Student contact details

If you are having difficulty submitting this form, please try refreshing/ reloading the form. To do this, right click on the form and select refresh or reload.
Please ensure you use the same name that you use when creating your Unique Student Identifier (USI). If you would like to discuss Credit, Recognition of Prior Learning or the Language, Literacy and Numeracy requirements of this course, please email NAQ Nutrition Training on training@naqld.org, prior to completing this form

First Name

The client's first name (name used with your USI)

Last Name

Client's last name

Occupation / Role at your workplace

Enter your position, e.g. Director, Educator, Convenor, Cook

Setting / Workplace name

Enter the name of the organisation you work for

Telephone Number - Mobile

Telephone number - mobile

Email Address

Student address

This is the address which we will send your certificate/ Statement of Attainment to, when you complete the course

Street Number

Identifies the number of the address in the street

Street Name

Identifies the name and type of the street to the address site.

Postcode lookup; Type postcode or locality and select from the list

Type three or more characters to see selection list

Suburb

Address location â€” suburb, locality or town is the name of a suburb, locality or town of a physic

Postcode

State

The state or territory of a physical location or postal address

Invoicing details are the same

Tick this if invoicing details are the same as the delegate details above

Invoicing Details

Given Name

Enter your first name

Surname

Enter your surname

Organisation

Enter the name of the organisation you work for

Phone Number

Enter your phone number (without country or area codes)

Email Address

Enter your email address

Address

Unique Student Identifier

Don't have a USI yet? - Register for your USI

You will need a Driver's Licence Medicare Card Passport or Australian Birth Certificate. International Students will need an Australian Visa & their Passport to apply.

Forgotten your USI? - Retrieve your USI

The following information is required for validating your USI and issuing your certificate. Please enter your Date of Birth and your USI.

Unique Student Identifier

Uniquely identifies an individual who accesses vocational education and training over his or her lif

Date of Birth

Student personal education, employment and cultural details

Have you successfully completed any of the following qualifications?

None

Bachelor degree or higher degree

Advanced diploma or associate degree

Diploma (or associate diploma)

Certificate IV (or advanced certificate/technician)

Certificate III (or trade certificate)

Certificate II

Certificate I

Certificates other than the above

Are you still attending a secondary school?

Yes

No

What is your highest COMPLETED school level?

The highest level of school that a client has completed

What is the main language you speak at home?

The main language other than English spoken at home by the client

Are you of Aboriginal or Torres Strait Islander Origin?

A client who self-identifies as being of Australian Aboriginal or Torres Strait Islander descent.

Gender

Male

Female

Other

What is your main reason for doing this course?

The clientâ€™s main reason for study.

Your Comments and Requests

Please enter any INDIVIDUAL NEEDS that we need to be aware of (for face to face courses this includes dietary requirements).

Comments/requests

If choosing the invoice option, please allow 3 working days for your invoice to be generated.

Payment Method

Send me an invoice no surcharge

Terms

Click to display the terms and conditionsYou give us permission to look for your USI on the USI database.

You give us permission to add you to our mailing list, you can unsubscribe at any time.

If you wish to cancel your attendance or transfer to another course date, you must do so in writing to:
training@naqld.org.

Cancellations must be made at least 5 working days before the course start date - no refund will be given on cancellations made later than this. Transfers must be made at least 5 working days prior to the course date or charges may apply. Our full fees and refund policy is available upon request.

Privacy Notice

Under the Data Provision Requirements 2012 and National VET Data Policy (which includes the National VET Provider Collection Data Requirements Policy), NAQ Nutrition Training is 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, 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).

*Parental/guardian consent is required for all students under the age of 18.

I agree to these terms