Download Student Enrolment Form Complete the form below to enrol into any of our courses. Email your completed form to enquiries@ozhst.com.au Download Enrolment Form Here Student Enrolment Form Choose a Course *Choose a CourseRIIWHS202D Enter & Work in Confined SpacesRIIWHS204D Work Safely at HeightsRIIWHS202D Enter & Work in Confined Spaces RIIWHS204D Work Safely at Heights (Combo)UETTDRRFO6B Perform Rescue from Live Panel HLTAID001 Perform Cardio Pulmonary ResuscitationRIIWHS401D - Supervise work in confined spaces also MSMPER300 - Issue work permitsHLTAID 003 Provide First Aid (also UETTDRRFO6B Perform Rescue from Live Panel )CPCCWHS1001 Prepare to Work Safely in The Construction IndustryHLTAID 003 Provide First Aid (also UETTDRRFO6B Perform Rescue from Live Panel & CPR )Course Date *About YouGiven Name *Last Name If you currently don't have a Unique Student Identifier (USI) number, click here to obtain one (Required for Certificate Issue)Employer Position Home No. *Fax No. Mobile No. *Work No. Email Address *EmailConfirm Email Postal AddressAddress Line 1Address Line 2City / TownStatePostcodeDate of Birth Country of Birth Country of BirthAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelauBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKosovoKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Martin (Dutch part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSan MarinoSão Tomé and PríncipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamVirgin Islands (British)Virgin Islands (US)Wallis and FutunaWestern SaharaSamoaYemenZambiaZimbabweTown/City of Birth Are you Aboriginal or Torres Strait Islander? *NoAboriginalTorres Strait Islander Street Address (if different)Address Line 1Address Line 2City / TownStatePostcodeGender *MaleFemaleOtherDisabilityDo you have any disabilities that may impact on your learning outcomes? *YesNoIf YES, please select from the following *Hearing Impaired / DeafPhysicalIntellectualLearningMental IllnessAquired Brain ImpairmentVisionMedical ConditionOtherDo you require any special assistance? YesNo Country of Citizenship (if not Australia) --- Select a country ---AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelauBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKosovoKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Martin (Dutch part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSan MarinoSão Tomé and PríncipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamVirgin Islands (British)Virgin Islands (US)Wallis and FutunaWestern SaharaSamoaYemenZambiaZimbabweHow well do you speak English *Very wellWellNot wellNot at allIs English assistance required YesNo Are You an Australian Citizen? *YesNoNative Language (if not English) EducationHighest grade attained at school? The highest level of post-secondary education *Choose a QualificationBachelor's Degree or HigherAdvanced DiplomaDiplomaCertificate IVThe highest level of post-secondary education achievedCertificate IICertificate IMiscellaneous EducationYear that you completed school Reason for Studying Now Choose your reasonTo gain employmentTo develop my existing businessTo start my own businessTrying a different careerBetter job or promotionCurrent job requirementHighest grade attained at school?Get into another course of studyPersonal interest or self-developmentHealthI am suffering from, or have suffered from, the following *SelectHeart ConditionHigh Blood PressureAsthtmaLung DisorderSkin ComplaintsStressVertigoAnxietyEmergency Contact Name Relationship to You Choose ContactWifeHusbandDefacto/PartnerMotherFatherBrotherSisterFriendPhone Choose Your Course *RIIWHS202D Enter & Work in Confined Spaces - $ 260.00RIIWHS204D Work Safely at Heights - $ 260.00RIIWHS202D Enter & Work in Confined Spaces RIIWHS204D Work Safely at Heights (Combo) - $ 450.00UETTDRRFO6B Perform Rescue from Live Panel HLTAID001 Perform CPR - $ 160.00RIIWHS401D - Supervise work in confined spaces also MSMPER300 - Issue work permits - $ 350.00HLTAID 003 Provide First Aid (also UETTDRRFO6B Perform Rescue from Live Panel ) - $ 160.00HLTAID 003 Provide First Aid - $ 160.00CPCCWHS1001 Prepare to Work Safely in The Construction Industry - $ 220.00Total cost for selected course/s 360.00Signature * HEALTH — By signing this enrolment form I acknowledge that the Health Security Education course may involve practical work within conditions that may be stressful. I do not suffer from any of the above disorders or conditions that may inhibit my participation during the conduct of this course. I further acknowledge that in admitting me to the course, Health Security Education does not assess my physical or mental condition or preparedness for the course but relies on my statement above. MEDIA – I authorise Health Security Education or the authorised co-provider to take my picture while training and in turn to use the picture in their media campaign. (⬜Tick if you don’t authorise) USI – By signing this enrolment form I authorise Health Security Education to create if required, a USI on my Behalf. I also authorise Health Security Education to conduct a search on my USI should I have provided incorrect USI information or cannot recall my USI as issued. RELEASE OF INFORMATION — I hereby give my permission to Health Security Education to release information about my training to the above employer for purposes. I understand that Health Security Education will email a copy of my Statement of Attainment/Certificate to the above company if requested. PRIVACY NOTICE — I understand that under data provision requirements, Health Security Education is required to collect personal information about myself and my situation and disclose that information to the National Centre for Vocational Educational Research (NCVER). STUDENT DECLARATION — By signing this enrolment form I acknowledge that I have read and agreed to the terms and conditions outlined in the Student Handbook. I agree to the Terms & Conditions *I AcknowledgeEnrol Now