€¦ · Web view2018-07-17 · enrolment documents. Student Name: Student Number: A N T 0 0 0 0...

ENROLMENT DOCUMENTS

Student Name:

Student Number: A N T 0 0 0 0 0 __ __

Qualification enrolling in (tick all that apply):

CHC330115 Certificate III in Individual Supporto Ageingo Disabilityo Home and Community

HLT33115 Certificate III in Health Services Assistanceo Assisting in nursing work in acute care

CHC43015 Certificate IV in Ageing Support CHC43115 Certificate IV in Disability CHC43415 Certificate IV in Leisure and Health

COURSE ENROLLING IN – select one box only. (Please complete 1 enrolment per course)

DATE OF ENROLMENT: VENUE: HLTAID003 Provide First Aid CPR ONLY

CHC33015 Certificate III in Individual Support Ageing Disability Home & Community CHC43015 Certificate IV in Ageing support

CHC43115 Certificate IV in Disability CHC43415 Certificate IV in Leisure & Health HLT33115 Certificate III in Health services assistance (Acute Care)

CONTACT DETAILS

FIRST NAME/S

LAST NAME

(Please select from the drop down lists) TITLE Ms / Miss / Mrs / Mr GENDER Female / Male DATE OF BIRTH

ADDRESS

SUBURB POSTCODE

PHONE Home Mobile Work

Email Fax

EMERGENCY CONTACT DETAILS

Full Name Relationship

PHONE Home Mobile Work

In the event of an emergency do you give ANTS permission to organise emergency transport and treatment and agree to pay all costs related to the emergency? YES NO

Where did you hear about this course? Newspaper Internet Yellow Pages Word of Mouth Radio

RECOGNITION OF PRIOR LEARNING/CREDIT TRANSFER

Do you wish to apply for RPL/CT for any units of competency? YES NO For CT please attach evidence of competency. I would like an RPL Kit YES NO

Name of Unit/s

Unit Code

AVETMISS COLLECTION —Information collected on behalf of the National Centre for Vocational Education and Research. Ensure all questions are answered

EMPLOYMENT STATUS—Select one Full-Time employee Part-Time employee Self employed (not employing others) Employer Employed (Unpaid worker in a family business) Unemployed – Seeking full-time work Unemployed – Seeking part-time work Not employed – Not seeking employment

SECONDARY EDUCATION—School level achievedCurrently at School? YES NO Did not go to School? YES NOHighest School level completed Final Year at School:__ __ __ __ Year 8 or below Year 9 or equivalent Completed Year 10 Completed Year 11 Completed Year12Country of Birth:____________________________City of Birth: _______________________________

PRIOR EDUCATION None Miscellaneous—Statements Certificate I Certificate II Certificate III Certificate IV Diploma Advanced Diploma or Associate

Degree Bachelor Degree or Higher Degree Certificates other than above

NATIONALITY STATUS and LANGUAGE Are you an Australian Citizen? YES/NOAre you a Permanent Australian Resident? YES/NOAre you a New Zealand Citizen? YES/NOMain language spoken at home? ______________________How well do you speak English?

Very well Well Not well

DISABILITIES

None

Hearing/Deaf

Physical

Intellectual

Learning

Mental Illness

Acquired brain impairment

Vision

Medical condition

Other (Please Specify)

INDIGENOUS STATUS

Aboriginal

Torres Strait Islander

Aboriginal and Torres Strait Islander

Neither Aboriginal nor Torres Strait

Islander

Not at all

REASON FOR STUDY—Select one To get a job To develop my existing business

To start my own business To try for a different career To get a better job or promotion

It was a requirement of my job I wanted extra skills for my job To get into another course or study

Personal interest/self-development Other reasons

TERMS & CONDITIONS OF ENROLMENTAustralian Nursing and Training Services Pty Ltd, 3-5/818 Old Princes Hwy, Sutherland NSW 2232. AustraliaPhone: +61 2 95767282. Email: [email protected] Web: www.austnursing.com.au. RTO No: 41231

Filename: document.doc Version: 3.1/February 18 Review Date: December 18 Page: 2 of 18

http://www.austnursing.com.au/

mailto:[email protected]

