Certificate IV Chaplaincy and Pastoral Care Enrolment form (NEW)

CERTIFICATE IV CHAPLAINCY AND PASTORAL CARE
Enrolment form

Dear Student,

Our Semester 2, 2019 intakes are now open. We warmly invite you to enrol as soon as possible into the subjects relevant to your program of study.

If you are unsure about subject selection or require academic guidance, we are happy to assist. The Student Support team are available to answer any queries you might have about your enrolment. You can e-mail the team at studentsupport@ac.edu.au

If you have not completed a Domestic Application Form and received an offer letter, please complete the form at the link attached.

Yours Sincerely,

Registry Department

30 Cowper St Parramatta NSW 2150, Australia

T: +61 2 8893 9000

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 enrolling in one of our Chaplaincy courses as a full credited student, you will need to provide your Birth Certificate or passport.

PERSONAL DETAILS

Student Number or Date of Birth (dd/mm/yyyy)

First Name *

Last Name *

Email address *

Have you 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 enrolling in the Chaplaincy intensives and you had not previously enrolled in the intensives, you will need to create a USI which you can do via this link: https://www.usi.gov.au/

Do you have a USI ( Unique Student Identifier) *

Yes

No

Please obtain a USI before continuing

From the 1st January 2015, all students enrolled in VET courses are required to have a USI.

The USI is issued by the Australian Government and must be provided to Alphacrucis College before you can enrol and before receiving a training record or qualification.

For more information on the USI click here.

If you do not already have USI please get one by clicking here.

When creating a USI please ensure to give Alphacrucis College permission to view your USI record.

Select "add organisation" on the Managing Permissions tab

Organisation code: 90525

Organisation Name: Alphacrucis College Ltd.

USI Number *

GOVERNMENT REQUIRED FIELDS

Employrment 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 education attainment of parent/guardian 1 *

Gender of parent/guardian 2 *

Highest education attainment of parent/guardian 2 *

______________________________________________________________________________

FULL COURSE ENROLMENT GUIDE

Please read the following course structure summary for the Certificate IV in Chaplaincy and Pastoral Care. For a more extensive guide to your course, please read the full Enrolment Guide on our website

FEE PER UNIT: $300

INTENSIVE 1 & 2

CHCPAS001 Plan for the provision of pastoral and spiritual care

CHCPAS002 Provide pastoral and spiritual care

CHCCOM002 Use communication to build relationships

CHCCCS017 Provide loss and grief support

CHCCCS016 Respond to client needs

CHCMHS001 Work with people with mental health issues

INTENSIVE 3 & 4

CHCDIV001 Work with diverse people

CHCCCS004 Assess co-existing needs

CHCCCS003 Increase the safety of individuals at risk of suicide

CHCPRP003 Reflect on and improve own professional practice

CHCLEG001 Work legally and ethically

ELECTIVES

(Choose two of the following)

CHCAOD001 Work in an alcohol and/or other drugs context

CHCAGE001 Facilitate the empowerment of older people

CHCDFV001 Recognise and respond appropriately to domestic and family violence

CHCGMB001 Assess the needs of clients with problem gambling issues

CHCSOH001 Work with people experiencing or at risk of homelessness

CHCYTH002 Work effectively with young people in the youth work context

PLEASE NOTE: to enrol in the elective units, please complete the Elective Enrolment Form here.

SHORT COURSES

MINISERS CHAPLAINCY UPGRADE

The 'Ministers Chaplaincy Upgrade' is a short course for Pastors and Ministers with years of experience looking to upskill or move into the Chaplaincy field. This includes a 3-day Intensive (8:30am-5pm) and assessments completed online. Students who choose this option complete 2 units of study and receive a statement of attainment.

Units include:

CHCCCS016 Respond to client needs

CHCMHS001 Work with people with mental health issues

______________________________________________________________________________

Select Course *

I wish to enrol in: *

Please select the location where you will complete the intensives: *

Venue:

Alphacrucis College

1013 South Road, Melrose Park SA

Venue:

Alphacrucis College

Level 4, 350 Queen Street, Melbourne VIC

Please select the location where you will complete the intensives: *

Venue:

Alphacrucis College

48 O'Keefe Street, Woolloongabba QLD

Venue:

LifeHouse Church

167 Orlando Street, Coffs Harbour NSW

Venue:

Alphacrucis College

Level 4, 350 Queen Street, Melbourne VIC

Venue:

The State Hub

Suite 3, 642 Albany Highway, Victoria Park WA

Venue:

Alphacrucis College

Level 2, 30 Cowper Street, Parramatta NSW

Please select the location where you will complete this semester: *

INTENSIVE DATES NOT YET AVAILABLE

Please enrol me in *

*PLEASE NOTE: Students completing the full Certificate IV need to enrol in all units in the intensive*

