ACFE Enrolment 2025 Online

ACFE funded programs will require WNH to collect information and statistics beyond our usual requirements, this helps the Department of Education validate each enrolment's funding. Your personal information will not be identified with these statistics by the Department.

Please answer all questions, if you do not wish to provide the information, please enter "No Answer". Please note that if you choose not to supply some information this may effect your eligibility for funding in the ACFE program.

2025 ACFE ENROLMENT FORM

First name

Last name

Date of Birth

Day

Month

Year

Phone

Address

Name & Phone of your Emergency Contact

To be eligible for a Government funded place, you must be able to provide proof of your Australian Citizenship/Residential Status/NZ Citizenship.

Citizenship/Residential Status

Medicare Card Number

Do you have a concession card?

Benefit Car number

Card Start Date

Card Expiry Date

Office Use: Card Sighted By & Date

Do you have a disability, impairment or long term condition?

Are further details required?

Please specify any further details required in relation to your answer above here.

Are you of Aboriginal or Torres Strait Islander Origin?

Country of Birth

Language/s spoken at home (please list all)

How well do you speak English?

If you are aged 24 or below, please supply your Victorian Student Number (VSN), or type 'unknown' if you are not sure

Are you currently attending a secondary school?

Please indicate your highest school level completed in Australia (or equivalent)

Do you have a qualification?

Where did you obtain your qualification?

Please select all that apply to you

Bachelor 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

Your Employment Status

Which of the following classification best describes the industry of your current or previous employer?

Please specify Other if needed

Occupation category

Please tell us your reason for enrolling in this course

I understand that if I have any medical conditions that could impact my participation in this class, I will speak to the class tutor so arrangements & accomodations can be made.

I understand that photos/testimonials are used for marketing purposes both internally and externally. I understand that if I wish to withdraw my consent at any time, I need to notify the class tutor and/or office staff.

Enrolment Privacy Notice

I understand that under the Data Provision Requirements 2012, Warrandyte Neighbourhood House is required to collect personal information about you and disclose that personal information to the National Centre for Vocational Education Research Ltd (NCVER).

Your personal information (including that contained within this form) may be used by Warrandyte Neighbourhood House for statistical, administrative, regulatory and research 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:

Issuing a Statement of Attainment or Qualification, and populating Authenticated VET transcripts
Facilitating statistics and research in relation to education, including surveys
Understanding how the VET market operates, for policy, workforce planning and consumer information; and
Administering VET, including program administration, regulation, monitoring and evaluation

For more information about the way the Department collects and handles personal information, including access, correction and complains, please visit www.education.vic.gov.au/Pages/privacy policy.aspx

I acknowledge and agree to the terms described in this privacy statement

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(03) 9844 1839

0493 446 012

info@wnh.org.au

Level 1/168 Yarra St, Warrandyte VIC 3113

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