Privacy The RTO collects and stores clients’ personal details for training purposes only. We utilise this information to record your progress and satisfy mandatory reporting requirements as a regulated education provider. Where State or Commonwealth funding supports training we are obliged to submit your personal and progress details for research, statistical analysis, program evaluation, post completion survey and internal management purposes. We DO NOT share, rent, or sell personal information you provide us either onshore or offshore. The confidentiality of the information we collect from you is protected under a range of legislation including the Privacy ACT 1988 (Commonwealth) and in line with the Australian Privacy Principles outlined in Schedule 1 of the Privacy Amendment (Enhancing Privacy Protection) Act 2012. If we are required to disclose information about any of our clients to a third party we will acquire written consent from the client first (i.e. editorial; photos for advertising purposes, etc). A full copy of our Privacy Policy can be found at http://www.austnursing.com.au/

Legislative and Regulatory Requirements When undertaking training in the workplace, the student acknowledges that they must observe the employers Workplace Health & Safety (WHS) Policies and all workplace practices, as instructed by the employer, including Equal Rights, Equal Opportunity and the Anti-Discrimination Acts. The student acknowledges that they must observe the RTO’s policies and procedures, according to State and Federal Government legislative and regulatory requirements, as set out in the Student Handbook.

Language Literacy and Numeracy To successfully complete your training the student must be able to check and competently record, read, interpret, estimate, measure and calculate. You may be required to undertake a Language Literacy and Numeracy test to determine the level of assistance you may require. If required the RTO may refer you to literacy and numeracy training in areas identified as necessary to ensure you meet the requirements of your training.

Enrolment & Selection 1. Courses are open to all adults 16 years and over. 2. The student is responsible for notifying the RTO if they have a medical

condition or disability or require assistance in their training.3. A deposit must accompany enrolment to secure a placement. 4. It is the student’s responsibility to note the date, time and location of the

course as advertised. 5. Courses with low enrolments may be cancelled, every effort will be made

to contact students, please ensure your contact details are correct. 6. Written requests from the student to transfer or credit their course

placement due to extenuating personal circumstances will be considered and every effort will be made to ensure a placement into an alternative course.

7. If you are unable to complete your course, due to changed personal circumstances, the RTO will make every effort to ensure you are placed into an alternative pre-scheduled course.

8. Students can only join after course commencement date if they meet all prerequisites. Full course fees are still payable for late enrolments.

9. The RTO reserves the right to decline admission to a course, terminate a student's enrolment in a class or change a course or tutor at any time without notice.

10. Students may participate in courses involving physical activity and do so at their own risk. The RTO’s students are covered by public liability insurance whilst working within a classroom environment.

Training commitmentWe will commit to complete all training and/ or assessment once the student has commenced study in their chosen qualification or course of study, unless the student submits a formal Letter of Withdrawal notifying the RTO that they wish to withdraw. Our commitment to our Trainees is to take you to completion of the course of study or training that you enrolled into. To fulfil on this obligation we undertake sound financial management practices. If, for any unforseen reason we are unable to take you to completion of your enrolled courses we will transfer you with as little interruption as possible to another ANTS course or other trainer/Registered Training Organisation who will bring you to completion of your training. If this is not possible we will refund in line with our refund policy.

Cancellation of course or program by ANTSANTS reserves the right to alter any of the published arrangements, either before or during a course, or to cancel or terminate a courseShould ANTS cancel a course for any reason, students enrolled at the time ANTS announces the cancellation will be entitled to a full refund minus a charge for any competencies in that course already completed with ANTS, otherwise this will incur no administrative charges or penalties. Certificates and statements of attainment are issued to students who are assessed as competent in the units completed. The cost of the certificates is included in the course fees. Students are responsible for the safe storage of their certificates and statements of attainment. If a student requires a re-issue of their certificate or statement of attainment, an administration fee of $50 will be charged.