Intensive 3 and 4 dates: 23-27 Septembet 2019

Please select units you wish to enrol in *

CHCDIV001 Work with diverse people (Census date: 21/10/2019)

CHCCCS004 Assess co-existing needs (Census date: 21/10/2019)

CHCCCS003 Increase the safety of individuals at risk of suicide (Census date: 21/10/2019)

CHCPRP003 Reflect on and improve own professional practice (Census date: 21/10/2019)

CHCLEG001 Work legally and ethically (Census date: 21/10/2019)

Please select units you wish to enrol in as an audit student *

CHCDIV001 Work with diverse people (Census date: 21/10/2019)

CHCCCS004 Assess co-existing needs (Census date: 21/10/2019)

CHCCCS003 Increase the safety of individuals at risk of suicide (Census date: 21/10/2019)

CHCPRP003 Reflect on and improve own professional practice (Census date: 21/10/2019)

CHCLEG001 Work legally and ethically (Census date: 21/10/2019)

Intensive 3 dates: 29-31 August 2019

Intensive 4 dates: 24-26 October 2019

Please select units you wish to enrol in *

CHCDIV001 Work with diverse people (Census date: 23/09/2019)

CHCCCS004 Assess co-existing needs (Census date: 23/09/2019)

CHCCCS003 Increase the safety of individuals at risk of suicide (Census date: 23/09/2019)

CHCPRP003 Reflect on and improve own professional practice (Census date: 23/09/2019)

CHCLEG001 Work legally and ethically (Census date: 23/09/2019)

Please select units you wish to enrol in as an audit student *

CHCDIV001 Work with diverse people (Census date: 23/09/2019)

CHCCCS004 Assess co-existing needs (Census date: 23/09/2019)

CHCCCS003 Increase the safety of individuals at risk of suicide (Census date: 23/09/2019)

CHCPRP003 Reflect on and improve own professional practice (Census date: 23/09/2019)

CHCLEG001 Work legally and ethically (Census date: 23/09/2019)

Please enrol me in *

*PLEASE NOTE: Students completing the full Certificate IV need to enrol in all units in the intensive*

Intensive 1 dates: 15-17 August 2019

Intensive 2 dates: 3-5 October 2019

Please select units you wish to enrol in *

CHCPAS001 Plan for the provision of pastoral and spiritual care (Census date: 09/09/2019)

CHCPAS002 Provide pastoral and spiritual care (Census date: 14/10/2019)

CHCCOM002 Use communication to build relationships (Census date: 09/09/2019)

CHCCCS017 Provide loss and grief support (Census date: 09/09/2019)

CHCMHS001 Work with people with mental health issues (Census date: 09/09/2019)

CHCCCS016 Respond to client needs (Census date: 09/09/2019)

Intensive 1 dates: 12-14 September 2019

Intensive 2 dates: 31 October-2 November 2019

Please select units you wish to enrol in *

CHCPAS001 Plan for the provision of pastoral and spiritual care (Census date: 7/10/2019)

CHCPAS002 Provide pastoral and spiritual care (Census date: 11/11/2019)

CHCCOM002 Use communication to build relationships (Census date: 7/10/2019)

CHCCCS017 Provide loss and grief support (Census date: 7/10/2019)

CHCMHS001 Work with people with mental health issues (Census date: 7/10/2019)

CHCCCS016 Respond to client needs (Census date: 7/10/2019)

Please select units you wish to enrol in as an audit student *

CHCPAS001 Plan for the provision of pastoral and spiritual care (Census date: 7/10/2019)

CHCPAS002 Provide pastoral and spiritual care (Census date: 11/11/2019)

CHCCOM002 Use communication to build relationships (Census date: 7/10/2019)

CHCCCS017 Provide loss and grief support (Census date: 7/10/2019)

CHCMHS001 Work with people with mental health issues (Census date: 7/10/2019)

CHCCCS016 Respond to client needs (Census date: 7/10/2019)

Intensive 1 dates: 17-19 October 2019

Intensive 2 dates: 28-30 November 2019

Please select units you wish to enrol in *

CHCPAS001 Plan for the provision of pastoral and spiritual care (Census date: 11/11/2019)

CHCPAS002 Provide pastoral and spiritual care (Census date: 16/12/2019)

CHCCOM002 Use communication to build relationships (Census date: 11/11/2019)

CHCCCS017 Provide loss and grief support (Census date: 11/11/2019)

CHCMHS001 Work with people with mental health issues (Census date: 11/11/2019)

CHCCCS016 Respond to client needs (Census date: 11/11/2019)

Please select units you wish to enrol in as an audit student *

CHCPAS001 Plan for the provision of pastoral and spiritual care (Census date: 11/11/2019)

CHCPAS002 Provide pastoral and spiritual care (Census date: 16/12/2019)

CHCCOM002 Use communication to build relationships (Census date: 11/11/2019)

CHCCCS017 Provide loss and grief support (Census date: 11/11/2019)

