APPLICATION FORM

CHC30121 CERTIFICATE III IN EARLY CHILDHOOD EDUCATION AND CARE

This qualification reflects the role of educators in early childhood education and care who work in regulated children’s education and care services in Australia. They support children’s wellbeing, and development in the context of an approved learning framework. Educators use a range of well-developed skills and knowledge using discretion and judgment when carrying out their work in the context of established policies and procedures. They may work independently or under the guidance of others, though in some contexts that guidance may not be on-site.

Early childhood educators work in long day care centres, family day care, pre-schools or kindergartens.

To achieve this qualification, the individual must have completed a total of least 160 hours of work in a regulated children’s education and care service in Australia. For more details, please visit https://www.asuriatraining.com.au/early-childhood-care-qualifications/

When completing this enrolment application form, it is recommended that you complete it using the Google Chrome browser via a computer or laptop. Upon receiving your enrolment application, our Admissions Specialist will review and confirm your suitability to undertake this training.

IMPORTANT

We are accepting application for the October 2025 intake until 10th October 2025, 5pm AEST. To join the intake and commence the course, applicant must submit a complete enrolment application form by 10th October 2025 and complete all steps in the enrolment process successfully no later than 17th of October 2025, 5pm AEST.

If you have any questions about completing this form, please contact admissions@asuria.com.au.

AETS (Australian Employment and Training Solutions, ABN: 45 123 653 752, RTO Code: 21912) would like to advise that we will be changing the business name of the company to Asuria, effective from 1st December 2023. All other company information and registration details remained unchanged.

Under the Data Provision Requirements 2012, Asuria (formerly known as AETS) is required to collect personal information about you and to disclose that personal information to the National Centre for Vocational Education Research Ltd (NCVER).

COURSE AND INTAKE SELECTION
Please select the intake you would like to commence your CHC30121 Certificate III in Early Childhood Education and Care course.

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CSEAUS03625 - Certificate III in Early Childhood Education and Care - Tasmania
10 Oct 2025 - 09 Oct 2026 Blended
Available

PERSONAL PROFILE

Title

First Name

Middle Name

Surname

Birth Date

Please select your age group

I'm under 18 years old

I'm 18 years old and above

JobSeeker or CRN ID

Residency Status

Nationality

Gender

Female

Male

Other

Mobile Number

E-mail Address

Home Address

Address - Home - Unit/Flat Number

Address - Home - Street/Lot number

Address - Home - Street Name

Address - Home - Suburb

Address - Home - Post Code

Address - Home - State

Address - Home - Country

Postal Address - if different from home address

Address - Billing - Unit/Flat Number

Address - Billing - Street/Lot number

Address - Billing - Street Name

Address - Billing - Suburb

Address - Billing - Post Code

Address - Billing - State

Address - Billing - Country

How long have you been living in Tasmania?

Under 6 months

6 months and more

CULTURAL, EDUCATIONAL AND EMPLOYMENT BACKGROUND

In which country were you born?

Do you speak a language other than ENGLISH at home?

Yes

What other language do you speak? Please choose from the drop down menu

Are you Aboriginal or Torres Strait Islander origin?

Do you consider yourself to have a disability, impairment or long term condition?

Yes

If you indicated the presence of a disability, impairment of long term condition, please select the area(s) in the following list:
(You may indicate more than one area) Please refer to the Disability supplement for an explanation of the following disabilities.

Please indicate disability assessment type

Recipient of disability support pension

Assessed by specialist support professional as a student with disability

Not assessed by a specialist

Do you have any special learning needs?

Yes

Please specify the additional support you require in your learning journey

What is your highest COMPLETED school level?
If you are currently enrolled in secondary education, the highest school level completed refers to the highest school level you have actually completed and not the level you are currently undertaking. For example, if you are currently in Year 10, the highest school level completed is Year 9.

Are you still enrolled in secondary or senior secondary education?

Yes

Have you SUCCESSFULLY completed any qualifications listed in the next question?

Yes

If YES, tick ANY applicable boxes

Please provide the name of the qualification you had/are undertaking under government subsidy.
Please include the full title of qualification and code e.g. CHC33015 Certificate III in Individual Support

In the past 5 years, please confirm if you have or you are (exclude the course you are applying for in this form)

Currently undertaking a government subsidised course

Completed a government subsidised course

N/A

Of the following categories, which BEST describes your current employment status?
For casual, seasonal, contract- and shift work, use the current number of hours worked per week to determine full time (35 hours or more per week) or part-time employed (less than 35 hours per week).

Which of the following classifications BEST describe the industry of your current employer?

Which of the following classifications BEST describe your current occupation?

Of the following categories, select the one which BEST describes the main reason you are undertaking this course/traineeship/apprenticeship.

As you are applying for a fee-free training, we will require additional information regarding your current employment. Please provide the following information for our reference. Kindly note that AETS reserve the rights and may contact your employer for verification purposes.

What is the name of your employer?

Name of your position in the company

Name of your supervisor

Your supervisor's position title

Your supervisor's contact number

Your supervisor's email address

Core Skills Initial Assessment

This Core Skills Initial Assessment tool will assist us in identifying your current reading, writing and numeracy levels to assist you with your specific learning needs. Please answer each question as completely as possible.

Read the following paragraph about Children’s Panadol and answer the questions below:

General Information

Panadol Children 1-5 Years is for fast pain relief and reduces fever. Use Children's Panadol for fast effective temporary relief from the fever and pain associated with Teething, Headache, Immunisation, Cold & flu symptoms and Earache.