Complaints and AppealsThe RTO recognises that differences and grievances can arise from time to time. The quick settlement of these matters is in the best interest of all parties concerned and the following steps are implemented to ensure this happens. 1. Inform the RTO if you are dissatisfied or have any concerns about our

products, services, processes or policies. 2. Inform the RTO if you think you have been treated unfairly or unjustly. The

RTO will discuss the matter with you and try to resolve the problem 3. If you are not satisfied with the resolution we will refer the matter to an

independent mediator. 4. If all parties cannot reach a satisfactory solution you have the right to seek

representation and appeal under the relevant State or Federal Law.

Workplace Health & Safety Our RTO is committed to providing and maintaining a safe and healthy environment for the benefit of all clients, visitors and employees.The RTO monitors and maintains the appropriate Workplace Health and Safety standards under Federal and State legislation, primarily under the Work Health and Safety Act 2011. In consideration of all the RTO clients and students it is important that adherence to all legislative acts and regulations are observed while undertaking training. If students have any concerns or notice a condition or practice that seems unsafe, it is important it is brought to the attention of the RTO’s management.

Access and Equity ANTS is committed to access and equity principles and processes in the delivery of its services and working environment in accordance with the Equal Opportunity Act 1994, Racial Discrimination Act 1975, NSW Anti-Discrimination Act 1977, Sex Discrimination Act 1984 and Disability Discrimination Act 1992. In the event of a situation that is considered by clients to be in violation of the RTO’s Access & Equity Policy, students and clients are required to report the situation to management.

Harassment, victimisation and bullying ANTS does not tolerate any harassment, victimisation, bullying or any such conduct that has the purpose or effect of interfering with an individual’s work performance or creating an intimidating, hostile, or an offensive learning environment. This includes harassment, victimisation, bullying because of sex, race, national origin, religion, disability, sexual preference or age. Harassment is unlawful under Commonwealth and State legislation and all harassment, bullying and victimisation are contrary to the duty of care to provide a safe environment for work and learning.

Recognition of Prior Learning (RPL) or Credit TransferANTS recognise the Australian Qualifications Framework and Vocational Education and Training (VET) qualifications and VET statements of attainment issued by other Registered Training Organisations.Credit Transfer will be awarded for all units of competencies that directly align with units from the qualification the student has enrolled. Evidence of competences achieved must be supplied for recognition to be processed (i.e. presentation of original certificate or transcript).

Course Fees: For course fees and other fees you must read the Student Handbook prior to signing this enrolment form. A copy can be found at http://www.austnursing.com.au/ or

Payments and Refunds: for Payments and Refunds information, you must read the Student Handbook prior to signing this enrolment form. A copy can be found at

Australian Nursing and Training Services Pty Ltd, 3-5/818 Old Princes Hwy, Sutherland NSW 2232. AustraliaPhone: +61 2 95767282. Email: [email protected] Web: www.austnursing.com.au. RTO No: 41231




http://www.austnursing.com.au/%20


please ask staff for a hardcopy. YOU MUST READ THE HANDBOOK TO FULLY UNDERSTAND THE FEES INVOLVED WITH TRAINING.

Are you available for survey use Yes No

Are you with a Job Services Australia provider? Yes No If Yes, what is your JSA provider number?

_______________________

Do you have a Unique Student Identifier?

Yes No Unsure

If Yes, what is your USI Number?

______________________________

If No you can apply for one here

http://usi.gov.au/Pages/default.aspx

If No and you want ANTS to apply for one for you tick here:

You will be required to complete a Unique Student Identifier (USI) consent form.

http://www.austnursing.com.au/ or please ask staff for a hardcopy.

YOU MUST READ THE HANDBOOK TO FULLY

UNDERSTAND THE PAYMENT AND REFUND

POLICIES.

I am enrolling for a 12 month period

PLEASE NOTE $100.00 PER MONTH FEE WILL BE CHARGED If payment has not been received by agreed date.

IMPORTANT INFORMATIONI have read and understand the terms and conditions of my enrolment, as stated above. I acknowledge and agree with the terms and conditions with specific reference to ANTS enrolment and selection, course fees, payments and payment schedule (below), training guarantee and refunds, course requirements, privacy, complaints and grievances, workplace health and safety, access and equity, harassment and bullying policies and procedures as outlined in the Student Handbook.

