CHC42315 Certificate IV in Chaplaincy and Pastoral Care Electives

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CHC42315 CERTIFICATE IV IN CHAPLAINCY AND PASTORAL CARE

Elective Enrolment Form

2019 Tuition Fees

I am already an Alphacrucis College Student (ie. I have already applied to study and received a letter of offer or I am currently enrolled)

Yes

No

If you are not a previous Alphacrucis College student and are completing your elective units as a full credited unit, you will need to provide your Birth Certificate or passport and create a USI.

PERSONAL DETAILS

Student ID or Date of Birth - (dd/mm/yyyy)

First Name/s *

Surname *

Email address *

Have your contact details recently changed? To ensure that AC has your current contact information, please indicate any changes below: *

I wish to update my phone number

I wish to update my postal address

My contact details have not changed

Contact Number *

Current Residential Address *

Suburb/City *

State *

Postcode/Zip *

If you are a new student enroling within the Electives and had not previously done the intenisves you will need to create a USI which you can do via this link https://www.usi.gov.au/

USI ( Unique Student Identifier) *

GOVERNMENT REQUIRED FIELDS

Employment Status *

Study Reason *

Highest Level of Secondary School *

Year Left Secondary School (e.g. 2001) *

Highest Education Attained Prior to Commencing *

Year Highest Education Attained (e.g. 2006) *

Gender of parent/guardian 1 *

Highest educational attainment of parent/guardian 1 *

Gender of parent/guardian 2 *

Highest educational attainment of parent/guardian 2 *

________________________________________________________________________________________________________________________

ENROLMENT

Please Indicate your Enrolment Load

I wish to enrol in the Electives

I wish to enrol in the Electives as an Audit Student

I wish to attend the PD Day as a Credential Pastor (SMC/PMC/OMC)

I wish to attend the PD Day as a Non-credential Church team leader

I wish to attend the One Day Electives as a Chaplaincy Australia Member (CA ID required)

I wish to attend the Oxford Falls One Day Intensives

I wish to attend the Oxford Falls One Day Intensives as an Audit Student

FOR MORE INFORMATION ON THE PROFESSIONAL DEVELOPMENT DAY,

PLEASE CLICK HERE.

Please select your Elective Location

Dates

5 - 6 July 2019

Venue

Alphacrucis College

1 Keith Street, Melbourne VIC

Dates

19 - 20 July 2019

Venue

Alphacrucis College

30 Cowper Street, Parramatta NSW

Please enrol me in the following unit/s:

CHCDFV001 Recognise and respond appropriately to domestic and family violence

Please enrol me in the following unit/s:

CHCDFV001 Recognise and respond appropriately to domestic and family violence

Please enrol me in the following unit/s:

CHCDFV001 Recognise and respond appropriately to domestic and family violence

CHCAOD001 Work in an alcohol and other drugs context

Please enrol me in the following unit/s:

CHCDFV001 Recognise and respond appropriately to domestic and family violence

CHCAOD001 Work in an alcohol and other drugs context

Please enrol me in the following unit/s:

CHCDFV001 Recognise and respond appropriately to domestic and family violence

CHCAOD001 Work in an alcohol and other drugs context

Please enrol me in the following unit/s:

CHCDFV001 Recognise and respond appropriately to domestic and family violence

Please enrol me in the following unit/s:

CHCDFV001 Recognise and respond appropriately to domestic and family violence

Please enrol me in the following unit/s:

CHCDFV001 Recognise and respond appropriately to domestic and family violence

CHCAOD001 Work in an alcohol and other drugs context

Please enrol me in the following unit/s:

CHCDFV001 Recognise and respond appropriately to domestic and family violence

CHCAOD001 Work in an alcohol and drugs context

Please enrol me in the following unit/s:

CHCDFV001 Recognise and respond appropriately to domestic and family violence

CHCAOD001 Work in an alcohol and drugs context

Please enrol me in the following unit/s:

CHCDFV001 Recognise and respond appropriately to domestic and family violence

Please enrol me in the following unit/s:

CHCDFV001 Recognise and respond appropriately to domestic and family violence

NSW84 Date: 20 July 2019

Venue: C3 Church

34 Wakehurst Parkway, Oxford Falls NSW

Please enrol me in the following unit/s:

CHCMHS001 Work with people with mental health issues

Please enrol me in the following unit/s:

CHCMHS001 Work with people with mental health issues

NSW86 Date: 14 September 2019

Venue: C3 Church

34 Wakehurst Parkway, Oxford Falls NSW

Please enrol me in the following unit/s:

CHCCCS017 Provide loss and grief

Please enrol me in the following unit/s:

CHCCCS017 Provide loss and grief

Please upload your Chaplaincy Australia ID Card (must be current member) *

Please provide your name of Church *

Please upload your referral letter from your Senior pastor *

PAYMENT DETAILS

Current Total:

$0.00

Please select how you would like to pay for your subjects. *

Kindly ensure to send a confirmation/screen shot of completed transaction with your details visible of payment to our accounts team at billings@ac.edu.au

DIRECT DEPOSIT INSTRUCTIONS

When making your deposit, please include your Name and Student Number as the description and advise our Accounts department of your transaction.

