Select Your Future Career: ×Certificate III in Fitness ×Certificate IV in Fitness ×Certificate IV in Fitness- Fast Track Online Registration Form Registration Name DOB mobile email Communication Address Postal Address Photo ID Age QLD Res Citizen/PR USI# In the case I do not provide my USI, I give permission for Fitness Industry Training to access my Unique Student Identifier (USI) for recording my results. If I do not have a USI in place, I am willing for Fitness Industry Training to create one on my behalf. Yes No Emergency Permission – In the event of an emergency do you give Fitness Industry Training permission to organise emergency transport and treatment and agree to pay all costs related to the emergency? * Yes No Emergency Contact Emergency Contact Relationship Select…Brother / SisterOtherParent / GuardianSpouse / Partner Emergency Contact Number Where you born in Australia ? YesNo City of Birth What is your highest level completed at school ? Select…Never attended schoolYr 10 or equivelentYr 11 or equivelentYr 12 or equivelentYr 8 or belowYr 9 or equivelent Are you still attending secondary school ? YesNo In which year did you complete secondary school ? Which BEST describes your employment situation? Select…Employed Full-timeEmployed Part-timeEmployerNot employed-not seeking employmentSelf EmployedUnemployed – seeking full-time employmentUnemployed – seeking part-time employment Employer Name Tick which BEST describes your main reason for undertaking this training ? Select…A different careerBetter job or promotionExtra skills for my jobFor personal interestRequirement of my jobSelf developmnetTo get a jobTo get into another course of studydevelop my existing business Which language do you speak at home ? EnglishChinese (Mandarin)CzechDanishDutchFrenchGermanGreekHebrewHindiHungarianItalianJapaneseKoreanLatinPolishPortugueseRussianSerbianSpanishSwedishThaiTurkishOthers How well do you speak English ? Very well Well Not well Not at all Are you of Aboriginal or Torres Strait Islander origin ? Aboriginal No Torres Strait islander Citizenship: Australian Citizen Australian Permanent Resident Australian Temporary Resident Business Visa Holiday Visa New Zealand Citizen Other Visa Student Visa Visitors Visa Other Visa Type Disability ? YesNo Do you consider yourself to have a disability, impairment or long term condition ? Acquired brain impairment Impaired hearing Impaired vision Intellectual Learning disability Medical Condition Physical Other I choose not to disclose Student Privacy Policy:Compliance FocusSRTO 2015 – Amendment 2017, clauses, 2.4, 8.5 Our commitment to privacy We are committed to ensuring your privacy in accordance with the Privacy Act 1988 and the Australian Privacy Principles. Any personal information collected by us will be with your knowledge and/or consent. What is the purpose of our collection of personal information? We collect your personal information for the primary purpose of providing training services to you. As the documents obtained upon completion of the course are legal documents, accurate personal details are required. When we collect personal information, all is stored in a secure location once received and it not given to any external companies for their own use. Students who have given FIT permission may receive promotional emails from FIT. Social Media Privacy Policy During your relationship with FIT, we may take photos or video footage for the purposes of showcasing our services and programs and ask for you to please complete this form and return it to the staff member whom is working with you. You also may be filmed during the practical assessment of the course by the assessor. This video will be confidential and will not be shared to external parties under any circumstances without permission of the student. Your consent is required for us to use photos, video footage or other personal displays on our website or in any of our publications including brochures, newsletters, posters or other resources. Please complete the following details, sign accordingly and return to FIT I hereby give full permission and consent to FIT to use the images and information I have supplied for promotional purposes. I understand that these may be used and reproduced in print, electronic and web publications and for promotional and publicity purposes both in Australia and overseas. Copyright will rest with the management of FIT and there will be no payment for the use of the image (photography or audio visual) or interview. FIT will not use or allow another party to use the images and information for any further purpose without prior approval. By agreeing and signing below, you agree to the above terms, including the sharing of photographs on media and social media streams at the information I have provided to the best of my knowledge is true and correct. I agree to Privacy Policy and Student Decliration: Yes No Please sign Below: Select your Course Units: Payment: Upfront $ 99 Per/Week $ 49 Term(weeks): 52 Total: $ 2647 Thank You.You will recieve an email shortly with your login details:- Reference ID: EzidebitCustomerID: Name: Course opted: Email ID: Mobile No: Redirecting to the payment page…