STUDENT NAME: ________________________________________________________________________________________________

STUDENT SIGNATURE: __________________________________________________________________DATE: __ __/__ __/__ __ __ __

OFFICE USE ONLY COMMENTS (Include details of payment plan and payment schedule if applicable)

STUDENT Reference Number: ANT00000______

Fees Paid Upfront: Yes No Amount Paid Upfront: $ Amount Outstanding: $

Invoice Number:

Receipt Number:

Actioned by Staff Member (Name): Signature: Date:

Accredited Qualification IssuedDate Course Code Certificate Number

PAYMENT OPTIONS





http://www.austnursing.com.au/%20

http://usi.gov.au/Pages/default.aspx

I,……………………………………………………………………………………………………………………………………………………………… am

enrolling for a 12 month period.

I understand I have a choice to pay a $100.00 monthly extension fee for up to 12 months, if I do not complete

all course requirements within the 12 month enrolment period.

I understand that if I do not pay the $100.00 my enrolment will cease and I will not gain the full qualification

but a Statement of Attainment will be issued for any unit/s that I have completed.

Student Signature:...............................................................Date:.................................................................

Staff Representative Name:.............................................. Staff Representative Signature:........................

Methods of payment:

Cheque or Money order payable to Australian Nursing and Training Services Pty Ltd

Direct Deposit into account:

BSB: 062 259 Account: 10363166 Name: Australian Nursing and Training Services Pty Ltd Reference: YOUR NAME

Credit/Debit Card: IF PAYING BY CARD, please complete the following details

...............................................................................................................................................................

Type of card MasterCard Visa Number

First Name..................................................Surname:....................................................................................

Expiry Date__ __/__ __ CCV No__ __ __ __ (3/4 digit number of back of card)

Cardholder’s name.........................................................Cardholder’s signature:..............................................

An amount of $enter amount

will be charged to my card (CIRCLE) weekly / fortnightly / monthly Select Day

until the balance of $select balance is paid





STUDENT WORK PLACEMENT INSTRUCTIONSI understand that I cannot start my work placement until I have received a Standard Police Check and it has been CERTIFIED. A Justice of the Peace (JP) can CERTIFIY your documents, JP’s can be found at local court houses or most chemists. The ORIGINAL AND A COPY of Certified Police Check must be taken to the work placement venue.

I understand I must provide a copy of my Police Check to Australian Nursing and Training Services via email ([email protected]) upon enrolment into the course.

I understand I must provide a copy of my Statutory Declaration (see following page) with my Police Check.

I agree to alert Australian Nursing and Training Services office (during office hours), as early as possible, if I am going to have any problems attending the necessary hours and /or days.

I understand that I must attend for the prearranged times, I understand that if I cannot do this, I will have to be delayed until I can.

I understand I must wear the correct uniform and name badge as directed by Australian Nursing and Training Services on my letter of offer.

I understand that child care should have been arranged, I will have to organise appropriate care, or delay work placement until it is arranged.

I understand that I need to attend 100% of the mandatory 80 hours for HLT33115 and 120 hours for CHC33015, CHC43015, CHC43115 and CHC43415 to be eligible for an accredited qualification.

If I am genuinely ill, I will still attend my work placement and meet with the Facility Manager, to let them decide if need to be sent home or not.

I understand that if any of the above circumstances happen, I must inform the office at Australian Nursing and Training Services on 02 9576 7282 during business hours, as well as calling the work placement facility. Documented proof will also be needed by both Australian Nursing and Training Services and work placement facility.

I understand that I am to call the office on 02 9576 7282 on Friday between 11.00am and 1.00pm, to be told where I am going for my work placement. I realise once organised this cannot be changed at all and will attend whatever facility has kindly been arranged for me.

I appreciate that there are not many facilities that accept work placement students and that Australian Nursing and Training Services have gone out of their way to get me the closest one to my home. I realise that I may have to travel several suburbs away, but understand I am fortunate to have a facility that close.

