1. sports
2. auto racing

TRACK RIDER PROGRAM 2015
TRACK RIDER PROGRAM – EXPRESSION OF INTEREST
To be considered for a place on the Racing Victoria Track Rider Program this Expression of Interest (EoI) form
must be completed.
To take part in the Racing Victoria Track Rider Program, experience with working with horses and previous
riding experience is essential. Applicants must submit:
1. Video evidence of their riding ability. This video evidence must include vision of canter and extended
canter or gallop in an open area demonstrating the ability to ride in a two point position; and
2. The form entitled ‘Horse-related Practical Activities – Participant Self Assessment’ (Self Assessment
Form).
Details of where the above footage and form are to be submitted is provided at end of this form.
Successful applicants will be chosen by Racing Industries Skills Centre (RISC), Bendigo based on their skill
level, control and balance, as determined after the RISC has reviewed the video evidence and considered the
Self Assessment Form. Students are also selected based on their availability to pursue a track rider
traineeship and employment after the initial two week course as this course is ultimately aimed at placing
skilled participants into employment within the racing industry.
Upon commencement of the Program, should the RISC determine that the applicant’s experience is not as
described in the Self Assessment Form or video evidence, RISC reserves the right to immediately remove the
applicant from the Program. Neither RISC nor Racing Victoria will be liable for any loss whatsoever, including
loss of the enrolment fee in the event that an applicant is removed from the Program.
It should be noted that completion of the Program does not guarantee the attainment of Stable
Employee registration with Racing Victoria.
TRAINING
Track Rider Program
Students participate in training from the following six training units from the RGR30108 Certificate III in Racing
(Track Rider)
Unit Code
Unit Title
RGRPSH201A
Handle Horses
RGRCMN201A
Follow OHS procedures and observe
environmental work practises
RGRPSH205A
Perform Basic Riding Tasks
RGRPSH304A
Identify factors that affect racehorse
performance
RGRPSH206A
Develop riding skills for flatwork
Racing Victoria Track Rider Program EOI
-1-
RGRPSH306A
Develop basic track work riding skills
PROGRAM DATES
DATE
LOCATION
30 March to 10 April
2015 (excluding
weekends)
Hillcrest College, Clyde North and Cranbourne Training Complex,
Cranbourne
CONDITIONS
 Applications close Wednesday 25th March 2015
 10 places available.
 If an applicant is offered a place in the Program, enrolment must be done on line and the course must be
paid for before commencing. A place in the Program will not be secured until payment is made in
full.
 Fees: Enrolment fees
o
The cost of the course will vary for each individual depending on whether you are eligible for
government funding or not.
o
If you have completed some of the units at another TAFE institute your fees may be reduced.
Evidence of prior completion of units must be sent with your enrolment form to RISC. The
decision as to whether fees may be reduced is at the discretion of RISC.
o
If you are unsure whether you are eligible or ineligible or have any other questions regarding
fees, please contact John Randles [email protected]

If you have a concession card you fees may be reduced.

When your place is secured, you will be sent a timetable of the Program activities

You must bring your own helmet that adheres to the following safety standards and must not be older
than 5 years from date of manufacture (can be found inside helmet)
o
o
o

You must also bring a vest/back protector if you have one. If not, there will be vests available to borrow.
Vests must be a minimum of the following safety standards:
o
o
o

ASNZ 3838
ASTM F1163
EN 1384
ARB Standard 1.1998
SATRA Jockey Vest standard
European Standard EN 13158 level 1
There is a weight limit of 75kgs for all riding programs and all riders must be of a reasonable
fitness level
Racing Victoria Track Rider Program EOI
-2-
RACING VICTORIA LIMITED
ACN 096 917 930
Human Resources and Workforce Development
400 Epsom Road
Flemington VIC 3031, Australia
Telephone: (+61 3) 9258 4328
Facsimile: (+61 3) 9258 4685
Email: [email protected]
EXPRESSION OF INTEREST
Intermediate Track Rider Program
Section 1: Personal Information
Family Name:
D.O.B:
Given Name(s):
Gender (please tick):
Preferred Name:
*Age:
F
Height:
Weight:
M
Shoe Size:
* Applicants must be at least 15 years of age at the commencement of the program.
