ENROLMENT FORM Minda Accredited Training (RTO Code 4881)

Please select the Course you wish to enrol in:

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CSEMIN00034 - Certificate III in Individual Support [Disability] (Group 4-25)
29 Oct 2025 - 30 Apr 2026 North Brighton
4 places available
CSEMIN00031 - Certificate IV in Disability Support (Certificate IV in Disability Support - C4D1-25)
28 Feb 2025 - 30 Jun 2026 North Brighton
6 places available
CSEMIN00066 - Certificate III in Individual Support [Ageing and Disability] (Riverland VETDSS 2026)
29 Jan 2026 - 30 Jun 2027 Renmark High School
20 places available
CSEMIN00067 - Certificate III in Individual Support [Disability] (Metro VETDSS 2026)
04 Feb 2026 - 18 Dec 2026 North Brighton
20 places available
CSEMIN00092 - Certificate III in Individual Support [Ageing and Disability] (Whyalla VETDSS 2026)
04 Feb 2026 - 30 Jun 2027 North Brighton
20 places available

Before You Begin Your Enrolment Form

This enrolment form may take between 10-20 minutes to complete.

Please ensure that you have read all information and filled out all required sections.

If you are under 18 years, you will need to complete this form with a parent/guardian.

You may save your progress and return to the form.

Privacy Notice

Why we collect your personal information

As a registered training organisation (RTO), we collect your personal information so we can process and manage your enrolment in a vocational education and training (VET) course with us.

Please be advised that if you do not provide the personal information required for enrolment, SALC will not be able to proceed with your enrolment.

How we use your personal information

We use your personal information to enable us to deliver VET courses to you, and otherwise, as needed, to comply with our obligations as an RTO.

How we disclose your personal information

We are required by law (under the National Vocational Education and Training Regulator Act 2011 (Cth) (NVETR Act)) to disclose the personal information we collect about you to the National VET Data Collection kept by the National Centre for Vocational Education Research Ltd (NCVER). The NCVER is responsible for collecting, managing, analysing and communicating research and statistics about the Australian VET sector. 

We are also authorised by law (under the NVETR Act) to disclose your personal information to the relevant state or territory training authority.

How the NCVER and other bodies handle your personal information

The NCVER will collect, hold, use and disclose your personal information in accordance with the law, including the Privacy Act 1988 (Cth) (Privacy Act) and the NVETR Act. Your personal information may be used and disclosed by NCVER for purposes that include populating authenticated VET transcripts; administration of VET; facilitation of statistics and research relating to education, including surveys and data linkage; and understanding the VET market.

The NCVER is authorised to disclose information to the Australian Government Department of Employment and Workplace Relations (DEWR), Commonwealth authorities, State and Territory authorities (other than registered training organisations) that deal with matters relating to VET and VET regulators for the purposes of those bodies, including to enable:

  • administration of VET, including program administration, regulation, monitoring and evaluation

  • facilitation of statistics and research relating to education, including surveys and data linkage

  • understanding how the VET market operates, for policy, workforce planning and consumer information.

The NCVER may also disclose personal information to persons engaged by NCVER to conduct research on NCVER’s behalf.

The NCVER does not intend to disclose your personal information to any overseas recipients.

For more information about how the NCVER will handle your personal information please refer to the NCVER’s Privacy Policy at www.ncver.edu.au/privacy

If you would like to seek access to or correct your information, in the first instance, please contact your RTO using the contact details listed below.

DEWR is authorised by law, including the Privacy Act and the NVETR Act, to collect, use and disclose your personal information to fulfil specified functions and activities. For more information about how the DEWR will handle your personal information, please refer to the DEWR VET Privacy Notice at https://www.dewr.gov.au/national-vet-data/vet-privacy-notice

Surveys

You may receive a student survey which may be run by a government department or an NCVER employee, agent, third-party contractor or another authorised agency. Please note you may opt out of the survey at the time of being contacted.

Contact information

At any time, you may contact Minda trading as South Australian Learning Centre (SALC) to:

  • request access to your personal information

  • correct your personal information

  • make a complaint about how your personal information has been handled

  • ask a question about this Privacy Notice

Contact SALC at:

Email: salc@minda.asn.au

Phone: (08) 8179 5200

Click here to access SALC's Privacy Policy

If you are unable to access any of the links to the policies above, please contact SALC to request hard copies of these.

