Pool Lifeguard Enrolment Form

Ampd Academy - RTO: 31946

07 5690 1260 | hello@ampdacademy.com.au

PRE-REQUISITE

Please be advised this course set has a pre-requisite unit of: HLTAID011 Provide First Aid

Any students undertaking the course will be required to provide a copy of their current Certificate or Statement of Attainment prior to your course start date.

An individual undertaking this course with Ampd Academy will need to demonstrate they are physically capable of meeting the demands of the practical demonstration skills including:

· CPR

· complete a ten (10) metre swim and then complete one non-contact tow, towing the rescued person for at least ten meters

· complete a ten (10) metre swim and then complete one contact tow, towing the rescued person for at least ten metres

· complete a 25 metre swim and then retrieve a submerged object replicating a person from the greatest depth of the facility but at no greater than two metres, at the surface contact tow an unconscious casualty for at least 25 metres, and work in a team to safely and efficiently extract the person from the water

· complete a 25 metre swim and 25 metre non-contact tow of a conscious casualty, with an assisted landing and work in a team to safely and efficiently extract the person from the water

· demonstrate fitness, strength, efficiency and speed throughout the rescue

Do you hold HLTAID011?

Yes

Please upload a copy of your current HLTAID011 Certificate or Statement of Attainment

Will be certified prior to this course date?

Yes

Please provide evidence (eg booking confirmation, certificate of attendance)

Unfortunately, you do not meet the entry requirements of this course. Please see our course calendar for a First Aid session that suits you.

YOUR DETAILS

Let's get to know you!

Title

First Name

Middle Name

Surname

Birth Date

Are you under 18?

Yes

Gender

Female

Male

Best contact number

E-mail Address (if you have done a course with us before, please use the same email)

Parent/guardians email

Parent/guardians contact number

Residential Address Search

Please type your address here

Address - Home - Unit/Flat Number

Address - Home - Street/Lot number

Address - Home - Street Name

Address - Home - Suburb

Address - Home - Post Code

Address - Home - State

Address - Home - Country

Unique Student Identifier (USI)

Verification of Identification

Please upload a colour copy of your Identification

Please specify uploaded identification

Australian Drivers License

Australian Passport

Adult Proof of Age Card

International passport

If you have provided an International passport, please ensure you upload a copy of your Visa Entitlement Verification
Please note, Ampd Academy is not a CRICOS provider and cannot enrol students on an international student visa. https://www.asqa.gov.au/faqs/can-rto-enrol-overseas-visitor-course-and-not-be-cricos-registered

Do you have a valid concession card?

Yes

If yes, please upload proof of concession

Concession type:

Health Care Card (not Medicare Card)

Pension Card

Seniors Card (not applicable for all courses)

Veterans Affairs Card

DIVERSITY

In which country were you born?

What is your citizenship status?

What language do you speak at home?

Are you of Aboriginal or Torres Strait Islander origin?

Do you consider yourself to have a disability, impairment or long-term condition?

Not Stated

Yes

If yes, please specify:

EDUCATION & EMPLOYMENT

What is your highest completed school level?

Year that highest school level was completed

please ensure this entered as 4 digit number eg 2009, not 09

Are you still enrolled in secondary or senior secondary education?

Not Stated

Yes

Have you successfully completed any qualifications?

Not Stated

Yes

If yes, please specify

Of the following categories, which best describes your current employment status?

For casual, seasonal, contract and shift work, use the current number of hours worked per week to determine whether full time (35 hours or more per week) or part-time employed (less than 35 hours per week).

Are you completing this qualification in partnership with your workplace?

Yes

Please indicate the name of your employer, and their best contact details.

(optional)

Do you give Ampd Academy authorisation to share details of your study and a copy of your qualification/Statement of Attainment with the employer specified above?

Yes

Which best describes the main reason you are undertaking this course

PRIVACY NOTICE & STUDENT DECLARATION

POLICIES & STUDENT HANDBOOK

Please click on the below to review:

STUDENT HANDBOOK

PRIVACY POLICY

REFUND POLICY

Ampd Academy rights and obligations include:

Provision of quality assessment services in a competent manner through the provision of quality resources and staff
Assessment be performed by qualified assessors with the required knowledge and currency in the needs of industry
Guaranteeing to provide assessment services to customers who have met their obligations about completion of enrolment details, and financial payment
Guaranteeing that if Ampd Academy cannot deliver a course, a full refund of all monies paid to Ampd Academy will be refunded to the purchaser.
Choosing to terminate a customer’s training if they fail to uphold these standards

I agree to undertake training with Ampd Academy. During this program, I understand and acknowledge that:

My rights and obligations, as defined in the Student Handbook.
I will adhere to Ampd Academy code of conduct as outlined in the Student handbook.
I have read and understand the progression policy and that I have 3 months from the start date to complete my online assessments
My obligation at all times to conduct myself safely and in adherence to all relevant legislation.
I will actively attempt all training and assessment tasks with serious effort.
I will comply with all safe and lawful requests; I will arrive on time and will return on time from all breaks.
I will not bully, abuse, vilify or fail to treat all people participating, associated with, or in the vicinity of training venues with the utmost respect and courtesy.
I consent to the collection, use and disclosure of my personal information in accordance with the Privacy Notice above
I permit Ampd Academy take photographs/videos of me whilst participating in training and assessment activities. I also give permission to any material for future promotional, commercial and educational purposes. I understand I can stop my consent by emailing hello@ampdacademy.com.au
I acknowledge and agree to meet the pre-requisites for my chosen course as outlined by Ampd Academy, including minimum age, eligibility, placement requirements, access to technology, and any course specific requirements.

I acknowledge that I have read the above and declare that the information I have provided to the best of my knowledge is true and correct and that I have read and accepted the terms and conditions of the fees and refund policy as described in the Student Handbook

Student Name:

Student Signature

Draw It
Clear

Date

Payment

Payment Options

Pool Lifeguard	$380.00
Pool Lifeguard	$380.00

Subtotal: $380.00

Tax: $0.00

Total: $380.00

This course is currently not open for enrolments

Pool Lifeguard Enrolment Form

PRE-REQUISITE

YOUR DETAILS

DIVERSITY

EDUCATION & EMPLOYMENT

PRIVACY NOTICE & STUDENT DECLARATION

Payment