Residential Address:
Suburb
Postal Address:
Post Code:
Post Code:
(only if differs from above):
Contact Telephone:
Mobile:
Email Address:
Section 2: Language and Cultural Diversity
Country of Birth:
Australia
Other:
Please specify:
Are you an Australian Citizen or Permanent Resident of Australia?
Yes:
No:
Are you of Aboriginal or Torres Straight Islander origin?
Yes:
No:
Language spoken at home:
English:
Other:
Please specify:
Well
Very well
Yes:
No:
Or a holder of a permanent visa of Australia?
Yes:
No:
Or a holder of a Special Category Visa (sub-class 444)?
Yes:
No:
Or a Temporary Protection Visa Holder?
Yes:
No:
How well do you speak English?
Not at all
Not well
Section 3: Citizenship
Are you an Australian Citizen?
If no, please continue.
Or an East Timorese Asylum Seeker?
Yes:
No:
Please provide a copy of Birth Certificate OR Green Medicare Card & Proof of Age (Drivers Attached
Licence)
Section 4: Concession Status and Job Seeker Referral (JSA)
I have a Concession Card.
Racing Victoria Track Rider Program EOI
Yes:
No:
-3-
If yes, a copy of current concession document must be attached if a concession Tuition Fee
Attached
is required. E.g. Copy of Health Care Card
Do you have a Job Seeker (JSA) referral?
Yes:
No:
The original Job Seeker Referral form must be attached if Yes is selected.
Attached
Section 5: Parent / Guardian Details (if applicant is under 18 years of age)
Name (s):
Residential Address:
Suburb
Post Code:
Contact Telephone:
Mobile:
Email Address:
Section6: Emergency Contact (in an emergency, the person to be contacted on your behalf)
Name:
Relationship:
Address:
Home:
Work:
Mobile:
Section7: Racing Victoria Registration
Are you currently registered with Racing Victoria as a stable employee:
Yes – please provide registration number ____________________
No
Section 8: Education Details
Highest completed school level:
Are you currently attending school?
Yes
No
If yes, please provide school name, address
and your school level :
If no, year last attended and please provide
school name, address and highest school
level completed.
Section9: Qualifications (Certificates (indicate level), Diplomas, Degree obtained)
Qualification(s)
Example: Certificate II in Racing – Stablehand
Year Obtained
Currently Studying
2011
n/a
Section 10: Work History
Current Employment Status
Of the categories listed, which BEST
describes your current employment
status? (tick one box only)
Racing Victoria Track Rider Program EOI
Full time employee
Part time employee
Self employed – not employing others
Employer
-4-
Employed – Unpaid worker in family business
Unemployed – Seeking full time work
Unemployed – seeking part time work
Not employed – not seeking employment
Company / Employer
FT , PT, Casual
Start Date
Finish Date
Job Title Held
Section 11: Riding Experience and Achievements
Sport
Example: Pony Club
Experience
Horsham Pony Club member for 5 yrs
Trackrider / Stablehand for local Trainer
Achievements
Various placements at events –
results attached
Section 12: Medical Information
Have you experienced or do you suffer from any of the following conditions below (please tick)?
Ref.
Condition/Injury/Illness
1.
Nervous disorders including, nerves, depression, nervous
breakdown, mental or emotional instability, anxiety or attempted
suicide.
Yes
No
2.
Headaches or Migraines
Yes
No
3.
Fits, Convulsions, turns, blackouts, giddiness or epilepsy
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
4.
5.
6.
7.
8.
9.
10.
11.
12.
