Graduate Programs 2015 Application for Enrolment

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1 Form No: ETA101 Graduate Programs 2015 Application for Enrolment This form is to be used to enrol in the Graduate Programs with Turning Point for the academic year Instructions: 1. Before completing this form you must read the information provided in the Graduate Courses Handbook available on our web site or by contacting Student Administration on (03) or 2. If you have not previously enrolled in the Graduate Programs, original or certified copies of your previous studies must accompany this form for your application to be considered. If you are a continuing student, copies of these documents will already be on file. 3. Please complete all sections of the form in BLOCK LETTERS with a black or blue pen. 4. Original forms must be returned to Turning Point by the closing date either by post or in person: Attention: Student Administration Turning Point Gertrude Street Fitzroy VIC 3065 Forms submitted via or fax will not be accepted. If your Application for Enrolment form (ETA101) and original or certified copies of previous studies are not received by the closing date you may have to wait for the next intake, midyear or the start of the following year. 5. PLEASE ENSURE YOU SUBMIT YOUR APPLICATION BY THE FOLLOWING CLOSING DATES: Semester 1: Friday 6 th February 2015 Semester 2: Wednesday 15 th July Entry requirements Normal entry will require the student to have an undergraduate degree in a relevant discipline. Special entry is possible for: Nurses who completed their RN (nurse) training prior to the introduction of degree courses for nurses Others with training and experience in relevant areas, but without a degree or whose degree is not in a relevant discipline and who possess appropriate professional experience and meet such other requirements as are deemed appropriate by Turning Point. Applicants may be required to attend an interview and would need to demonstrate to an academic panel, adequate preparation to undertake studies at a higher level by providing written work on a specific topic. 7. Student Information Policy and Procedure Handbook A student information policy and procedure handbook is available by contacting Student Administration. It has all the necessary information you will require for study at Turning Point in the Graduate Programs. Page 1 of 6

2 SECTION A: Please complete all questions by placing a tick ( ) in the appropriate box. Have you previously been enrolled at Turning Point? Yes Year enrolled Student No: No Which entry type are you applying for? Normal Entry Special Entry (Please note if you are applying for special entry you will be contacted regarding the process) Are you applying for Recognition of Prior Learning (RPL) or Credit Transfer (CT)? Yes No (Please note a separate application form for each subject and evidence is required. A non refundable fee applies for each application. Please contact Student Administration before submitting an application form). How did you find out about the course? From someone doing/completed the course Information from Turning Point VAADA e-news or ADCA update Other group Other SECTION B: What is your current residential status in Australia? Australian Citizen Permanent Resident Temporary Entry Permit New Zealand Citizen Were you born in Australia? Yes No Country of Birth: Year Arrived in Australia: Do you identify as being of indigenous decent? Aboriginal Torres Strait Islander What is the main language spoken at home? English Other Language Spoken Do you have a significant disability or long term medical condition, which may affect your studies? No (Go to next section) Yes (Please complete the following) What is the nature of your disability? Vision Acquired Brain Impairment Hearing/Deaf Learning Medical Condition Intellectual Mental Illness Physical/Mobility Other Page 2 of 6

3 SECTION C: What is you highest level of secondary schooling that you have completed? Completed Year 10 Completed Year 11 Completed Year 12 Which of the following post-secondary qualifications have you completed or attempted? Certificate IV Advanced Diploma and Associate Degree Level Bachelor Degree or Higher Degree Level What is the name of highest qualification completed? Have you studied a tertiary level course at an Australian Institution within the last 5 years? Yes No SECTION D: What is your current employment status? Full time (Please complete employment details) Part time (Please complete employment details) Not in paid work (Please complete personal details) What is your field of employment? Alcohol and Other Drugs Justice Community Services Mental Health Education Nursing Other If you work in a government funded service in alcohol and other drugs or mental health, please indicate the Department of Health catchment area your organisation falls within. Eastern Melbourne Frankston Inner East Melbourne Barwon North Melbourne Great South Coast Inner North Melbourne Gippsland North Western Melbourne Grampians South Western Melbourne Goulburn Valley South Eastern Melbourne Hume Bayside Loddon Mallee Page 3 of 6

4 SECTION E: Personal Details: (If your name has changed, please supply documentary evidence, eg certified copy of marriage certificate original) Title: Mr/Mrs/Ms First Name: Family Name: Second Name: Address: Suburb: State: Post Code: Date of Birth: Male: Female: Phone: Mobile: Employment Details: Organisation/Company: Position: Year in role: Address: Suburb: State: Post Code: Mobile: Phone: Fax: Would you like to use your workplace details as preferred contact? Yes No Emergency Contact: Name: Relationship: Contact Details: Phone: Mobile: Page 4 of 6

5 SECTION F: Course Codes: V13941 Graduate Certificate in Alcohol and Other Drug Studies V13958 Graduate Diploma in Alcohol and Other Drug Studies Please indicate by placing a tick ( ) which subject/s you want to enrol into for the academic year Semester 1 (All subjects are 15 credit points) In Class Online Fee Office Use Only Core Subject GP013 AOD Treatment, Assessment and Planning GD100 Making Sense of Experience: Evaluation and Reflective Practice Electives GD104 Introduction to Mental Health for AOD Workers GD105 AOD Counselling: Exploring Interventions in Context GD112 Independent Study (No formal classes) Semester 2 (All subjects are 15 credit points) In Class Online Fee Office Use Only Core Subject GP012 Perspectives in Drug Use GP014 Young People, Drugs and Society Electives GP015 Dual Diagnosis: Context and Response GD106 AOD Counselling: Applying AOD Counselling Interventions GD109 Group Work: Theory and Practice GD112 Independent Study (No formal classes) Additional Comments: Page 5 of 6

6 SECTION G: Course fees Payments of fees are applicable once you have been advised by Student Administration that your application has been successful. Fees must be paid in full by the start date of your first subject, however an alternative arrangement may be offered on request and must be authorised by the Manager, Workforce Development. Payments can be made by cheque (payable to Eastern Health) or credit card. Privacy Information The personal information we collect on this form is for the purpose of enabling you to enrol in the course offered by Turning Point. Our staff are committed to respecting your confidentiality and preserving your privacy. We will keep your personal information secure and protected from unauthorised access or improper use, and we will only disclose information about you if it is authorised by you or mandated by law. All our services comply with the relevant information and privacy legislation. Declaration (Please read then sign and date to acknowledge your understanding and agreement to enrolling with Turning Point) I declare that, to the best of my knowledge, the information given in this application is correct and complete. I understand that Turning Point reserves the right to vary or reverse any decision made on the basis of incorrect or incomplete information. I also understand and agree to abide by the policies and procedures of Turning Point. Signed: Date: END OF APPLICATION. PLEASE ENSURE YOU HAVE COMPLETED ALL SECTIONS. SECTION H: Office use only Received by Student Administration Officer: Signed: Date: Authorisation by: Manager, Workforce Development: Signed: Date: Comments/Follow Up: Page 6 of 6

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