funded qualification. If my child/dependant has exhausted their VETiS entitlement, funded by the Queensland Government, I agree to pay Full Fees for the qualification.

  • Clear Signature
  • DD slash MM slash YYYY
    Todays date
  • This field is for validation purposes and should be left unchanged.
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Opening Hours

Monday : Closed
Tuesday to Saturday : Open 9.00am (Morning Tea from 10am / Lunch from 11am)
Friday & Saturday Nights : Open for Dinner from 5.30pm
Sunday : Closed

Closed : Public Holidays

Contact us

General enquiries, bookings and function enquiries.

07 4685 5050
info@qcwt.com.au
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Where to Find Us

22 Caves Rd
Stanthorpe, QLD, 4380