PERSONAL DETAILS

Please complete all required fields below
Title
Entity Data - Profile - Title
First Name
Entity Data - Profile - First Name
Middle Name
Entity Data - Profile - Middle Name
Surname
Entity Data - Profile - Surname
Known By (Nickname)
Entity Data - Profile - Known By
Date of Birth
Entity Data - Profile - Birth Date
Age
Basic - Dropdown
Gender
Entity Data - Profile - Gender
Unique Student Identifier (USI)
Entity Data - AVETMISS - Unique Student Identifier (USI)
What is your Residency Status?
Entity Data - Profile - Citizenship Status
Please specify your visa type and number
Entity Data - Identification - Visa

Contact Information

Please complete all required fields below

E-mail Address (Personal)
Entity Data - Contact - Home - E-mail Address
Alternative E-mail Address
Entity Data - Contact - Work - E-mail Address
Mobile Number (Personal)
Entity Data - Contact - Home - Mobile Number
Entity Data - Contacts - Type
Emergency Contact - Relationship
Entity Data - Contacts - Relationship
First Name
Entity Data - Contacts - First Name
Surname
Entity Data - Contacts - Surname
Phone Number
Entity Data - Phone - Home - Phone Number
E-mail Address
Entity Data - Phone - Home - E-mail Address

Residential Address

Please complete all required fields below

Street Number
Entity Data - Address - Home - Street Address 1
Street Name
Entity Data - Address - Home - Street Address 2|These fields have been deprecated as they didn't properly feed the address information. Please use the newly added fields: Unit/Flat Number, Street/Lot Number and Street Name.
Unit/Flat Number
Entity Data - Address - Home - Unit/Flat Number
Street/Lot Number
Entity Data - Address - Home - Street/Lot Number
Street Name
Entity Data - Address - Home - Street Name
Suburb
Entity Data - Address - Home - Suburb
State
Entity Data - Address - Home - State
Post Code
Entity Data - Address - Home - Post Code

AVETMISS Information

Please complete all required fields below

Labour Force Status
Entity Data - AVETMISS - Labour Force Status
Country of Birth
Entity Data - Profile - Country of Birth
Main Language - what is your primary language?
Entity Data - AVETMISS - Main Language
Indigenous Status - Are you of Aboriginal or Torres Strait Islander descent?
Entity Data - AVETMISS - Indigenous Status
Do you still attend school?
Entity Data - AVETMISS - At School
Results from this enrolment will go towards my SACE (VET in School Flag)
Entity Data - AVETMISS - VET in School Flag
What School do you attend?
Basic - Text
Highest School Level - what is the highest school level you have completed?

If you are currently enrolled in secondary education, the Highest school level completed refers to the highest school level you have actually completed and not the level you are currently undertaking.

For example, if you are currently in Year 10 the Highest school level completed is Year 9.

Entity Data - AVETMISS - Highest School Level
Disability - do you consider yourself to have a disability?
Entity Data - AVETMISS - Disability Flag
Disability Type
Entity Data - AVETMISS - Disability Type
Prior Education - have you completed any prior qualifications in Australia?
Entity Data - AVETMISS - Prior Education Flag
Prior Education Type
Entity Data - AVETMISS - Prior Education Type

Subsidised Training - supplementary information

Please complete this section if you wish to be considered for Subsidised Training provided by the Government of South Australia (Eligibility Criteria apply). 

Click HERE to check eligibility criteria 

Are you registered with an Employment Service Provider (Job Active/ Workforce Australia), Digital Service Provider (online only)?
Basic - Dropdown
What is the name of the Employment Service Provider? (If Registered with Digital Service Provider - write "Digital Service Provider")
Basic - Text
Employment Service Provider contact number and email:
Basic - Text
Jobseeker Identifier (JSID)
Entity Data - Profile - Jobseeker Identifier
Are you currently employed?

A Participant is employed (for the purposes of funding) if they:

  • In the last four weeks, have worked for one hour or more for pay, profit, commission or payment in kind, in a job or business or on a farm (employees and owner managers of incorporated or unincorporated enterprises).

  • In the last four weeks, have worked for one hour or more without pay in a family business or on a farm (contributing family workers).

  • Are in an employment contract but have not worked as a result of a standard work or shift arrangement, strike or workers' compensation with expectation to return to their job.

  • Are an owner manager who have a job, business or farm, but was not at work.