I understand that if I do not call the office to obtain work placement details, or do not turn up to work placement facility on first day, and every other day as organised, in extenuating circumstances, the director may agree to give me a second chance at work placement, but any second chance will mean my insurances have to be paid again for another set of dates at another facility. This will cost me, the student, up to $600.00.

Remember that you are an ambassador of Australian Nursing and Training Services and we expect you to not let us down.

Student Name:................................................................................ Student Signature:.......................................................

Date Commenced:..................................................................






STATUTORY DECLARATION

OATHS ACT 1900, NSW, EIGHTH SCHEDULE

I, ..............................................................................................., do solemnly and sincerely declare that [name of declarant]

The above name is true and correct and all names I am known by are included.

I have attended to a police check

I meanwhile swear that I have no prior criminal record in Australia or any other country including my

country of origin if not Australia.

I meanwhile swear I have no criminal proceedings against me pending (awaiting).

I have not been dismissed from employment for any event of a criminal nature, unethical nature or

involving drugs.

I understand regular police checks are to be undertaken on expiry by myself and forwarded to employer

and/or training institution in a timely fashion.

..........................................................................................................................................................................

and I make this solemn declaration conscientiously believing the same to be true, and by virtue

of the provisions of the Oaths Ac 1900.

Declared at:................................................................... on ........................................................................... [place] [date]

...................................................................................... [signature of declarant]

in the presence of an authorised witness, who states:

I,...................................................................................., a ............................................................................, [name of authorised witness] [qualification of authorised witness]

certify the following matters concerning the making of this statutory declaration by the person who made it:

[*please cross out any text that does not apply]

1. *I saw the face of the person OR * I did not see the face of the person because the person

was wearing a face covering, but I am satisfied that the person had a special justification

for not removing the covering, and

2. *I have known the person for at least 12 months OR *I have not known the person for at least 12 months, but I have confirmed the person’s identity using an identification document and the document I relied on was.............................................................................................

[describe identification document relied on]

........................................................................... ............................................................................... [signature of authorised witness] [date]





LANGUAGE, LITERACY AND NUMERACY CORE SKILLS SURVEY - (COMMUNITY SERVICES)IntroductionThank you for choosing to embark on your learning journey with Australian Nursing and Training Services (ANTS) and we wish you well with your studies. In order to ensure we provide you with the best possible support and the maximum opportunity to succeed, we need to identify if there are any barriers you may have with Language, Literacy and Numeracy. This questionnaire will provide us with information we need to assist you if required and where required. We do not share these results with other students and treat the results and responses in the strictest of confidence. If we feel there are any areas of concern we will discuss them with you in the first instance and also discuss options to assist with overcoming any barriers. Please approach Australian Nursing and Training Services staff or staff from your workplace or employment agency at any stage to discuss any concerns you may have.

Once this questionnaire is complete, it will be graded by an Australian Nursing and Training Services Trainer/Assessor and if required the Trainer/Assessor may speak to you about any barriers identified. Having some barriers does not mean you cannot study with us, it just means we will work with you to provide a solution to help you along the way.

The questionnaire is in two parts. Part 1 simply asks you to provide some response about certain daily skills by ticking a box. Part 2 is more industry specific and asks you to interpret a diagram and provide some short written

answers.

Your Name: ____________________________________________________________________

Date: _________________________________________________________________________

Course you are enrolling in: _______________________________________________________

Have you completed any formal study previously? Yes No (If yes, what is the highest level i.e. Certificate I, Certificate IV) _________________________________________________________________________________________________________________________________________________________________

What was the highest level of secondary education you completed?Year 7 Year 8 Year 9 Year 10 Year 11 Year 12 Not Applicable

If you do have any learning difficulties you would like to bring to our attention, please do so below, alternately you can ask to speak to a staff member in confidence:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Part1: A self-reflection Australian Nursing and Training Services Pty Ltd, 3-5/818 Old Princes Hwy, Sutherland NSW 2232. AustraliaPhone: +61 2 95767282. Email: [email protected] Web: www.austnursing.com.au. RTO No: 41231




Tell us about your skills.