Lung or chest infections, pneumonia, bronchitis, asthma or
tuberculosis
Heart disease, high or low blood pressure, rheumatic fever or
angina pectoris
Indigestion, pain after eating, gastric or duodenal ulcers, hiatus
hernia, gall bladder disease, recurrent diarrhoea or appendicitis
Kidney or bladder problems, cystitis (inflammation of the bladder)
or stones
Diabetes, goitre, thyroid disease or any disease of the lymphatic
glands
Anaemia or blood disease
Perforated ear drums, deafness, tinnitus (noises in the ears) ear
discharge or blocked ears
Sinusitis, frequent head colds, blocked nose, hay fever or other
allergies
Back, spine or neck injuries, pain or arthritis
Racing Victoria Track Rider Program EOI
-5-
13.
Fractures or dislocations
Yes
No
14.
Head injuries, knocks or falls during sports or other activities, seen
a Doctor or Hospitalised for head injuries, blackouts or loss of
consciousness
Yes
No
15.
Skin disease, eczema or dermatitis
Yes
No
16.
Speech impairments or defect
Yes
No
17.
Surgical procedures or hospital admission
Yes
No
18.
Any other illnesses or injuries not mentioned above
If yes, please provide details below:
Yes
No
19.
Have you ever made a claim for Workers Compensation
Yes
No
20.
Do you consider yourself to have a disability, impairment or long
term condition? (If yes, please specify below).
Yes
No
Hearing/Deaf
Physical
Intellectual
Mental Illness
Acquired Brain Impairment
Vision
Medical Condition
Learning
Other
Unspecified
If you have answered ‘yes’ to any of the medical information questions, please provide further details
below in the “Details of Condition, Injury and/or Illness” and please ensure you provide the correct
reference number.
Ref Number
Racing Victoria Track Rider Program EOI
Details of Condition, Injury and/or Illness
-6-
Date of last Tetanus Injection / Booster:
Do you smoke?
(if yes, please provide the number of cigarettes or other
tobacco products you smoke per day)
No
Yes
No
*
Do you consume alcohol?
(if yes, please provide the number of standard drinks per
day)
Yes
*
Prescriptions
Please provide details of any oral, intravenous or topical medications currently prescribed for you by
a Medical Practitioner or which have been prescribed for you by a Medical Practitioner in the past.
Also, include any of the following items:
 herbal preparations you use or have used whether prescribed or otherwise
 vitamins or supplements you use or have used in the past
Details of Prescribed Medications by a Medical Practitioner
Section 13: Privacy Statement
RISC
If you do not wish for marketing and promotional material to be sent to you, please tick this box.
If you do not wish for your photograph to be used for media articles, advertising or promotional material, please tick this box.
I understand that I will incur fees to undertake training.
I understand that the RISC (RTO) (TOID: 22215) is required to provide the Victorian Government, through Racing Industry
Skills Centre (Contract Body), with student and training activity data which may include information I provide in this
enrolment form. Information is required to be provided in accordance with the Victorian VET Student Statistical Collection
Guidelines (which are available at www.education.vic.gov.au). The Contract Body may use the information provided to it for
planning, administration, policy development, program evaluation, communication, resource allocation, reporting and/or
research activities. For these and other lawful purposes, the Contract Body may also disclose information to its consultants,
advisers, other government agencies, professional bodies and/or other organisations.
The RTO will use the information requested on this form for research, statistical and internal management purposes. In
supplying the requested information, the participant is deemed to have consented to use the information for these purposes.
The Education and Training Reform Act 2006 requires the RTO to collect and disclose my personal information for a number
of purposes including the allocation to me of a Victorian Student Number and updating my personal information on the
Victorian Student Register. For more information in relation to how student information may be used or disclosed please
contact the RTO on 03 5449 3590or email
[email protected] Victoria
All personal information collected and retained by Racing Victoria will be treated in accordance with Racing Victoria’s
privacy policy.