Basic - Dropdown
Industry of place of work (eg. retail, hospitality, disability services)
Basic - Text
[Home] Address -
Entity Data - Address
[Home] Address - Lookup
Entity Data - Address - Lookup
Work Address - Post Code
Entity Data - Address - Post Code
Work Address - Suburb
Entity Data - Address - Suburb
[Home] Address - Street Address 1
Entity Data - Address - Street Address 1
[Home] Address - Street Address 2
Entity Data - Address - Street Address 2
Do you hold any concession cards?
Basic - Dropdown
Do you have a concession for a prisoner?
Basic - Dropdown
Please write the concession number
Basic - Text
Were you or are you under the Guardianship of the Minister?
Basic - Dropdown
Please write your Guardianship of the minister number (or if you don't know it write "I don't know")
Basic - Text

PARTICIPANT AGREEMENT FORM - Collection and use of personal information (subsidised training)

Version 2.0 - 1 January 2024

  1. I wish to participate in an activity funded by the Department for Education through Skills SA;

  2. I accept that the Minister for Education, Training and Skills (Minister) will allocate to me a Participant Number, to be used to record my participation in, and the results of, activities funded by Skills SA;

  3. I accept that the assessment as to whether I am eligible to enrol in any specific activity funded by Skills SA will be undertaken by a training provider who has a Funded Activities Agreement (FAA) with the Minister. I accept that foundation skills training may be a condition of eligibility if identified as a requirement in the training provider’s assessment;

  4. I consent to the Minister, its employees, agents and contractors collecting from the training provider my results in all courses which I have been enrolled and using this information for the purpose of determining whether I am eligible to enrol in an activity funded by Skills SA. I consent to the Minister, its employees, agents and contractors using this information for the performance measurement and reporting activities;

  5. I consent to the Minister, its employees, agents and contractors collecting and using any student identifier (as that term is defined in the Student Identifiers Act 2014) assigned to or relating to me and using that student identifier to obtain transcripts and other information relating to me and using this information to determine my eligibility for an activity funded by Skills SA and to record and track my progress through the activities funded.

  6. I accept and agree that the Minister, its employees, agents and contractors will be in receipt of my Personal Information and that they may be required to share my personal information with: • training providers who have a current FAA with the Minister; • other South Australian government agencies (including regulators) responsible and / or involved in training and education (whether accredited or not), including but not limited to funding, monitoring training and / or compliance; • Commonwealth government agencies (including regulators) responsible and / or involved in training and education (whether accredited or not), including but not limited to policy, development, funding, monitoring and / or compliance; and • government agencies (including regulators) in other Australian states and territories responsible and / or involved in the training and education (whether accredited or not), including but not limited to policy, development, funding, monitoring and / or compliance.

  7. By providing my Personal Information as outlined above, I am consenting to the Minister, its employees, agents and contractors contacting me during or after I have ceased my training or education for the purposes of: • statistical reporting and analysis in respect to training outcomes and the program; • undertaking an evaluation of the training; • promoting the training (or any other program run by the Minister which relates to training); • assessing quality of training; • recording the information about my training;

  8. I agree to notify the Minister if the Personal Information outlined above changes;

  9. Where required by the Minister, I agree to access my student profile maintained by the Minister and its employees, agents and contractors and advise if any of the Personal Information contained in my student profile is incorrect


Student Digital Signature
Basic - Digital Signature
Date
Basic - Date
Parent / Guardian Digital Signature
Basic - Digital Signature
Date
Basic - Date

BILLING

Basic - Checkboxes
Who is paying the invoice?
Basic - Dropdown
Name of Party paying the invoice
Basic - Text
Billing - Street/Lot Number
Entity Data - Address - Billing - Street/Lot Number
Billing - Street Name
Entity Data - Address - Billing - Street Name
Billing - Post Code
Entity Data - Address - Billing - Post Code
Billing - State
Entity Data - Address - Billing - State

Declaration

By signing the below, 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 on page one.

I agree to pay the Course fee (or gap fee) prior to commencement of the Course (unless a payment plan is approved prior).

I acknowledge that failure to pay the course fees may result in penalties, including but not limited to late fees, suspension of access to course materials, and potential withdrawal from the course.

If I am under 18 years old, my parent/ guardian has co-signed this enrolment form.


Student's Digital Signature
Basic - Digital Signature
Date
Basic - Date
Parent/ Guardian's Digital Signature
Basic - Digital Signature
Date
Basic - Date