Your Name: ____________________________________________________________________

Write a few sentences about a hobby, or your favourite music, sport or movie:___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

I can … Yes Sometimes No

understand signs

fill in a time sheet

count and check change when shopping

send a text message

use the internet to get information like telephone numbers

fill in a leave form

read a staff memorandum

use a computer to email

use a calculator for + – x ÷

read a newspaper

read a work roster

follow instructions for mixing a solution or to follow a recipe

read a Google map or street directory

read and understand online instructions

use an equipment manual

complete a log book

write a basic report





PART 2: INJURY HOTSPOTS: COMMUNITY SUPPORT SERVICES

The most common injuries experienced by workers in the Community Services industry.





INJURY HOTSPOTS: COMMUNITY SUPPORT SERVICESYour Name: ____________________________________________________________________

1. According to this diagram, the most common injury experienced by workers in the Community Support services industry is to the lower back. In your own opinion give some examples of how you think this injury may occur?

2. Use the information in the diagram on the previous page to complete the % column in the following table (Table 1).

Body part % of total Injury type HazardsBack Muscle and tendon sprains and strains People handlingHands and fingers

Needle stick injuries/punctures Skin penetration

Shoulder Muscle and tendon sprains and strains People handlingKnee Muscle and tendon sprains and strains Slips, trips and fallsWrist Muscle and tendon sprains and strains People handlingNeck Muscle and tendon sprains and strains People handlingPsychological system

Anxiety, depression, work-related stress

Occupational stress

Ankle Muscle and tendon sprains and strains Slips, trips and fallsTable 1

Your Name: ____________________________________________________________________

1. Read the following article and then answer the questions that follow.

Slips, trips and fallsEach year, thousands of Australians suffer an injury as a result of a slip, trip or fall. In Queensland alone 13,000 workers suffer from this type of injury, costing Queensland businesses more than 256,000 lost work days and over $60 million in workers compensation payments. In addition to these costs, there are financial, physical and emotional costs for the injured worker and their family. A workplace injury can affect a worker’s wellbeing by restricting their usual





home and leisure activities. A basic understanding of what causes a slip, trip or fall can help prevent these incidents occurring.

Slips, trips and falls can happen in any workplace. They may occur in a kitchen, cold rooms, loading docks, factories and hospitals. More serious slips or trips, together with the resulting falls, may result in:

sprains or strains broken bones when trying to ‘break the fall’ a back injury due to the sudden and forceful impact during a fall burns if it occurs near hot surfaces or if the person is handling hot fluids cuts if it occurs near sharp objects.

There are various factors that contribute to the risk of a slip, trip or fall. Slips usually occur when there is a loss of grip between the shoe and the floor. This commonly occurs when there is a contaminant between the shoe and the floor. Trips occur when a person’s foot hits a low obstacle in their path, causing a loss of balance. Often, the obstacle is not easily visible or noticed. Special attention needs to be paid to the following aspects of a workplace:

floor surfaces and floor cleaning lighting footwear the layout attitudes to safety.

a) Name at least three types of injuries that workers can suffer from a slip, trip or fall.

Your Name: ____________________________________________________________________

b) In your own words, explain the following words and phrases(i) contaminants

(ii) workers compensation

c) Explain how the following aspects of a workplace are important in preventing slips, trips and falls.





(i) Floor surfaces and floor cleaning





Your Name: ____________________________________________________________________

2. Read the procedure given below and answer the following questions.

Procedure for Washing Hands

Thoroughly rinse hands with water. Use medicated hand wash and rub thoroughly over hands. When soap has formed, rinse well with water. Dry hands thoroughly using a clean towel. Dispose of the used towel appropriately.

a) What is the text about?

b) What do you use to wash your hands with?

c) When soap has formed, what is done next?

d) What is done with the towel?

PART 3: NUMERACYCIRCLE OR RECORD THE CORRECT ANSWER

Your Name: ____________________________________________________________________

1. Jenny caught the 9:25am Sutherland train. She arrived at Central Station at 10:00am. How long did she commute for?

45 minutes 50 minutes 35 minutes 20 minutes





2. 1 Kilo of pears costs $2.40. If Fiona bought 3 kilos of pears, how much would it cost?

