Website - ACFE Registration & Enrolment

Learn Local Short Course Registration

Thank you for choosing to enrol in one of our short courses.

As a Learn Local provider funded by the Adult Community and Further Education Board, we’re required to collect some additional information as part of the enrolment process. This helps us meet funding requirements and continue offering affordable community courses.

We understand there are quite a few questions — please don’t feel overwhelmed. If you’re unsure about anything, we’re happy to help.

📞 Call us on 9876 4381 during business hours
📧 Email enrol@parkorchards.org.au

Once you submit this form, a staff member will be in touch to confirm your enrolment.
Is your course sold out? Click here to go to our Waitlist form instead!

Please select your course, and your fee from the list below.

1. Family Name:*
Given Name:*
Middle Name:
Preferred Name: (optional)
Town/City of birth:*
2. Date of Birth:*

DayMonthYear
Date
3. Gender:*

F FemaleM MaleX Indeterminate/Intersex/Unspecified
4. Mobile Phone*
Email:*
example@example.com
5. House Number and Street Name: (e.g.: 572 Park Road) *
e.g.: 572 Park Road
Suburb:*
State:*
Postcode:*
6. Postal Address (if different from above):
Suburb:
State:
Postcode:
Emergency Contact's Name:*
Emergency Contact's Phone Number:*
Emergency Contact Relationship:
Course Name: *
Concession

Concession rates apply for holders of a Pensioner Concession Card, Commonwealth Health Care Card and/or Veterans Gold Card (pictured below). Additionally, if you are a dependent spouse or dependent child of a card holder you may be eligible for a concession rate.
*A copy of the concession card is required at enrolment. Please send a picture of the card to enrol@parkorchards.org.au upon enrolment if you claim concession. We do not store any information regarding the card, one sighted it is deleted from our server.
Are you claiming a concession? (A copy of the concession card is required at enrolment)*

YesNo
What type of concession card do you have?*

Asylum SeekerHealth Care CardPensioner Concession CardVeterans Gold CardAny dependent spouse or dependent child of one of the above cardholders
Name on Concession Card*
Language and Cultural Diversity
7. In which country were you born?*

AustraliaOther
8. Do you speak a language other than English at home?(If more than one language, indicate the one that is spoken most often)*

No, English OnlyOther
9. Are you of Aboriginal or Torres Strait Islander origin? (For persons of both Aboriginal and Torres Strait Islander origin, mark both ‘Yes’ boxes.)*

NoYes, AboriginalYes, Torres Strait Islander
10. Do you consider yourself to have a disability, impairment or long-term condition? No – Go to Question 12*

YesNo
11. If yes, please indicate the areas of disability, impairment or long-term condition:(You may indicate more than one area.)

Hearing/deafPhysicalIntellectualLearningAcquired brain impairmentVisionMedical conditionMental Health ConditionOther
Schooling
12. What is your highest COMPLETED school level? (Tick ONE box only) If you never attended school – Go to Question 14*

Completed Year 12Completed Year 11Completed Year 10Completed Year 9 or equivalentCompleted Year 8 or lowerNever attended school
13. Are you still attending secondary school?*

YesNo
Previous Qualifications Achieved

14. Have you SUCCESSFULLY completed any of the qualifications listed in question 15? Yes - go to question 15. No- go to question 16.
Bachelor’s degree or Higher Degree

Yes
If Yes, where did you complete your course

AustraliaInternational, and recognised as Equivalent to AustralianInternational
Advanced Diploma or Associate Degree

Yes
If Yes, where did you complete your course

AustraliaInternational, and recognised as Equivalent to AustralianInternational
Diploma or Associate Diploma

Yes
If Yes, where did you complete your course

AustraliaInternational, and recognised as Equivalent to AustralianInternational
Cert. IV or advanced. Certificate/Technician I

Yes
If Yes, where did you complete your course

AustraliaInternational, and recognised as Equivalent to AustralianInternational
Certificate III or Trade Certificate

Yes
If Yes, where did you complete your course

AustraliaInternational, and recognised as Equivalent to AustralianInternational
Certificate II

Yes
If Yes, where did you complete your course

AustraliaInternational, and recognised as Equivalent to AustralianInternational
Certificate

Yes
If Yes, where did you complete your course

AustraliaInternational, and recognised as Equivalent to AustralianInternational
Certificates other than above

Yes
If Yes, where did you complete your course

AustraliaInternational, and recognised as Equivalent to AustralianInternational
Employment
16. Of the following categories, which BEST describes your current employment status? (Tick ONE box only)*

01 - Full-time employee02 - Part-time employee03 - Self-employed - not employing others04 - Self-employed - employing others05 - Employed - unpaid worker in a family business06 - Unemployed - seeking full-time work07 - Unemployed - seeking part-time work08 - Not employed - not seeking employment
17. Which of the following classifications BEST describes your current or recent occupation? (Tick ONE box only)If never employed go to Question 19.

