FLORISTRY CAREER CHANGE COURSE ENROLMENT FORM

Transcription

1 FIRST NAME: SURNAME: PHONE NUMBER: DATE OF BIRTH: / / POSTAL ADDRESS: SUBURB: STATE: POSTCODE: PLEASE SELECT COURSE LOCATION & DATE: Collingwood, 1 day p/w; Wed May 1- October 16, 2019 Port Melbourne, 3 days p/w; Tue-Wed-Thurs; July 30 - September 17, 2019 NB: Some class excursions may be scheduled for other days of the week (including weekends). Classes do not run over the Victorian school holidays, however will generally go ahead on public holidays during the term. PAYMENT OPTIONS: (Please select payment option AND payment method) ONE SINGLE PAYMENT - $7997* (Inc. GST and non-refundable deposit of $1000) Payment to be made via: Credit/Debit Card Direct Deposit *Payment must be made in full at time of enrolment. MONTHLY PAYMENT PLAN - $1080 non-refundable deposit paid prior to commencement of course (inc. $80 admin fee). AND x payments of $ on dates as agreed on PAYMENT PLAN. Commencing on: / / and finalising on: / / Payment to be made via: Credit/Debit Card NB: FEE PRICE ONLY VALID TO 31 DECEMBER 2019

2 CREDIT/DEBIT CARD DETAILS: Visa; or Mastercard Amount to be charged today: If applicable, amount/s to be charged ongoing: $ (over payments) Card holder name: Card number: / / / Expiry date: / CVV# (3 digits on the back of the card): Signed: Date: / / DIRECT DEPOSIT DETAILS: (For Full Fee Paying students only) Amount to be deposited: $ Account Name: Bloom College Pty Ltd BSB: Account Number: Signed: Date: / / NB. DIrect deposit payments must include CCC (Career Change Course) as a description along with your name as a reference to appear on our statement e.g. YOUR NAME CCC

3 TERMS & CONDITIONS: The deposit secures your place in the course and is payable at the time of enrolment. Your position in the course will not be guaranteed until payment has been received by Bloom College along with the necessary enrolment and authority forms. The deposit is strictly non-refundable* All fees must be paid prior to the course commencement date, participants will not be able to attend classes unless all fees are paid in full.* The Participant may cancel their enrolment in the Career Change Course up to 28 days prior to the commencement date and receive a full refund of the Course Fee minus the deposit. If the Participant cancels their enrolment within the 28 days prior to commencement but no later than 7 days prior to the course commencement date, Bloom College will refund 50% of the paid Course fee minus the stated deposit. If the Participant cancels their enrolment within 7 days of the course commencement date or later fees will not be refunded. *In the rare circumstance that the course cannot go ahead due to below minimum enrolments or any unforeseen circumstances Bloom College will refund your deposit and any fees paid to date. During the course Bloom College may cancel your enrolment under reasonable circumstances as stated in the indemnity form you will receive a full refund of future classes minus the deposit. *Fees are due in full unless otherwise approved by Bloom College director in writing. TIMETABLE AND ABSENCES: All Classes and Courses are subject to change. Bloom College will best endeavor to ensure the Classes or Courses operate as advertised. Any changes in Classes or Courses will be communicated to the Participant prior to the commencement of the Class or Course. Bloom College cannot offer another class for missed classes. We understand that unforeseen circumstances arise and where possible we will endeavor to assist. A minimum attendance of 80% of classes is required to receive a certificate as a Bloom College Career Change Course Graduate. A minimum standard Portfolio must also be presented in order to graduate. NB: The Bloom College Career Change Course is not an accredited certificate course under governance of the National Training Package. For further terms and conditions please refer to our website I, have read and understand the Terms and Conditions as above.

4 EMERGENCY: Emergency contact name: Relationship: Contact number: Ambulance Victoria member? Yes No Membership #: In case of an emergency do you authorise Bloom College to call an ambulance for you? Yes No MEDICAL: Do you have a medical condition that we need to be aware of? Yes No Please give details of the condition (e.g. Asthma, Diabetes) and provide your treatment plan and your Doctor or GP s details: Condition: Treatment plan: (please attach): Doctor and clinic s name: Doctor/clinic s phone number: Signed: Date: / / CLASSROOM AND EXCURSION INDEMNITY FORM: Bloom College hereby agrees that a clean and safe classroom environment will be provided and maintained for each and every student and that safety procedures will be followed at all times in class and while on excursion. I take full responsibility for my safety when in the classroom and on excursions. I agree to wear fully enclosed footwear at all times (e.g. boots, shoes with thick material - no thongs or sandals), gloves when required and display appropriate use of tools and cutting techniques.

5 CODE OF CONDUCT: Bloom College staff agree to conduct themselves in a professional manner at all times. I undertake and agree to the following: To adhere to reasonable control, management and directions given to me by my teacher. To conduct myself in an appropriate manner at all times. To understand that inappropriate behaviour means (but is not limited to) swearing, smoking or being under the influence of alcohol, illicit drugs and/or prescription medication whenever in the Bloom College classroom or on an excursion. That harassment of teachers and other students will not be tolerated. To respect the teachers and instructors decisions.