$8.10 $7.90 $6.60 $7.20

3. Anna bought 3 litres of milk at $1.08 each. How much change should she receive from $10.00?

$6.80 $7.00 $6.76 $7.02 $8.02 $9.02

4. Complete the following units of measurement:

1 gram = ____________________________milligrams

1 milligram = ________________________micrograms

1 litre = ____________________________millitres

5. A patient is ordered 500mg Penicillin orally once a day. In a ward there are only 250mg tablets. What number of tablets should be given?

____________________________

6. How many 30mg tablets of Codeine should be given for a dose of Codeine 45mg?

____________________________





OFFICE USE ONLY

CORE LLN SKILLS ASSESSMENT SUMMARYUse the following form to record information about the LLN assessment and your judgement of the candidate’s skills levels. Include any notes that may be useful.

Candidate’s name: ____________________________________________________________________________________________________________________

Date assessed: _________________________________________________________________________________________________________________________

Assessed by: ___________________________________________________________________ Signature: _______________________

Capable to undertake training: Yes No

Assessment tasks completed: Yes No (Make notes about areas that require focus if any).

Notes about educational background:

Strengths and weaknesses (e.g. Computer Skills):

Other comments:

Recommendations for support (if any):

__________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________





STUDENT DOCUMENT CHECKLIST

I the student, have received the following:

Tour of the training facility- bathrooms, kitchen facilities Advised as to where Policy and Procedure Manuals are located Introductions of staff Enrolment Payment Options form LLN Student Handbook Orientation Checklist Work placement Instructions Student Document Checklist

I agree that I have reviewed the Student handbook

Student Health and Safety Procedures Incident forms and reporting Emergency evacuation plan and meeting point location Fire warden, Fire extinguishers and fire blanket First aid officer and location of first aid kit

Code of Conduct Guidelines and Key Policies Policy and procedure manual location

Student Communications Office hours and contact after hours

Training Session Session Review work placement expectations and job description Leave and absences Uniform requirements Work placement agreement Training Evaluation – session performance and appraisal

Australian Nursing and Training Services have discussed all of the above topics. I have read and understand the Code of Conduct Guidelines and Key Policies. I have completed and signed all required documents being:ANTS Enrolment Form, Student Document Checklist, Orientation Checklist, LLN and the Work placement instructions.

Student Name:.......................................................................... Student Signature:...................................................

Witness Name:.................................................................. Witness Signature:...................................................

Staff Representative Name:............................................... Staff Representative Signature:...............................





PHOTOGRAPHIC/MEDIA CONSENT FORM

INFORMATION

I consent Yes No to the collection and use of my personal images by photography or video recording, while participating in training with Australian Nursing and Training Services.

I acknowledge the images may be used on the http://www.austnursing.com.au/ website, in newsletters or e-newsletters and publications, as well as distributed to members on ANTS social media sites.

I further acknowledge that my image may be used by Australian Nursing and Training Services to promote Australian Nursing and Training Services in the future in dedicated marketing campaigns.

I understand that no personal information, such as names, will be used in any publications unless express consent is given. This is made clear in the ANTS Privacy Policy available on our website and expressed in the Student Handbook.

I also understand that my consent can be withdrawn at anytime in writing to Australian Nursing and Training Services, PO. Box 645, Sutherland NSW 2232.

CONSENT

I ____________________________________________________________________________(Name of person giving consent & parent/guardian if under 18 years of age) understand that by signing this consent form below, I am agreeing to the use of my personal images as outlined above.

I further understand that this consent may be withdrawn by me at anytime, by providing written notice as outlined above. I also understand my name or other personal identifiers will not be used with my personal images unless expression permission has been sought from me by ANTS.

I give this consent voluntarily.

____________________________ _____________________________ (Signature of person giving consent) (Signature of parent/guardian if under 18)

Date ____ / ____ / ________






€¦ · Web view2018-07-17 · enrolment documents. Student Name: Student Number: A N T 0 0 0 0...

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Transcript of €¦ · Web view2018-07-17 · enrolment documents. Student Name: Student Number: A N T 0 0 0 0...