Form – QLD Fire Safety Advisor

QLD Fire Safety Advisor (QLD FSA)

This form has the information needed to fullfil the requirements for QLD Fire Safety Advisor. If you are unsure which units to select, please give as many details as possible in the notes section and our team will help you work it out.

"*" indicates required fields

Section A — Enrolment Details

Unique Student Identifier (USI)*

Please enter your USI above.

If you do not have a USI, you can create one here https://portal.usi.gov.au/student/Usi/Forgotten/Success

Is this a new enrolment or 3 yearly refresher?*

New Enrolment

3 Yearly Refresher

Personal Details

Title*

Given Name(s)*

Surname*

Date of Birth*

Contact Details

Email*

Mobile*

Residential Address

Street*

Suburb*

Postcode*

State

Who is responsible for this booking?

Individual

Company

Company Details

Company Name

Purchase Order

If applicable

Street/PO Box

Suburb

Postcode

State

Contact Name

Company Phone

Company Email

Declaration

I declare that the information submitted is true and correct and that I have read and understood the Privacy Statement shown in the annexure of this enrolment form. I acknowledge that while I am enrolled as a student of Firefox Training Pty Ltd, I am subject to the policies and rules outlined in the Student Information. I have read and understood the Fees and Charges Information Sheet.

Signature — print name in box below to agree to declaration*

Parent to sign if under 18

Date*

Section B — Course Details

Notes

Please leave any comments or notes here to help us set up your enrolment

Section C — Fees

New Enrolment

$700

3 Yearly Refresher

$450

Annexure — Privacy Statement

Your personal information (including the personal information contained on this enrolment form), may be used or disclosed by Firefox Training Pty Ltd for statistical, administrative, regulatory and research purposes. Firefox Training Pty Ltd 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).