1 - Managers2 - Professionals3 - Technicians and Trade Workers4 - Community and Personal Service Workers5 - Clerical and Administrative Workers6 - Sales Workers7 - Machinery Operators and Drivers8 – Labourers9 - Other
18. Which of the following classifications BEST describes the industry of your current or previous Employer?

Agriculture, Forestry and FishingMiningManufacturingElectricity, Gas, Water and Waste ServicesConstructionWholesale TradeRetail TradeAccommodation and Food ServicesInformation Media and telecommunicationsTransport, Postal and WarehousingRental, Hiring and real Estate ServicesProfessional, Scientific and Technical ServicesAdministrative and Support ServicesPublic Administration and SafetyEducation and TrainingHealth Care and Social AssistanceArts and recreation ServicesFinancial and Insurance ServicesOther
19. Of the following categories, which BEST describes your main reason for undertaking this course? (Tick ONE box only)*

To get a jobIt is a requirement of my jobI want extra skills for my jobTo get a better job or promotionTo try for a different careerTo develop my existing businessTo start my own businessTo get into another course of studyFor personal interest or self-developmentTo get skills for community/voluntary workOther reasons
19. Cohort*

Asylum seekerHead start apprentice/traineeLearner facing financial stressRetrenched workerWoman returning to workA learner with literacy, numeracy, and digital literacy needsJobs Victoria Employment Network ClientReconnect program studentVeteranNo specific cohort
Photo Release
Do you consent to Park Orchards Community House & Learning Centre Inc. publishing photos of yourself for the purpose of marketing and advertising?*

YesNo
Feedback
Where Did You Find Out About This Course?*
Tell us more about why you have chosen this course
What inspired you to enrol in this course?*
What specific skills are you hoping to develop in this course?*
How do you plan to apply what you learn in this course?*
Select any of the skills listed below you would like to improve.*

Self-management (Taking responsibility, organising self)Learning (Learning new things, learning how to do newthings)Teamwork (Connecting and working with others for a sharedgoal)Planning and organising (Making decisions, organising things and people to achieve an outcome)Problem-solving (Working out ways to do things for an outcome)Initiative and enterprise (Trying new things, being creative, following up ideasfor an outcome)
Your Digital Skills

You have enrolled in a course that uses technology. Please choose the answer that best matches your current skills and confidence. There are no right or wrong answers, it just helps us understand how to best support you!
How confident are you using a laptop or desktop computer?*

I’m just getting started.I can do this with some help.I can just about do this on my own.I feel very confident doing this.
How confident are you using a tablet? (for example, an iPad)*

I’m just getting started.I can do this with some help.I can just about do this on my own.I feel very confident doing this.
How confident are you using a smartphone? (a mobile phone)*

I’m just getting started.I can do this with some help.I can just about do this on my own.I feel very confident doing this.
How confident are you finding information online (for example, using Google)?*

I’m just getting started.I can do this with some help.I can just about do this on my own.I feel very confident doing this.
How confident are you checking if information online is true and reliable?*

I’m just getting started.I can do this with some help.I can just about do this on my own.I feel very confident doing this.
How confident are you saving files like photos, documents or videos?*

I’m just getting started.I can do this with some help.I can just about do this on my own.I feel very confident doing this.
How confident are you finding files you have saved before?*

I’m just getting started.I can do this with some help.I can just about do this on my own.I feel very confident doing this.
Victorian Government VET Student Enrolment Privacy Notice

Please read, sign and date the attached Victorian Government VET Student Enrolment Privacy Notice and Student Declaration and Consent.
POCH&LCI provides data to the Department in accordance with the Victorian VET Student Statistical Collection

Guidelines, available at: http://www.education.vic.gov.au/training/providers/rto/Pages/datacollection.aspx.

Privacy Notice

Under the Data Provision Requirements 2012 and National VET Data Policy (which includes the National VET Provider Collection Data Requirements Policy), Registered Training Organisations are required to collect and submit data compliant with AVETMISS for the National VET Provider Collection for all Nationally Recognised Training. This data is held by the National Centre for Vocational Education Research Ltd (NCVER), and may be used and disclosed for the following purposes:
- populate authenticated VET transcripts;
- facilitate statistics and research relating to education, including surveys and data linkage;
- pre-populate RTO student enrolment forms;
- understand how the VET market operates, for policy, workforce planning and consumer information; and
- administer VET, including program administration, regulation, monitoring and evaluation.
You may receive a student survey which may be administered by a government department or NCVER employee, of agentthirdpartyorotherauthorisedagencies.Pleasethethetime out contractor ornoteat youmayoptsurvey of being contacted.

