Submit Expression of Interest

Student Details

Parent/Guardian Details

Confidential Medical Information

Please tick if your child has any of the following medical conditions.
Programs / Class Schedules
Program Year Class Code Venue Day Time 1st Semester 2nd Semester Unit Trainer RTO RTO
Number
Calendar
Year
From To From To

The Highlands LLEN VET Cluster collect, use and disclose this information in accordance with Privacy Act 1988 (Commonwealth), Privacy and Data Protection Act 2014 (Vic) and the Health Records Act 2001 (Vic). Highlands LLEN VET Cluster will distribute only relevant information to the relevant Vocational Education and Training Delivered to Secondary Students (VETDSS), Registered Training Organisation, (RTO) for their follow up during their enrolment processes and to assist in providing student support during the VET Program. The RTO may require you to advise further medical details during this process. All information contained in the form will be stored, used and disclosed in accordance with the requirements of the Privacy Act 1988 (Commonwealth), Privacy and Data Protection Act 2014 (Vic) and Health Records Act 2001 (Vic).

This medical form must be current when the VET Program commences. Parents/Carers are responsible for all medical costs if a student is injured unless the Department of Education is found liable (liability is not automatic). Parents/Carers can purchase student accident insurance cover from a commercial insurer if they wish to. For some programs, proof of Ambulance Cover may be required.

For further information please read our Enrolment Information and Privacy Collection Notice on the Highlands LLEN website.

My child will be undertaking a VETDSS program/SWL placement away from the school site as part of their VETDSS Program:

  1. I give permission for my child to attend the above-mentioned VET Program and attend any course excursions organised by the RTO or external provider, which may run at various venues and only need an informative notice of excursions throughout the year. I am aware that my child will not be supervised by school staff when undertaking classes at the premises of the RTO or external provider or when travelling to and from the provider and during break times.
  2. I am aware that non-school environments differ from school environments and direct supervision from staff will not be provided during study breaks at the external provider.
  3. I am aware that no responsibility is accepted by the Principal and staff of the home school or Highlands LLEN for the loss, theft or damage of personal property belonging to or in the possession of my child.
  4. I understand that I will be notified as soon as possible in the event of illness or accident to my child, but where it is impracticable to communicate with me I authorise the person in charge (or the nominee) at the RTO or external provider to administer first aid to my child, and to consent to my child receiving such medical and surgical treatment (including the administration of an anesthetic) as may be deemed necessary by a legally qualified medical practitioner. I accept full responsibility for the payment of fees incurred should my child require such treatment.
  5. I am aware that I must notify the RTO or external provider of any known medical conditions which may affect my child and any current or recent medication or treatment relating to my child or that may be relevant.
  6. I have noted details of my child’s disability in order to assist the VET Program teacher to develop plans around my child’s specific needs. I authorise staff from the home school to update the Program Teacher about learning needs in relation to my child and strategies that may assist.
  7. I will alert the school and the RTO or external provider if there are any changes to the attached details or if I become aware of circumstances which raise concerns as to the safety of my child participating in this VET Program.
  8. I give permission for the Highlands LLEN VET Cluster to provide my details, and my child’s details to the organisation of which my child will be attending for the delivery of the VET Program in accordance with Enrolment Information and Privacy Collection Notice, which I have read.

I understand statements 1 to 8 and requirements of the Highlands LLEN VET Cluster and VET Program RTO, in the collection, use and disclosure of the information contained in this form and have been advised of the legislation relating to collection, use and disclosure. I give my informed consent to the Highlands LLEN VET Cluster to use this information for the purposes outlined above and in the Highlands LLEN VET Cluster Enrolment Information and Privacy Collection Notice.
I consent

I consent to my child being photographed/videoed while undertaking the VETDSS Program and for these to be used by the Highlands LLEN VET Cluster for the purposes of marketing including on social media.
Yes No

Thanks for this Expression of Interest. If you are offered a position in a Program, you will receive an email, you will then need to Accept the Offer. You will be asked to login using your student email and password.


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