CHCMHS001 Work with people with mental health issues (Census date: 11/11/2019)

CHCCCS016 Respond to client needs (Census date: 11/11/2019)

Intensive 1 dates: 15-17 August 2019

Intensive 2 dates: 3-5 October 2019

Please select units you wish to enrol in *

CHCPAS001 Plan for the provision of pastoral and spiritual care (Census date: 09/09/2019)

CHCPAS002 Provide pastoral and spiritual care (Census date: 14/10/2019)

CHCCOM002 Use communication to build relationships (Census date: 09/09/2019)

CHCCCS017 Provide loss and grief support (Census date: 09/09/2019)

CHCMHS001 Work with people with mental health issues (Census date: 09/09/2019)

CHCCCS016 Respond to client needs (Census date: 09/09/2019)

Please select units you wish to enrol in as an audit student *

CHCPAS001 Plan for the provision of pastoral and spiritual care (Census date: 09/09/2019)

CHCPAS002 Provide pastoral and spiritual care (Census date: 14/10/2019)

CHCCOM002 Use communication to build relationships (Census date: 09/09/2019)

CHCCCS017 Provide loss and grief support (Census date: 09/09/2019)

CHCMHS001 Work with people with mental health issues (Census date: 09/09/2019)

CHCCCS016 Respond to client needs (Census date: 09/09/2019)

Intensive 1 and 2 dates: 4-8 November 2019

Please select units you wish to enrol in *

CHCPAS001 Plan for the provision of pastoral and spiritual care (Census date: 2/12/2019)

CHCPAS002 Provide pastoral and spiritual care (Census date: 6/1/2020)

CHCCOM002 Use communication to build relationships (Census date: 2/12/2019)

CHCCCS017 Provide loss and grief support (Census date: 2/12/2019)

CHCMHS001 Work with people with mental health issues (Census date: 2/12/2019)

CHCCCS016 Respond to client needs (Census date: 2/12/2019)

Please select units you wish to enrol in as an audit student *

CHCPAS001 Plan for the provision of pastoral and spiritual care (Census date: 2/12/2019)

CHCPAS002 Provide pastoral and spiritual care (Census date: 6/1/2020)

CHCCOM002 Use communication to build relationships (Census date: 2/12/2019)

CHCCCS017 Provide loss and grief support (Census date: 2/12/2019)

CHCMHS001 Work with people with mental health issues (Census date: 2/12/2019)

CHCCCS016 Respond to client needs (Census date: 2/12/2019)

For Parramatta location ONLY, you can select to do both units.

Please select the location where you will complete the intensives *

Parramatta

Please select units you wish to enrol in:

CHCMHS001 Work with people with mental health issues

VENUE:

Alphacrucis College

30 Cowper Street, Parramatta NSW

DATE:

Saturday, 28 September 2019

8:30AM-5:00PM

Please select units you wish to enrol in:

CHCCCS016 Respond to client needs

VENUE:

Alphacrucis College

30 Cowper Street, Parramatta NSW

DATE:

Thursday, 1 August - Friday, 2 August 2019

8:30AM-3:00PM

Please select the location where you will complete the intensives *

VENUE:

One Life Church

13 - 15 Ormsy Avenue, Parafield Gardens SA

DATES:

6 - 8 November 2019

Please select units you wish to enrol in *

CHCMHS001 Work with people with mental health issues (Census date: 2/12/2019)

CHCCCS016 Respond to client needs (Census date: 2/12/2019)

VENUE:

Alphacrucis College

48 O'Keefe Street, Woollongabba QLD

DATES:

27-29 November 2019

Please select units you wish to enrol in *

CHCMHS001 Work with people with mental health issues (Census date: 23/12/2019)

CHCCCS016 Respond to client needs (Census date: 23/12/2019)

PAYMENT

I intend to pay my fees by: *

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).

*

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 existing 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. * 🛈

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. *

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.

OFFER CODE:

Please use the code "2019" below as you will not make a payment on this enrolment form.

In this case, you will receive an invoice inclusive of any fees owing (for payment prior to the unit commencement date) and your receipt from this enrolment form will show $0.

Once you have entered the 2019 code, press 'calculate' below to ensure that the total is returned to $0.

OFFER CODE:

Please use the code "2019" 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 2019 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 *

Current Total:

$0.00

Policy and Procedures

For a complete copy of the Alphacrucis College policies, please click here Policy and Procedure Manual

For more information on our policies and procedures regarding your application, please visit:

Refund Policy

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.

I am over 18 years of age *

Yes

No

Declaration

I understand and accept the Policies and Procedures of Alphacrucis College. I understand and agree to abide by Alphacrucis code of conduct policy http://ac.edu.au/ppm/code-conduct-policy/

I wish to enrol in the units that I have nominated and I declare that the information I have entered and provided is true and accurate. *

I Accept

I Decline