**Please note this form must be accompanied with a general enrolment form which is located on our website Student Name: USI Number: (Unique Student Identifier) MPDA Number: (Master Painters & Decorators Member) Unique Student Identifier (USI) From 1 st January 2015 each student will need a Unique Student Identifier (USI) to obtain their certificate or qualification from their registered training origination, when studying nationally recognised training in Australia. A USI gives you access to your online USI account which will help keep all your training records together. Visit the website (www.usi.gov.au) to obtain a USI or for more information. Location of Course Maylands Campus (106 108 Caledonian Ave, Maylands WA 6051) Course Requirements Participants are required to supply their own PPE, pens, paper and calculator; you will be notified of the requirements in your confirmation letter. Want More Information? For further information on training and assessment at MPA Skills please download the Participant Handbook from our website. If you have any queries regarding enrolment and training please call training administration on 9471 6600 our team is happy to assist. Course 1 FULL-TIME COURSE DATES Dates Times Days Select one course 15 th August to 18 th August, 2016 8.00am to 4.00pm M, T, W & TH Course 1 PART-TIME COURSE DATES Dates Times Days Select one course 26 th April to 11 th May, 2016 4.00pm to 8.00pm M, T & W Course 2 Dates Times Days Select one course 7 th November to 23 rd November, 2016 4.00pm to 8.00pm M, T & W
Entry Requirements for this course: Candidates are required to have successfully completed a qualification or an accredited course as follows: (a) CPC30608 Certificate III in Painting and Decorating; or (b) Candidates who have the skills and experience in painting and decorating and can demonstrate this in a practical skills test (a subset of the CPC30611) qualification) may be deemed by the Building Commission to merit special entry; or (c) Candidates who have worked full-time in the painting and decorating industry for approximately five (5) years. Current Employment Are you currently employed? Yes No If Yes, in which occupation are you currently employed? Who is your current employer? Industry Experience In this section you are asked to provide general information about your current and past industry and work experiences. List the positions that you have worked in the past five years: Name of Organisation: What was your job title/s? What state / country did you work in?
Professional Referees (relevant to work situation) Name Position Organisation Phone Number Mobile Number Email Address Name Position Organisation Phone Number Mobile Number Email Address Declaration I declare that I have personally completed the information contained in this application and that it is true and correct and that all documents are genuine. Candidate Signature: Date
Course Cost Course fees are correct at time of printing but may be subject to change. For up-to-date fees please call training administration. Name of course Course cost MPDA member course cost Estimating $620 $605 Course fees are invoiced and payable prior to undertaking your block of training. Qualifications will be issued within 30 calendar days on condition that all fees have been paid and a USI number has been supplied RTO Number: 1892 Maylands Training Campus: 108 Caledonian Avenue, Maylands Head Office: Ground Floor, 353 Shepperton Road, East Victoria Park Postal: PO Box 5216, East Victoria Park, WA 6981 T: (08) 9471 6600 F: (08) 9471 6601 E: advancedtraining@mpaskills.com.au W: www.mpaskills.com.au
Invoice THIS SECTION MUST Contain Company s Details Name: (Company ) Billing Address Suburb Email Phone Contact THIS SECTION MUST Contain Students Details Name: (STUDENT) Billing Address Suburb Email Phone Contact Person responsible for account Place tick appropriate box.:- Student Company I, am duly authorized officer of and hereby authorize (Name) (Company Name) MPA Skills to invoice with course registration fees relating to (Company Name) (Student Name) Signed Dated: Your enrolment will not be processed until payment is received Please complete the credit card section below You will receive a confirmation text 3 weeks prior to the course start date and your card will be debited CREDIT CARD Card Number: Visa / Card Type: Expiry Date: Mastercard Amount: $ Signature: Date: Signature Date