Shepparton - Safer Sport Courses
January - April, 2015
Sports First Aid (HLTAID003 - Provide First Aid)
Wednesday March 18 & Wednesday March 25
6:30pm - 10:30pm
Venue: Shepparton Sports Stadium
Course Number: 31507F Course Cost: $170
Level 1 Sports Trainer
Sunday March 15 & Sunday March 22
9:00am - 5:00pm (both days)
Venue: Shepparton Sports Stadium
Course Number: 31507 Course Cost: $220
Combined Sports First Aid & Level 1 Sports Trainer
Wednesday March 18 & Wednesday March 25
6:00pm - 9:30pm (both days)
Sunday March 15 & Sunday March 22
9:00am - 5:00pm (both days)
Venue: Shepparton Sports Stadium
Course Number: 31503C Course Cost: $340
Sports Trainer Re-Accreditation
Sunday April 26
4:00pm - 6:00pm
Venue: Kialla Community Centre
Course Number: 31506R Course Cost: $100
Pre-requisite: To become an accredited Sports Trainer
participants must provide a copy of a current first aid or sports first aid
certificate to SMA-VIC upon enrolment.
(If this is not possible participants should contact SMA-VIC to discuss
alternate options).
PLEASE NOTE: Online registration now available at sma.org.au
Course enrolment
Please fill in the enrolment form and send it together with full payment (or your payment details) to your state branch office.
Payment can be made by Visa, MasterCard, cheque or money order. Direct deposit is also available in NSW, VIC, TAS and NT.
Registered Training Organisation #110086
Course Details
Course Name.................................................................................................................................................................................................................................................Course ID......................................................................
Course Venue............................................................................................................................................................................................................................................... Course Date...................../....................../.....................
Your Details
Title...................................... First Name..................................................................................... Last Name.................................................................................................... DOB............./................/.................. Gender M / F
Residential Address........................................................................................................................................
Postal Address (if different to residential).................................................................................................
...........................................................................................................................................................................
...........................................................................................................................................................................
Suburb............................................................................................................Postcode..................................
Suburb............................................................................................................Postcode..................................
Phone (home)............................................................................................... Phone (work)................................................................................................ Mobile.................................................................................................
Email.....................................................................................................................................................................................................................................................................................................................................................
Payment
(Please note we do not invoice individuals. If you would like your workplace to be invoiced please contact your State branch.)
›Credit Card

Visa 
›Cheque/Money order
Mastercard
Cardholder Name..........................................................................................................................................
Card Number...................................../...................................../...................................../................................
Expiry Date........../............ CCV Number.......................... Amount $..........................................................
Cardholder Signature...................................................................................................................................
Included is my cheque/money order for $.....................................................................................
›Direct Deposit
Direct deposit is available if you are applying for courses in NSW, VIC, TAS or NT. Bank
account details are listed in the state branches area.
When making an EFT Direct Deposit, enter the Course ID and your Surname in the description.
Please include your remittance advice when emailing, faxing or posting this form.
State Branches
Please send the enrolment form to your state branch via post, email or fax.
Vic
Tas
Sports House
375 Albert Road
Albert Park, VIC 3206
C/O SMA Victoria
Sports House, 375 Albert Road
Albert Park, VIC 3206
Phone: (03) 9674 8777
Fax: (03) 9674 8799
[email protected]
Phone: (03) 9674 8777
Fax: (03) 9674 8799
[email protected]
BSB: 013 030
BSB: 017 010
ACT
Acc: 1003 58763
SA
NSW
NT
PO Box 3176
Rhodes, NSW 2138
PO Box 2331
Darwin, NT 0801
Phone: (02) 8116 9815
Fax: (02) 8116 9760
[email protected]
Phone: (08) 8927 2333
Fax: (08) 8945 2376
[email protected]
BSB: 032 249
BSB: 015 886
Acc: 113218
Acc: 279 609 453
Acc: 0017 28052
WA
QLD
ACT Sports House
Maitland St, Hackett, ACT 2602
PO Box 219
Brooklyn Park,SA 5032
PO Box 57
Claremont, WA 6010
Sports House
150 Caxton Street, Milton, QLD 4064
Phone: (02) 6247 5115
Fax: (02) 6230 6676
[email protected]
Phone: (08) 8234 6369
Fax: (08) 8234 6352
[email protected]
Phone: (08) 9285 8033
Fax: (08) 9284 9239
[email protected]
Phone: (07) 3367 2700
Fax: (07) 3367 2800
[email protected]
More Details
Registered Training Organisation #110086
Cultural Background & Language
Were you born in Australia?
Do you speak a language other than English at home?
How well do you speak English?
Are you of Aboriginal or Torres Strait Islander origin?
 Yes
 No
 Very well
 No
 No (if no, please specify)..............................................................................................................................
 Yes (if no, please specify)..............................................................................................................................
 Well
 Not well
 Not at all
 Yes, Aboriginal
 Yes, Torres Strait Islander
Medical ConditionsEducation
If you have a disability, impairment or long term condition, please specify below.