Phone +61 2 8893 9000

Email billings@ac.edu.au

Account Name: Alphacrucis College

BSB Number: 062141

Account Number: 28003829

Swift Code: CTBAAU2S

Bank Name: Commonwealth Bank

Branch Name: Chester Hill, NSW

Reminder: payment MUST be transferred prior to the unit commencement date in order for your enrolment request to be processed.

Please select your funding type *

AC Scholarship or Student Discount

AC Staff Discount

External Sponsorship

Payment Plan (existing and approved plans only)

I have a credit balance on my student account, please deduct this from my fees this semester

Who approved your scholarship/discount? *

What is the name and relationship of the AC staff member whose discount you are eligible to receive?

1. If you are eligible for the discount because you work at AC, just write your name below

2. If you are eligible for the discount because a family member works at AC, please write their name and relationship to you (e.g.Jane Smith, my mother)

*

You have indicated that you are eligible for a discount at AC. Please select how you would like the remainder of your fees to be paid. *

Please provide the details of your sponsor (name and contact information) *

Please upload evidence of your sponsorship agreement (e.g. letter from sponsor, etc.)

Please upload evidence of your existence and approved payment plan.

Please write the amount you currently have in credit and wish to be used towards payment of your fees this semester. * 🛈

Offer Code:

Please use the code "2018" below as you will not make a payment on this enrolment form.

Your receipt from this enrolment form will show $0.

Once you have entered the 2018 code, press 'calculate' below to ensure that the total is returned to $0.

Please note the total fees owing (on the next page) and ensure that your payment is transferred prior to the unit commencement date.

Offer Code

POLICY & PROCEDURES

For a complete copy of the Alpacrucis College policy and procedures please click here:

Policy and Procedure Manual

For more information please click the relevent below:

Fees, Payments and Tuition Assurance Policy

Tuition Assurance Statement

Withdrawal Policy

Electronic Publishing and Resource Use Policy

Privacy Notice

Under the Data Provision Requirements 2012, Alphacrucis College is required to collect personal information about you and to disclose that personal information to the National Centre for Vocational Education Research Ltd (NCVER).

Your personal information (including the personal information contained on this enrolment form), may be used or disclosed by Alphacrucis College for statistical, administrative, regulatory and research purposes. Alphacrucis College may disclose your personal information for these purposes to: Commonwealth and State or Territory government departments and authorised agencies; and NCVER.

Personal information that has been disclosed to NCVER may be used or disclosed by NCVER for the following purposes: populating authenticated VET transcripts; facilitating statistics and research relating to education, including surveys and data linkage; pre-populating RTO student enrolment forms; understanding how the VET market operates, for policy, workforce planning and consumer information; and administering 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, agent or third party contractor or other authorised agencies. Please note 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 National VET Data Policy and all NCVER policies and protocols (including those published on NCVER's website at www.ncver.edu.au).

Withdrawal

Students may withdraw from subjects without academic penalty only if notice of withdrawal is submitted via the Enrolment Variation Form (Link) by 4:00pm on the Census Date applicable for the subject in question.

If withdrawal occurs up to 4:00pm on the Census Date, the tuition fee will be refunded but a withdrawal penalty may be charged to the student. If withdrawal occurs after 4:00pm on the Census Date, the tuition fees will not be refunded.

If Alphacrucis defaults in the delivery of subjects, the arrangements set out in the Alphacrucis College Refund Policy* will be applied.

Privacy Legislation

Alphacrucis College requires the information requested in this form in order to provide you with education services and cater for particular student's needs. If you do not provide all the relevant information, we may not be able to provide such services and to assess your academic progress.

Please note that Alphacrucis College may provide your personal information and sensitive information to third parties (eg. educational institutions such as universities, colleges and accreditation boards and Australian government bodies such as Department of Education and Training, Centrelink and the Department of Home Affairs, Tuition Assurance Scheme, Tuition Protection Service) in order to provide you with education services and assess your academic progress or suitability. You can request access to your health and personal information by contacting the Privacy Officer, for more information please read the privacy policy.

DECLARATION

I understand and accept the Policies and Procedures of Alphacrucis College. I wish to enrol in the units that I have nominated. I declare that the information that I have provided herein is true and accurate to the best of my knowledge. *

I Accept

I Decline