Dosage:

a. The recommended dose for Children’s Panadol in children under 12 years is 15 milligrams of paracetamol for every 1 kilogram of bodyweight.

b. Gentle enough to dose every 4–6 hours if necessary.

c. Do not give more than 4 doses in 1 day or within any 24 hour period.

d. Children’s Panadol is not recommended for infants under 1 month.

e. Follow the dose instructions on the bottle; do not exceed the recommended dose unless directed by your doctor.

f. You can also download the Children’s Panadol® iPhone app which includes a Dosage Calculator.

Source: https://www.panadol.com/en-au/children/first-five-years/your-childs-health/family-health-care/childrens-panadol-dosing-guide/

1. Answer the following questions in your own words (do not copy the text directly).

a) What is Children’s Panadol for?

b) Should you give Children’s Panadol to a 2 week old baby? Why or why not?

2. Using the dosage recommendations above, perform the following calculations.

a) How many milligrams of Children’s Panadol should you give a 10kg toddler?

b) If Panadol was given at 10am, what time is the earliest you can give the next dose?

This course content and assessments are mostly online. How much support do you feel you would need to undertake learning in an online environment?

Little to no support

Some support

A lot of support, I'm not confident with online learning at all

As a self-assessment on your digital literacy, Please tick all tasks you are comfortable with performing on your own?

Sending Emails (examples are sending, replying, and drafting new emails).

Uploading and downloading documents (examples are attaching documents to emails and applications, downloading forms or guides).

Using Microsoft office (E.g. Word) or any similar programs used for creating resumes and cover letters (other examples are Google Docs)

Using a computer or laptop (basic trouble shooting skills)

Do you have access to the following? Please tick most relevant. As all our content and assessments will need to be accessed and submitted online and printed copies are not available.

Personal Computer/Desktop (with camera and mic) and reliable internet connection

Laptop (with camera and mic) and reliable internet connection

No, I do not have access to above mentioned devices

Work Placement

This course has a work placement component that will require a level of physical fitness to complete the tasks. Are you willing and able to complete a work placement that includes such tasks listed below? Do you foresee anything that may impact your ability to do work placement (e.g. planned surgery/ extended leave)

manual handling, lifting, dressing, toileting, cleaning, bending. This could include hands on care for children of varying needs and abilities, ages and size

Yes

Work Placement (work placement component in the centre are generally unpaid)

Are you aware or have identified any centres that you can complete your work placement component? If no, are you willing to travel up to 1 hour to a centre and complete your work placement?"

Yes

Work Placement

You will be require to provide a Police Check and Working With Children Check or Working With Vulnerable People before commencing your work placement term. Do you have one already? If no, are you willing to obtain them?

Yes

This course may require you to participate in scenarios where you will be interacting with your fellow students. examples are:

- turn on your camera during webinars

- participate in group work or interact with your fellow students

- record yourself with others doing a role-play activity.

Are you comfortable with this?

Yes

UNIQUE STUDENT IDENTIFIER (USI)

From 1 January 2015, we Asuria Training can be prevented from issuing you with a nationally recognised VET qualification or statement of attainment when you complete your course if you do not have a Unique Student Identifier (USI).

Please enter USI below if you already have one.

If you do not yet have a USI, please apply for one at https://www.usi.gov.au/students/get-a-usi on your computer or mobile device.

Australian Passport, Australian Birth Certificate, Citizenship Certificate or Medicare Card

Visa Grant Document

PROOF OF ACADEMIC RECORD

Please upload below a completion certificate or academic record based on the highest school level completed or qualification you have completed. Also, grant Asuria access to verify your USI VET Transcript.

Refer to instructions Steps on how to Share Your USI Transcript with Asuria

PROOF OF HOME ADDRESS

If your identification document does not display or does not match your home address, please upload a copy of other evidence displaying your name and home address. Example, a copy of energy bill that is no more than 3 months old.

STUDENT DECLARATION AND AGREEMENT

Thank you for completing this form. Before you sign and submit this application, please acknowledge the following:

1. Terms and Conditions of enrolment as per Asuria Student Handbook, please click Here

2. NCVER and Asuria Privacy Policy, please click Here

3. Have viewed the course overview, delivery and units offered on the website, please click Here

4. Course payment, additional fees and refund policy (if applicable)

5. Verification of the Unique Student Identifier (USI) provided in my application. If I did not provide a USI, I give permission to Asuria to create, find and or verify a USI on my behalf.

6. Granting Asuria permission to perform verification of visa entitlement using Visa Entitlement Verification Online system (VEVO) if applicable.

I declare that I have read, understood and agree to ALL of the above mentioned items.

I provide my consent for Asuria Training to contact me during my enrolment and post studies for any services offered by the organisation.

I understand that my enrolment in this qualification/s is being subsidised by the Tasmanian Government. I understand that enrolling in this qualification/s may affect my future training options and eligibility for further government subsidised training.

The information I provided in this form is accurate to my knowledge.

Student Signature

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Clear

Date

PARENT OR LEGAL GUARDIAN DECLARATION (if student is under 18 years of age)

Parent or Legal Guardian Full Name

Parent or Legal Guardian Contact Number

Parent or Legal Guardian Email Address

Please specify your relationship with the student

I, the parent/guardian of the student, understand that by signing this form, I am declaring that:

1. I have read the Privacy Policy, and consent to the collection, use and disclosure of personal information in accordance with the Privacy Policy; and

2. I give permission for him/her to attend the course he/she is enrolled in, and undertake all of the requirements for the course.

Parent or Legal Guardian Signature

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Clear