NCVER will collect, hold, use and disclose your personal information in accordance with the Privacy Act 1988 (Cth), the National VET Data Policy and all NCVER policies and protocols (including those published on NCVER's website at www.ncver.edu.au

Survey Participation

You may receive an NCVER student survey which may be administered by an NCVER

employee, agent or third party contractor. This provides valuable feedback on the delivery of VET programs in Victoria and employment outcomes during and after course completion. You may opt out of the survey at the time of being contacted. NCVER will collect, hold, use and disclose your personal information in accordance with the Privacy Act 1988 (Cth), the VET Data Policy and all NCVER policies and protocols (including those published on NCVER's website at www.ncver.edu.au

Legal and Regulatory

The Department's collection and handling of enrolment data and VSNs is authorised under

the Education and Training Reform Act 2006 (Vic The Department is also authorised to collect and handle USIs in accordance with the Student Identifiers Act 2014 (Cth) and the Student Identifiers Regulation 2014 (Cth

Consequences of not providing your information

Failure to provide your personal information may mean that it is not possible for you to obtain a Victorian Government subsidy.

Access, correction and complaints

You have the right to seek access to or correction of your own personal information. You may also complain if you believe your privacy has been breached.

For more information in relation to how student information may be used or disclosed please contact POCH&LCI on 9876 4381 or email manager@parkorchards.org.au

Park Orchards Community House & Leaning Centre Inc. (POCH&LCI) Acknowledgements and Declarations

Please read the following and acknowledge your agreement below:
- I have read, acknowledge and agree to the terms described in the Victorian Government VET Student Enrolment Privacy Notice (see previous page)
- There are no medical reasons or pre-existing illness/es or injury/ies preventing me from participating in the class or activity for which I am applying/enrolling and I am physically capable of performing the requirements relating to this class or activity.
- To the maximum extent permitted by law, I acknowledge that POCH&LCI gives no warranties in respect of the facilities and equipment it provides, and makes no representation as to the suitability of classes or activities for any individual.
- I agree to be bound by all rules and regulations of POCH&LCI (also referred to as the Centre) and to abide by POCH&LCI Policy & Procedures.
- I agree to pay all fees and charges applicable to, and arising from, this enrolment.
- Although POCH&LCI will endeavour to run all courses and classes as promoted, I acknowledge the right of the Centre to cancel or amalgamate classes if necessary.
- I authorise POCH&LCI or its agent to seek emergency medical, hospital, ambulance services or treatment as is deemed necessary on my behalf while attending the Centre. I also understand that Park Orchards Learning Centre Inc. bears no responsibility and will indemnify POCH&LCI for costs incurred as a result.
- I authorise POCH&LCI or its representative to retain my student work for audit purposes.
- I give permission to POCH&LCI, to apply on my behalf for a Unique Student Identifier (USI) (if appropriate, question 10 refers)
- I authorise the Centre to release information regarding my enrolment to any government department, including an application for a Unique Student Identifier (USI) providing confidentiality is assured.
- I authorise POCH&LCI to contact me for internal surveying purposes.
- I have read and accept the conditions of enrolment including the fee refund policy
I declare that the information I have provided to the best of my knowledge is true and correct.

I consent to the collection, use and disclosure of my personal information in accordance with the Privacy Notice above.
Signature*

Clear
DATE*

DayMonthYear
Date
If Student is under 18

PARENT/GUARDIAN SIGNATURE [or electronic acknowledgement]* *Parental/guardian consent is required for all students under the age of 18.
Signature

Clear
DATE

DayMonthYear
Date
EVIDENCE OF ELIGIBILITY AND STUDENT DECLARATION FORM

STUDENT SCHOOL ATTENDANCE STATUS DECLARATION

STUDENT DECLARATION
In seeking to enrol in one or more pre-accredited modules with this Learn Local provider, declare the following to be true and accurate statements:

• I AM NOT enrolled in a school, including government, non-government, independent, Catholic or home school, and:

• I am aged 17 years of age or over, or

• I am under 17 years of age and have provided Evidence of Exemption by a school principal or the Department of Education and Training Regional Director.

• I acknowledge and understand that I may be contacted by the Department of Education and Training or their agent to participate in a survey, interview or other questionnaire
Full Name*
Full Name*
Signature*

Clear
Date*

DayMonthYear
Date
Would you like to stay in the loop?*

Yes, please send me helpful reminders about courses, news and opportunities (email/SMS).No thanks, I don’t want to receive marketing messages(please note you will still receive communication about current enrolments).
Should be Empty:

Payment Methods

Concession

Language and Cultural Diversity

Schooling

Previous Qualifications Achieved

Employment

Photo Release

Feedback

Tell us more about why you have chosen this course

Your Digital Skills

Victorian Government VET Student Enrolment Privacy Notice