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




What is your highest COMPLETED school level? (tick only one)
Vision
Hearing/Deaf
Intellectual
Acquired Brain Impairment
Mental Illness 
Learning 
Other (please specify)......................................................................................................................

Prior Qualifications
Have you successfully completed any of the following qualifications? (tick all that apply)
Year 12 or equivalent
Year 11 or equivalent
Year 10 or equivalent
Year 9 or equivalent
Year 8 or equivalent
Never attended school
Still attending school
Year of completion.....................................................
EmploymenT
Which category describes best your current employment status? (tick only one)
 Bachelor Degree or Higher
 Diploma
 Certificate IV
 Certificate III
 Certificate II
 Certificate I
 Certificate other than above

Full-time Employee
Self Employed – Not employing others
Part-time Employee
Employer
Not Employed – Not seeking work
Employed – Unpaid, working in a family business
Unemployed – Seeking full time work
Unemployed – Seeking part time work
Study Reasons
Of the following categories, which best describes your main reason for undertaking the course/traineeship/apprenticeship? (tick only one)

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To get a job
To try for a different career
I wanted extra skills for my job
Other reasons

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To develop my existing business
To get a better job or promotion
To get into another course of study


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To start my own business
It was a requirement of my job
For personal interest or self-development
Marketing
How did you find out about this course? (tick only one)


Email Internet search
 SMA Website
Word of Mouth
 Flyer Social Media

Other (please specify).....................................................................................................................