I acknowledge and agree to the terms described in this privacy statement:
Signed ____________________________________
Date:_______________________
Section 14: Declaration
By signing the Authorisation below, I:
• declare that I understand that it is my responsibility to provide all relevant and required documentation;
• agree and acknowledge that the giving of false or incomplete information may lead to the refusal of my application or
cancellation of my enrolment in the Program;
Racing Victoria Track Rider Program EOI
-7-
• declare that the information provided in the EoI to be provided to the RTO in application for study and any supporting
documentation is to the best of my knowledge true, correct and complete at the time of my enrolment/application for
the Program;
• acknowledge that providing any false information and/or failing to disclose any information relevant to my application
for enrolment and/or failure to complete an application/enrolment form may result in the withdrawal of any offer,
particularly as it relates to my eligibility to obtain an offer for the government subsided training and/or cancellation of
my enrolment at the discretion of RISC. This includes information regarding my standard of riding ability contained
in the video footage and the Self Assessment Form;
• declare that all information that I have provided within this EoI, including Medical Information (Section 13), video
footage, Self Assessment Form and any other attachments are correct and that I have not withheld any information
that is relevant to this EoI;
• declare that if I am diagnosed with any of the conditions listed in Section 13 or the circumstances of any of the listed
conditions I currently have should change, I agree to immediately advise Racing Victoria;
• consent to Racing Victoria collecting health information about me for the purposes of assessing my suitability to
participate in the Program;
• agree to provide all relevant health information regarding my EoI to be offered a place in the Program, including
information from other medical practitioners/specialists and access to all my pathology and radiology reports;
• If it is not reasonable and practicable for me to provide my health information, I authorise consent for Racing
Victoria’s Chief Medical Officer to obtain and collect all relevant clinical information regarding my EoI in participating
in the Program. This includes approval to obtain information from other medical practitioners/specialists and
access to all pathology and radiology reports;
• Also provide consent for Racing Victoria’s CMO, at his or her discretion, to discuss the above health information with
nominated representatives of Racing Victoria and external health and allied service providers contracted to Racing
Victoria. I am aware that information will be used for the purposes of assessing my suitability to participate in the
Program; and
• Declare that I understand that l am able to gain access to my health information that is collected by Racing Victoria.
Section 15: Authorisation
Applicants Name
Applicants Signature
Date
Please note: if the Applicant is under 18 years of age, their legal guardian must complete the
following section.
Parent / Guardian Name
Parent/Guardian Signature
Date
Please attach relevant documentation listed in the checklist on the following page.
Once this form has been completed, please return it and all accompanying documentation to the
address below:
Racing Victoria –Workforce Development Officer
Attention: Lisa Coffey
400 Epsom Road,
Flemington VIC 3031
This form and copies of supporting documents can be emailed to
[email protected]
Racing Victoria will forward this form and the accompanying documentation to RISC.
Racing Victoria Track Rider Program EOI
-8-
Racing Victoria Office use only
Date Received:
EoI Lodged:
Logged By:
Information Provided to EoI:
Racing Victoria Track Rider Program EOI
-9-
RACING VICTORIA LIMITED
ACN 096 917 930
EXPRESSION OF INTEREST
Intermediate Track Rider Program
Human Resources and Workforce Development
400 Epsom Road
Flemington VIC 3031, Australia
Telephone: (+61 3) 9258 4328
Facsimile: (+61 3) 9258 4685
Email: [email protected]
CHECKLIST
Section 1: Checklist – Documents to be provided with the EoI Submission
Copy of Birth Certificate or Drivers License
Yes
Copy of Medicare Card (if applicable)
Yes
Copy of Certificate II or III in Racing (if applicable)
Note: If you have completed any racing training e.g. Mandatory Training, a statement of
attainment from the TAFE provider is required
Yes
Video footage demonstrating riding skills
Yes
Self Assessment Form
Yes
Please note: EoIs received that are not fully completed and or do not include copies of all documents
requested will not be considered.
Racing Victoria Track Rider Program EOI
- 10 -