Course Form

ADAS Training Student Enrollment Form


Unique Student Identifier Number

Personal Details

Male: Female:

AVETMISS Data

Are you Aboriginal or Torres Strait Islander?
 No   Yes(Aboriginal)
 Yes(Torres Strait Islander)
Do you speak a language other than English?
 No   Yes(language)

*If yes, how well do you speak English?
 Not at all   Not well   Well   Very well
Do you consider yourself to have a disability, impairment or long term condition?
 No   Yes

if yes, tick all that apply
 Hearing/Deaf   Physical   Intellectual   Learning    Mental Illness    Acquired Brain Impairment    Vision    Medical Condition    Other
What is your highest school level completed?

 Completed Year 12                 Completed Year 11                 Completed Year 1                 Completed Year 9                 Completed 8 or below                 Did not got to school                 Still Attending                School completion year   
Have you completed any additional Qualifications?
 No   Yes

if yes, tick all that apply
 Bachelor or higher Degree   Advanced Diploma/Associate Degree   Diploma (or associate)   Certificate IV    Certificate III    Certificate II    Certificate    Other
Which Best describes your current employment status?

 Full time employee             Part time employee            Self employed/sole employee            Employer            Employed–unpaid worker in family business                Unemployed–seeking full time            Unemployed seeking part time           Not employed–not seeing employment           
Why are you enrolling to study?

  • 01  To get a job
  • 02 To develop my existing business
  • 03 To start my own business
  • 04 To try for a different career
  • 05 To get a better job or promotion
  • 06 Requirement of my job
  • 07 I wanted extra skills for my job
  • 08 To get into another course of study
  • 09 Other
  • 10 Personal interest or self development

Enrolment Details

ADAS Part 1 / Aquaculture (circle)               Cost:$6500
Commencement Date:
(4 weeks)

Pre requisites

AS 2299 Commercial Medical
Date of issue:
Recreational Cert + 10 Logged dives
Date of issue:
First Aid Qualification
Date of issue:
Oxygen Administration Qualification
Date of issue:
ADAS Part 2               Cost:$6500
Commencement Date:
(4 weeks)

Pre requisites

AS 2299 Commercial Medical
Date of issue:
ADAS Part 1
Date of issue:
First Aid Qualification
Date of issue:
Oxygen Administration Qualification
Date of issue:
ADAS Part 1 & 2               Cost:$13000
Commencement Date:
(8 weeks)

Pre requisites

AS 2299 Commercial Medical
Date of issue:
Recreational Cert + 10 Logged dives
Date of issue:
First Aid Qualification
Date of issue:
Oxygen Administration Qualification
Date of issue:
ADAS Onshore Supervisor (Part 2)               Cost:$3000
Commencement Date:
(2 weeks)

Pre requisites

ADAS Diver Card
Number:
Expiry Date:
Level:
First Aid Qualification
Date of issue:
Oxygen Administration Qualification
Date of issue:
Appropriate logged bottom time (SSBA)
Estimate of bottom time:
Letter of recommendation from employer
 
ADAS Diver Medic Technician (FULL)              Cost:$2750
Commencement Date:
(2 weeks)

Pre requisites

ADAS Diver Card
Number:
Expiry Date:
Level:
First Aid Qualification
Date of issue:
AS 2299 Commercial Medica
Date of issue:
Appropriate logged bottom time (SSBA)
Date of issue:
ADAS Diver Medic Technician(REFRESHER)              
Commencement Date:
(5 weeks)

Cost:$1850              $1500(bring a friend)               $1200 (4 or more)

Pre requisites

ADAS Diver Card
Number:
Expiry Date:
Level:
First Aid Qualification
Date of issue:

To secure your place on your selected course, a non refundable* deposit of $1200 is required (DMT Refresher $500). Please pay via Funds transfer with the following details & your name as your reference:BSB:105-036 Account Number: 093561740 Account Name: Vebron Holdings Receipt No:By signing below I make the following declaration: the details listed here are correct and I understand the amount and timing of fees to be paid as set out by the UTCSA Enrolment guidance & fee payment protection document. I also understand that the fees listed on this page do not include certification fees or extra training fees. *Deposit refundable on certain conditions.

Signed:
Print Name:
Date

OFFICE USE ONLY

 Handbook & Student Brief   Deposit Received   Enrolment Processed   Booking confirmed