I have read and agree to the VET code of practice and terms & conditions attached.
Signed........................................................................................ Date............./................/...............
VET Code of Practice
Sports Medicine Australia (SMA) has developed a Code of Practice to address and establish its commitment to the maintenance of high standards in the
provision of vocational education and training. This code of practice pervades all policies and procedures and it is a requirement of employment that all
SMA personnel (including full-time & casual employees and volunteers), members and clients abide by it.
LEGISLATION
Information about current legislative and regulatory requirements affecting participant’s training, including
Equal Opportunity and Workplace Health and Safety, can be found at the Australian government website:
www.comlaw.gov.au
The Federal Privacy Act relates to the collection, use and storage of personal data and is available at:
www.privacy.gov.au / www.comlaw.gov.au
The National Vocational Education and Training Regulator Act 2011 provides legislation and regulatory
requirements relating to the provision of vocational education and training (VET) in Australia.
The Australian Skills Quality Authority (ASQA) is the national regulator for Australia’s vocational education and
training sector: www.asqa.gov.au
ACCESS, EQUITY, PARTICIPANT SELECTION AND ADMISSION
Every participant who meets the entry requirements (if applicable) as prescribed by the appropriate
Training Package will be accepted into any training/assessment program.
SMA incorporates the principles of equity into all programs.
SMA’s personnel have been instructed in their responsibilities with regards to Access and Equity principles.
Participants have equitable access to all programs irrespective of their gender, culture, linguistic background,
race, location or socio-economic background.
In the Public Safety Industry there is, due to the nature of work performed, a requirement for the majority
of people to be able-bodied. However, to enable participation in the training offered by SMA by all members
of the community, special needs may be addressed in relation to those units, which can accommodate
special needs.
This will see all non-discriminatory enrolment criteria fulfilled, deemed necessary by SMA and upon the advice
of special interest groups.
Some programs may have a limited number of vacancies and these will be filled in a chronological order
upon completion of enrolment.
Admission procedures will therefore be free of discrimination, and if an individual does not meet entry
requirements, all attempts are made to assist them to identify alternative courses of action.
NATIONAL RECOGNITION AND RECOGNITION OF PRIOR LEARNING
SMA recognises the Australian Qualifications Framework (AQF) qualifications and statements of attainment
issued by any other Registered Training Organisation (RTO). Where relevant national recognition of
qualifications is applied at no cost to the candidate.
Recognition of prior learning/current competence assessment is available to all participants. Participants
wishing to be assessed in this mode can either provide sufficient evidence of competence or undertake
the required assessment tasks. Participants wishing to apply for Recognition should contact their State
training manager. A fee may apply to Recognition of prior learning assessments. If there is a cost, this will
be evaluated on an individual basis in relation to the amount of work required and the level of assessor
involvement required.
PRIVACY
SMA collects personal information solely for the purpose of operating under the Australian Quality Training
Framework administered by the Australian Skills Quality Authority who is the registering authority. Pursuant
to this role the registering authority may require the release of your personal information for the purposes of
audit and survey. This may include surveys conducted by The Social Research Centre on behalf of the National
Centre for Vocational Education Research (NCVER) who collect information about people who have completed
recognised vocational training in the previous calendar year and provides information on vocational education
and training in Australia to governments, the education and training sector, industry and the community.
Under the National Privacy Principles you can access personal information we hold on you and you may
request the correction of information that is incorrect or out of date.
MARKETING
Should SMA market or advertise its products and services, it will do so in an ethical manner. SMA will market
its products and services with integrity, accuracy and professionalism, avoiding vague and ambiguous
statements. In the provision of this information, no false or misleading comparisons will be drawn with any
other provider or course. Specific course information, including content and vocational outcomes is available
prior to enrolment.
Ethical Marketing Practices:
SMA will adopt policies and management practices which maintain highly professional standards in the
marketing and delivery of its products and services and which safeguard the interests and welfare of all
participants.
SMA will maintain an educational environment that is conducive for all participants to achieve the
pre-determined competencies.
SMA will always gain a participant’s written permission before using information about that individual
in any marketing materials and will respect any conditions of permission imposed by the participant.
SMA will always accurately represent training products and services to prospective participants.
SMA ensures that participants are provided with full details of conditions in any contractual arrangements
with the organisation.
Registered Training Organisation #110086
Accurate and Clear Marketing:
Where advertisements and/or advertising materials refer to SMA’s RTO status, the products and services
covered by the organisation’s scope of registration are clearly identified.
SMA only advertises those AQF qualifications it is registered to issue. Advertisements and advertising
materials utilised by SMA identify nationally recognised products separately from courses recognised by
other bodies or without recognised status. The names of training packages, qualifications and/or accredited
courses listed in advertising materials utilized by SMA comply with the names/titles recognised by the State
Registration Authority. Full information on specific courses is available from SMA prior to enrolment.
FEES, CHARGES & REFUNDS
Participants of SMA must pay the set fee upon enrolment into a program.
An organisation may be invoiced on receipt of a purchase order or acceptance of a program confirmation letter,
subject to prior approval.
Standard terms will apply to the payment of invoices. SMA does not receive payment of course fees more than
ten weeks in advance of a course.
Cancellation Fee:
• More than 3 business days before the course – 20% of course fee
• Less than 3 business days before the course – 100% of course fee
• Cancelling after course commencement – 100% of course fee
Transfer Fee:
A transfer fee MAY be charged for transferring after confirmation.
Exceptions:
• If cancelling or wishing to transfer to another course due to extenuating circumstances, the relevant fee
may be waived. For consideration please contact your local state branch.
TESTAMURS
Issuance of Testamurs
SMA will issue a Certificate where a participant has successfully completed all the requirements for
a qualification (as specified in the appropriate Training Package).
When a Certificate for a qualification is issued, a Statement of Attainment listing all the units of competency
or modules that the participant has completed for that Certificate will also be issued.
A Statement of Attainment will only be issued if a participant has successfully completed one or more units
of competency or modules or an accredited short course, but has not otherwise met the requirements for a
qualification (as specified in the appropriate Training Package). The Statement of Attainment will list all of the
units of competency or modules completed by the participant.
Forfeiture or Returning Testamurs
SMA may forfeit a Certificate or require the participant to return a Certificate to the issuing RTO
in circumstances where:
• the Qualification/Certificate/Statement of Attainment has been improperly obtained
• application is made for a replacement Certificate due to damage or legal name change
• a Qualification/Certificate/Statement of Attainment has been produced in error
Reprinting Testamurs
Reprint of Certificates or Statements of Attainment which contain an error are processed and issued at no
charge to the participant. Reprint of lost Certificates or Statements of Attainment will incur a fee of $5.50.
ACCESS TO PARTICIPANT’S RECORDS
Each participant’s records are available to them on request. Participants’ records are not available to other
people unless SMA is requested in writing by the participant to allow such access.
WAIVER
I meet the prerequisite requirements of the course I am enrolling in above and have attached evidence for
non-SMA qualifications.
I recognise that some courses involve activities that require a reasonable level of fitness. I authorise SMA
to obtain medical assistance that they deem necessary should any medical problem or accident occur,
and I agree to pay all medical expenses incurred on my behalf and I further authorise qualified medical
practitioners to administer an anaesthetic if necessary.
I take full responsibility for any injury, illness, loss or damage to my person and/or property that may directly
or indirectly result from my participation in the training program. This waiver, release and discharge shall be
and operate separately in favour of all persons, corporations and bodies involved or otherwise engaged in
promotion or staging the training program and the servants, agents, representatives and officers of any of
them and shall so operate whether or not the loss, injury or damage is attributed to the act neglect of any
or more of them.
I agree to disclose any disability, medical or other issue that may inhibit my ability to undertake the program
as outlined / I know of no reason medical or otherwise that would inhibit me from participation.